Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants

Several countries have reported a resurgence of pertussis in the last decades. This puts infants (especially

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Veröffentlicht in:PloS one 2016-06, Vol.11 (6), p.e0155861-e0155861
Hauptverfasser: Visser, Olga, Hautvast, Jeannine L A, van der Velden, Koos, Hulscher, Marlies E J L
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creator Visser, Olga
Hautvast, Jeannine L A
van der Velden, Koos
Hulscher, Marlies E J L
description Several countries have reported a resurgence of pertussis in the last decades. This puts infants (especially
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This puts infants (especially &lt;6 months) at risk of severe complications, because they are too young to be fully protected by vaccination. The global pertussis initiative has proposed pertussis vaccination of young infants' close contacts, in order to reduce pertussis transmission and the burden of the disease on infants. Our aim is to explore the perceived determinants (barriers and facilitators) of intention to accept vaccination among the possible target groups of pertussis vaccination for cocooning. Consideration of these determinants is necessary to optimise the uptake of the vaccination. We conducted 13 focus groups and six individual semi-structured interviews with members of possible target groups for pertussis cocooning (i.e. parents, maternity assistants, midwives, and paediatric nurses) in the Netherlands. Here, both maternal pertussis vaccination as well as pertussis cocooning has not been implemented. The topic list was based on a literature review and a barrier framework. All interviews were transcribed verbatim and two researchers performed thematic content analysis. The participants' risk perception, outcome expectations, general vaccination beliefs, moral norms, opinion of others, perceived autonomy, anticipated regret, decisional uncertainty, and perceived organisational barriers were all factors that influenced the intention to accept pertussis vaccination for cocooning. This study has identified nine perceived determinants that influence the intention to accept pertussis cocooning vaccination. We add the following determinants to the literature: perceived cost-effectiveness (as a concept of outcome expectations), justice (as a concept of moral norms), anticipated regret, and decisional uncertainty. We recommend considering these determinants in vaccination programmes for pertussis cocooning vaccination. Experience, information and trust emerged as predominant themes within these determinants. These themes require particular attention in future research on vaccination acceptance, especially with regard to their role in use and implementation in policy and practice.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0155861</identifier><identifier>PMID: 27253386</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Autonomy ; Biology and Life Sciences ; Complications ; Content analysis ; Cost-Benefit Analysis ; Decision theory ; Female ; Focus groups ; Health aspects ; Health Knowledge, Attitudes, Practice ; Humans ; Immunization ; Infant ; Infants ; Literature reviews ; Medical personnel ; Medicine and Health Sciences ; Midwifery ; Motivation ; Netherlands ; Norms ; Nurses ; Parents ; People and Places ; Pertussis ; Pertussis vaccines ; Physiological aspects ; Prevention ; Qualitative research ; Risk analysis ; Risk perception ; Studies ; Surveys and Questionnaires ; Target groups ; Uncertainty ; Vaccination ; Vaccines ; Vaccines - adverse effects ; Vaccines - therapeutic use ; Whooping cough ; Whooping Cough - epidemiology ; Whooping Cough - prevention &amp; control ; Whooping Cough - transmission ; Womens health</subject><ispartof>PloS one, 2016-06, Vol.11 (6), p.e0155861-e0155861</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Visser et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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This puts infants (especially &lt;6 months) at risk of severe complications, because they are too young to be fully protected by vaccination. The global pertussis initiative has proposed pertussis vaccination of young infants' close contacts, in order to reduce pertussis transmission and the burden of the disease on infants. Our aim is to explore the perceived determinants (barriers and facilitators) of intention to accept vaccination among the possible target groups of pertussis vaccination for cocooning. Consideration of these determinants is necessary to optimise the uptake of the vaccination. We conducted 13 focus groups and six individual semi-structured interviews with members of possible target groups for pertussis cocooning (i.e. parents, maternity assistants, midwives, and paediatric nurses) in the Netherlands. Here, both maternal pertussis vaccination as well as pertussis cocooning has not been implemented. The topic list was based on a literature review and a barrier framework. All interviews were transcribed verbatim and two researchers performed thematic content analysis. The participants' risk perception, outcome expectations, general vaccination beliefs, moral norms, opinion of others, perceived autonomy, anticipated regret, decisional uncertainty, and perceived organisational barriers were all factors that influenced the intention to accept pertussis vaccination for cocooning. This study has identified nine perceived determinants that influence the intention to accept pertussis cocooning vaccination. We add the following determinants to the literature: perceived cost-effectiveness (as a concept of outcome expectations), justice (as a concept of moral norms), anticipated regret, and decisional uncertainty. We recommend considering these determinants in vaccination programmes for pertussis cocooning vaccination. Experience, information and trust emerged as predominant themes within these determinants. These themes require particular attention in future research on vaccination acceptance, especially with regard to their role in use and implementation in policy and practice.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27253386</pmid><doi>10.1371/journal.pone.0155861</doi><orcidid>https://orcid.org/0000-0003-1228-2108</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Analysis
Autonomy
Biology and Life Sciences
Complications
Content analysis
Cost-Benefit Analysis
Decision theory
Female
Focus groups
Health aspects
Health Knowledge, Attitudes, Practice
Humans
Immunization
Infant
Infants
Literature reviews
Medical personnel
Medicine and Health Sciences
Midwifery
Motivation
Netherlands
Norms
Nurses
Parents
People and Places
Pertussis
Pertussis vaccines
Physiological aspects
Prevention
Qualitative research
Risk analysis
Risk perception
Studies
Surveys and Questionnaires
Target groups
Uncertainty
Vaccination
Vaccines
Vaccines - adverse effects
Vaccines - therapeutic use
Whooping cough
Whooping Cough - epidemiology
Whooping Cough - prevention & control
Whooping Cough - transmission
Womens health
title Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants
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