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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description | Several countries have reported a resurgence of pertussis in the last decades. This puts infants (especially |
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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 & 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. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Visser et al 2016 Visser et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-331d6aeeaa7ee01bcc0df9a2cf1b78abaf7a223f3e94d6937b708b0ecdecb1833</citedby><cites>FETCH-LOGICAL-c725t-331d6aeeaa7ee01bcc0df9a2cf1b78abaf7a223f3e94d6937b708b0ecdecb1833</cites><orcidid>0000-0003-1228-2108</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890858/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890858/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27253386$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Hozbor, Daniela Flavia</contributor><creatorcontrib>Visser, Olga</creatorcontrib><creatorcontrib>Hautvast, Jeannine L A</creatorcontrib><creatorcontrib>van der Velden, Koos</creatorcontrib><creatorcontrib>Hulscher, Marlies E J L</creatorcontrib><title>Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Several countries have reported a resurgence of pertussis in the last decades. This puts infants (especially <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><subject>Adult</subject><subject>Analysis</subject><subject>Autonomy</subject><subject>Biology and Life Sciences</subject><subject>Complications</subject><subject>Content analysis</subject><subject>Cost-Benefit Analysis</subject><subject>Decision theory</subject><subject>Female</subject><subject>Focus groups</subject><subject>Health aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Infants</subject><subject>Literature reviews</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Midwifery</subject><subject>Motivation</subject><subject>Netherlands</subject><subject>Norms</subject><subject>Nurses</subject><subject>Parents</subject><subject>People and Places</subject><subject>Pertussis</subject><subject>Pertussis vaccines</subject><subject>Physiological aspects</subject><subject>Prevention</subject><subject>Qualitative research</subject><subject>Risk analysis</subject><subject>Risk perception</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Target groups</subject><subject>Uncertainty</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Vaccines - adverse effects</subject><subject>Vaccines - therapeutic use</subject><subject>Whooping cough</subject><subject>Whooping Cough - epidemiology</subject><subject>Whooping Cough - prevention & control</subject><subject>Whooping Cough - transmission</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk21v0zAQxyMEYqPwDRBEQkLwosWOnTjhBVJVnipNGjDYW3NxLq2n1C62M7Fvj7NmU4smgfIilu93_zvfQ5I8pWRGmaBvLmzvDHSzrTU4IzTPy4LeS45pxbJpkRF2f-98lDzy_oKQnJVF8TA5ykSWs3g-Tn4uTUATtDVpsOlcKdyG9Au60HuvfXoOSmkD1_bWunRhlbVGm9XbdJ5-7aHTIRovMT0LfXOV2jYNa0zfY0C3iX4m-MfJgxY6j0_G_yT58fHD98Xn6cnpp-VifjJVMZcwZYw2BSACCERCa6VI01aQqZbWooQaWgFZxlqGFW-KiolakLImqBpUNS0ZmyTPd7rbzno5FsdLKiqWC1JxHonljmgsXMit0xtwV9KCltcX1q0kuKBVh1I1Io_RMqHyilcNh5JTwEaojFY540O0d2O0vt5go2IJHXQHoocWo9dyZS8lLytS5mUUeDUKOPurRx_kRnuFXQcGbR_zLklslRAs-zcan1gRTmJVJsmLv9C7CzFSK4hv1aa1MUU1iMo5z3lG8oIMWrM7qPg1uNEqDl2r4_2Bw-sDh8gE_B1WEEdJLs--_T97en7Ivtxj1whdWHvb9cNQ-kOQ70DlrPcO29t-UCKHnbmphhx2Ro47E92e7ffy1ulmSdgfn1oRoQ</recordid><startdate>20160602</startdate><enddate>20160602</enddate><creator>Visser, Olga</creator><creator>Hautvast, Jeannine L A</creator><creator>van der Velden, Koos</creator><creator>Hulscher, Marlies E J L</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-1228-2108</orcidid></search><sort><creationdate>20160602</creationdate><title>Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants</title><author>Visser, Olga ; Hautvast, Jeannine L A ; van der Velden, Koos ; Hulscher, Marlies E J L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c725t-331d6aeeaa7ee01bcc0df9a2cf1b78abaf7a223f3e94d6937b708b0ecdecb1833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Analysis</topic><topic>Autonomy</topic><topic>Biology and Life Sciences</topic><topic>Complications</topic><topic>Content analysis</topic><topic>Cost-Benefit Analysis</topic><topic>Decision theory</topic><topic>Female</topic><topic>Focus groups</topic><topic>Health aspects</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>Infants</topic><topic>Literature reviews</topic><topic>Medical personnel</topic><topic>Medicine and Health Sciences</topic><topic>Midwifery</topic><topic>Motivation</topic><topic>Netherlands</topic><topic>Norms</topic><topic>Nurses</topic><topic>Parents</topic><topic>People and Places</topic><topic>Pertussis</topic><topic>Pertussis vaccines</topic><topic>Physiological aspects</topic><topic>Prevention</topic><topic>Qualitative research</topic><topic>Risk analysis</topic><topic>Risk perception</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Target groups</topic><topic>Uncertainty</topic><topic>Vaccination</topic><topic>Vaccines</topic><topic>Vaccines - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Visser, Olga</au><au>Hautvast, Jeannine L A</au><au>van der Velden, Koos</au><au>Hulscher, Marlies E J L</au><au>Hozbor, Daniela Flavia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-06-02</date><risdate>2016</risdate><volume>11</volume><issue>6</issue><spage>e0155861</spage><epage>e0155861</epage><pages>e0155861-e0155861</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Several countries have reported a resurgence of pertussis in the last decades. This puts infants (especially <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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