ec d ote ▁( e . g ., ▁about ▁the ▁decision ▁to ▁v acc inate ▁one ' s ▁own ▁children ) ▁can ▁be ▁powerful ▁communication ▁tools ▁for ▁convers ations ▁about ▁the ▁value ▁of ▁v acc ination . ▁The ▁perce ived ▁strength ▁of ▁the ▁recommendation , ▁when ▁provided ▁by ▁a ▁health care ▁provider , ▁also ▁seems ▁to ▁influence ▁u pt ake , ▁with ▁recommend ations ▁that ▁are ▁perce ived ▁to ▁be ▁stronger ▁resulting ▁in ▁higher ▁v acc ination ▁rates ▁than ▁perce ived ▁we aker ▁recommend ations . ▁ ▁Limited ▁evidence ▁suggests ▁that ▁a ▁more ▁pat ernal istic ▁or ▁pres um pt ive ▁approach ▁(" Your ▁son ▁needs ▁three ▁sh ots ▁today .") ▁is ▁more ▁likely ▁to ▁result ▁in ▁patient ▁accept ance ▁of ▁v acc ines ▁during ▁a ▁clin ic ▁visit ▁than ▁a ▁particip atory ▁approach ▁(" What ▁do ▁you ▁want ▁to ▁do ▁about ▁sh ots ? ") ▁but ▁decre ases ▁patient ▁satisfaction ▁with ▁the ▁visit . ▁A ▁pres um pt ive ▁approach ▁helps ▁to ▁establish ▁that ▁this ▁is ▁the ▁norm ative ▁choice . ▁Similarly , ▁one ▁study ▁found ▁that ▁the ▁way ▁in ▁which ▁phys icians ▁respond ▁to ▁parent al ▁v acc ine ▁resistance ▁is ▁important . ▁Near ly ▁half ▁of ▁initially ▁v acc ine ▁resist ant ▁parents ▁accepted ▁v acc in ations ▁if ▁phys icians ▁pers isted ▁in ▁their ▁initial ▁recommendation . ▁The ▁Cent ers ▁for ▁D ise ase ▁Control ▁and ▁Pre vention ▁has ▁released ▁resources ▁to ▁aid ▁health care ▁prov iders ▁in ▁having ▁more ▁effective ▁convers ations ▁with ▁parents ▁about ▁v acc in