Evaluation of the reliability and validity of a vaccine hesitancy scale on knowledge, attitude, trust and vaccination environment (KATE-S) in Chinese parents

To verify the reliability and validity of a vaccine hesitancy scale about knowledge, attitude, trust and vaccination environment (KATE-S) among the Chinese parents. A questionnaire survey was conducted by convenience sampling in China using the KATE-S to assess knowledge of vaccines, attitudes towar...

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Veröffentlicht in:Vaccine 2022-05, Vol.40 (21), p.2933-2939
Hauptverfasser: Tianshuo, Zhao, Hanyu, Liu, Bingfeng, Han, Bei, Liu, Jiang, Liu, Juan, Du, Ninghua, Huang, Qingbin, Lu, Yaqiong, Liu, Fuqiang, Cui
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container_end_page 2939
container_issue 21
container_start_page 2933
container_title Vaccine
container_volume 40
creator Tianshuo, Zhao
Hanyu, Liu
Bingfeng, Han
Bei, Liu
Jiang, Liu
Juan, Du
Ninghua, Huang
Qingbin, Lu
Yaqiong, Liu
Fuqiang, Cui
description To verify the reliability and validity of a vaccine hesitancy scale about knowledge, attitude, trust and vaccination environment (KATE-S) among the Chinese parents. A questionnaire survey was conducted by convenience sampling in China using the KATE-S to assess knowledge of vaccines, attitudes towards vaccines, trust in acquired information and vaccination environment and vaccination status of vaccine introduced in immunization program among children. A total of 199 valid questionnaires were collected from the parents. Among those, 83 (41.7%) parents accepted all vaccines without hesitancy, 111 (55.8%) parents accepted all but had hesitancy intention, and 5 (2.5%) had hesitancy behaviour of refusing or delaying vaccination. The overall test–retest reliability, split-half reliability and Cronbach's coefficient values were 0.924, 0.885 and 0.823, respectively. The scale-level content validity index (S-CVI) of universal agreement was 0.867, and the average S-CVI was 0.978. Exploratory factor analysis extracted seven common factors from the scale, and the cumulative contribution rate was 56.8%. The correlation coefficients between the items and their dimensions ranged from 0.405 to 0.760, with a calibration success rate of 100% for convergent and discriminant validity. After adjusting for the basic characteristics, the knowledge level of hesitancy intention group and hesitancy behavior group were both lower than accept all group (OR = 0.78, 95% CI: 0.65–0.94; OR = 0.26, 95 %CI: 0.07–0.94). The KATE-S has good reliability and validity in Chinese parents and would be considered to expand the sample size and survey areas to obtain more representative results.
doi_str_mv 10.1016/j.vaccine.2022.03.068
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A questionnaire survey was conducted by convenience sampling in China using the KATE-S to assess knowledge of vaccines, attitudes towards vaccines, trust in acquired information and vaccination environment and vaccination status of vaccine introduced in immunization program among children. A total of 199 valid questionnaires were collected from the parents. Among those, 83 (41.7%) parents accepted all vaccines without hesitancy, 111 (55.8%) parents accepted all but had hesitancy intention, and 5 (2.5%) had hesitancy behaviour of refusing or delaying vaccination. The overall test–retest reliability, split-half reliability and Cronbach's coefficient values were 0.924, 0.885 and 0.823, respectively. The scale-level content validity index (S-CVI) of universal agreement was 0.867, and the average S-CVI was 0.978. Exploratory factor analysis extracted seven common factors from the scale, and the cumulative contribution rate was 56.8%. The correlation coefficients between the items and their dimensions ranged from 0.405 to 0.760, with a calibration success rate of 100% for convergent and discriminant validity. After adjusting for the basic characteristics, the knowledge level of hesitancy intention group and hesitancy behavior group were both lower than accept all group (OR = 0.78, 95% CI: 0.65–0.94; OR = 0.26, 95 %CI: 0.07–0.94). The KATE-S has good reliability and validity in Chinese parents and would be considered to expand the sample size and survey areas to obtain more representative results.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>35410815</pmid><doi>10.1016/j.vaccine.2022.03.068</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland
subjects Attitudes
Basic converters
Child
Children
Children & youth
China
Correlation coefficient
Correlation coefficients
Factor analysis
Group dynamics
Health Knowledge, Attitudes, Practice
Hepatitis
Humans
Immunization
Knowledge
Parents
Parents & parenting
Polls & surveys
Questionnaires
Reliability
Reliability analysis
Reproducibility of Results
Scale
Surveys and Questionnaires
Trust
Vaccination
Vaccination Hesitancy
Vaccine hesitancy
Vaccines
Validity
title Evaluation of the reliability and validity of a vaccine hesitancy scale on knowledge, attitude, trust and vaccination environment (KATE-S) in Chinese parents
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