Development of a Spanish version of the parent attitudes about childhood vaccines survey

Abstract

The Parent Attitudes about Childhood Vaccines (PACV) survey is a validated instrument for identifying vaccine-hesitant parents; however, a Spanish version is not available. Utilizing the WHO framework for translating survey instruments, we used an iterative process for developing the Spanish PACV that included forward translation, expert panel review, back translation and pre-testing that utilized cognitive interviewing. We made revisions to the Spanish PACV at each step, focusing on addressing inclusivity, readability, clarity and conceptual equivalence. The expert panel was comprised of 6 Spanish-speaking medical and research professionals who worked alongside 3 study team members. Pre-testing was conducted using convenience sampling of Spanish-speaking parents (N = 35) who had a child receiving care at the residents' continuity clinic at Texas Children's Hospital. Most pre-testing participants were married (80.6%), mothers (97.1%), ≥30 years of age (88.2%) and had a high school education or less (70.6%). While the majority of participants stated the survey was easy to complete, the translation of 5 PACV items was further revised to improve interpretability. We conclude that the final Spanish PACV is conceptually equivalent and culturally appropriate for most Hispanic populations.

Attitude of parents towards seasonal influenza vaccination for children in Saudi Arabia

“…The PACV survey has been developed in the Spanish language in addition to English. [ 12 ] In this study, an Arabic version of the PACV was adapted. The survey underwent forward translation and expert panel review, followed by back translation and pre-testing to ensure high quality of translation.…”

Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries

“…Although this survey was simple to administer and translate, future research should identify how individuals in different regions of the world with different educational backgrounds interpret a 5-point Likert scale. Other scales are available, and the Parent Attitudes about Childhood Vaccines (PACV) has been particularly widely used [41][42][43]. PACV reports three dimensions of vaccine hesitancy-safety and efficacy, general attitudes, and behavior [44], which may better reflect the complexity of vaccination attitudes relative to the survey used in this article.…”

Vaccine Hesitancy: Characteristics of the Refusal of Childhood Vaccination in a Peruvian Population

“…This region was selected due to the high concentration of healthcare services and providers, therefore reducing the probability of vaccine-related systematic or access failures [4]. The questionnaire used was the validated Parent Attitudes about Childhood Vaccines (PACV) survey, Spanish version [5][6][7].…”