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Parental and Provider Attitudes, Practices, and Beliefs about Childhood Immunizations in Kansas

Parental and Provider Attitudes, Practices, and Beliefs about Childhood Immunizations in Kansas. Candace L. Ayars, Ph.D. Kansas Health Institute October 12, 2006. Purpose .

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Parental and Provider Attitudes, Practices, and Beliefs about Childhood Immunizations in Kansas

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  1. Parental and ProviderAttitudes, Practices, and Beliefsabout Childhood Immunizationsin Kansas Candace L. Ayars, Ph.D. Kansas Health Institute October 12, 2006

  2. Purpose • Assess attitudes, beliefs, barriers, and facilitating factors among Kansas healthcare providers that influence the timing and delivery of childhood vaccinations. • Assess attitudes, beliefs, barriers, and facilitating factors among Kansas parents of children aged 0 -2 years that influence the timing and delivery of childhood vaccinations.

  3. Study Design: Qualitative Semi-structured Interviews • The Challenge: Account for discrepancies between statistical inference, observed practice, and desirable practice. • Permits exploratory analyses for the purpose of framing hypotheses. • Appropriate when a deeper knowledge base is required for quantitative investigation. • The Goal: Discover how the subject sees the world and themselves, without taking the accuracy of the view for granted.

  4. Sampling Frame for Private Providers

  5. Sampling Frame for Parents • Random sample from private provider clinic. • Random sample from local health department clinics in the same county as participating private provider clinics.

  6. Sampling Strategy - Triangulation • 3 clinics from each strata • 3 parents from each clinic

  7. Sample Sizes • Private Provider Clinics: 27 • Parents • Dependent on the number of counties represented by the private providers • Maximum 162

  8. Recruitment • Providers will be contacted by the research team through mail and telephone for informed consent. • Parents • Confidential mailing from their provider with OPT OUT cards • List of potential participants forwarded to research team • Research team randomly contacts parents for informed consent

  9. Incentives • Providers: Choice of $125 gift certificate to national book store OR American Academy of Pediatrics’ Red Book • Parents: $20 gift certificate to Wal-Mart

  10. Interviews • Providers • Face-to-Face • 1½ hours, tape recorded • May be conducted during breakfast/lunch • Parents • CATI • 1 hour, tape recorded • Conducted during recruitment call, after consent OR at a conveniently scheduled time

  11. Analysis • NVivo software: Non-numeric Unstructured Data Index Searching and Theorizing • Salient themes • Frequency of themes • Recommendations for hypothesis testing

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