Poor uptake of adult vaccines is a risk to public health and is due, in part, to inconsistent recommendations by primary care physicians (PCPs). With increasing rates of mistrust, misinformation, and vaccine hesitancy (VH), PCPs need to be confident in vaccines and their ability to counsel all patients. We created an online cross-sectional quantitative survey for US adult PCPs to identify their confidence levels in counseling about adult vaccines. The survey was adapted from the validated Pro-VC-Be survey and contains 37 items, 4 of which are used to calculate self-efficacy scores (SE Total, SE All, SE VH). Descriptive and comparative analyses were performed using SPSS to calculate self-efficacy (SE) scores and to assess association between SE scores and time from residency training and content of past training. Independent t-tests between SE VH scores and time from training had p-values <0.05 when comparing those 0-4 years from training when compared to all other provider groups. Independent t-tests for SE scores and content of training resulted in p-values <0.05 when comparing SE VH scores of those with no training to those with basic and advanced training. 45.5% strongly agreed that they were interested in more training on vaccine knowledge and communication skills. Overall, we found US PCPs feel confident and sufficiently trained to counsel on adult vaccines, but less confident when counseling VH patients. There may be an association between SE and content of past training. Further survey responses are needed to evaluate whether these preliminary associations reflect the greater population of US PCPs.
Zawora, Michele, "US Primary Care Physicians: Are They Ready to Counsel on Adult Vaccines? A Quantitative Cross-Sectional Survey" (2023). Master of Public Health Capstone Presentations. Presentation 505.