‘It's just the normal thing to do’: Exploring parental decision-making about the ‘five-in-one’ vaccine

Tickner, Sarah; Leman, Patrick J.; Woodcock, Alison

doi:10.1016/j.vaccine.2007.08.008

Cited by 36 publications

(108 citation statements)

References 22 publications

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“…The literature on childhood vaccination shows that parents who believe in vaccination tend to comply with, rather than make, an informed decision. (Tickner et al, 2007). Worries about MMR have increased public scepticism; therefore, health professionals giving information to parents need to be well prepared with robust, up-to-date information on vaccine safety and other issues.…”

Section: Discussionmentioning

confidence: 99%

Parental attitudes and information needs in an adolescent HPV vaccination programme

et al. 2008

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We sent a questionnaire to 38% (1084) of 2817 parents whose daughters had been offered human papillomavirus vaccination and who had agreed to participate. Of these, 60% (651) returned a questionnaire. Responses suggested that fact sheets and parent information evenings confirmed, rather than changed, consent decisions. The views of active refusers on safety and efficacy may be difficult to change, lowering vaccine coverage. British Journal of Cancer (2008Cancer ( ) 99, 1908Cancer ( -1911 In the United Kingdom, routine human papillomavirus (HPV) vaccination for 12 -13-year-old girls to prevent cervical cancer has begun. The highest possible vaccine uptake is required to achieve maximum impact on future cancer incidence and to ensure cost effectiveness (Goldhaber-Fiebert et al, 2008). Two parental acceptability studies in the UK anticipated an uptake of about 80% (Brabin et al, 2006;Marlow et al, 2007a), which would be similar to the coverage achieved by the cervical screening programme. As those girls who are not vaccinated may include some who would not take advantage of future cervical screening, reducing non-acceptance is important (Jit et al, 2008).A school-based programme increases the possibility of high coverage, but the acceptability of vaccinating adolescents against a sexually transmitted infection remains uncertain, and the general public is relatively uninformed, or even misinformed, about cervical cancer and its prevention (Friedman and Shepheard, 2007;Marlow et al, 2007b). We assessed vaccine acceptability in a feasibility study ahead of the national vaccine programme. Two primary care trusts (PCTs) in Greater Manchester that offered Cervarix (GlaxoSmithKline, Rixensart, Belgium) to girls attending 36 secondary schools achieved a 71% uptake of the first HPV vaccine dose . Here we present the results of a parental questionnaire survey shortly after the second dose, which focussed on factors that had influenced the parents' vaccine decision and included a small group of respondents who had declined vaccination. MATERIALS AND METHODSThe North Manchester NHS Research Ethics Committee approved the study. Cervarix was offered at 0, 1 and 6 months to 2817 girls aged 12 -13 years between October 2007 and July 2008 . In the covering letter, parents were informed that the funding source was GlaxoSmithKline and that Cervarix was one of two licensed vaccines; it explained that the vaccine for the future national immunisation programme and the policy for vaccinating older girls had not yet been determined. Parents received information about cervical cancer and the vaccine, a flier summarising the content of an educational film for girls (Vallely et al, 2008), details of parent evenings and a separate consent form for the follow-up research questionnaire. Information evenings provided an overview of HPV vaccines and the study aims; the educational film was shown, followed by a question and answer session facilitated either by school nurses or by a consultant in communicable diseases.Primary care trusts forwarded...

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Section: Discussionmentioning

confidence: 99%

Parental attitudes and information needs in an adolescent HPV vaccination programme

et al. 2008

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“…[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] In these studies, data were obtained primarily by interviews with individual parents and/or child caregivers or in focus groups with parents and/or child caregivers. Anywhere from 15 to 50…”

Section: Analysis Of Included Studiesmentioning

confidence: 99%

“…[23][24][25][26][27][28][29][30][32][33][34][36][37][38]40,[43][44][45]47,50,51 In 5 studies, the majority of the participants came from relatively high socioeconomic backgrounds and/or were well-educated. 31,39,42,48,49 Three studies did not comment on socioeconomic status (Table 1).…”

Section: Socioeconomic Statusmentioning

confidence: 99%

“…In the 22 studies that revealed caregiver type, the majority (range = 56%-100%) of participants were mothers. [23][24][25][26][27][28]30,[32][33][34][35][36][38][39][40][41]43,45,[47][48][49][50] In 4 studies, the authors indicated the participants were parents/caregivers but did not explicitly elicit or report parental status (eg, mother, father, stepparent, grandparent; Table 1). 29,44,46,51 Immunization Type Investigated A variety of immunization types were addressed.…”

Section: Socioeconomic Statusmentioning

confidence: 99%

“…Seven of the studies focused on MMR, 24,26,31,40,41,46,51 28 and 5 studies 29,30,35,47,50 focused specifically on the HPV immunization. Two studies specifically addressed the varicella immunization, 44,45 1 study addressed the influenza immunization, 32 and the authors of 1 study asked parents about a childhood immunization catch-up campaign 33 (Table 1).…”

Section: Socioeconomic Statusmentioning

confidence: 99%

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The Role of Herd Immunity in Parents’ Decision to Vaccinate Children: A Systematic Review

Quadri-Sheriff¹,

Hendrix²,

Downs³

et al. 2012

Pediatrics

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BACKGROUND AND OBJECTIVE: Herd immunity is an important benefit of childhood immunization, but it is unknown if the concept of benefit to others influences parents’ decisions to immunize their children. Our objective was to determine if the concept of “benefit to others” has been found in the literature to influence parents’ motivation for childhood immunization. METHODS: We systematically searched Medline through October 2010 for articles on parental/guardian decision-making regarding child immunization. Studies were included if they presented original work, elicited responses from parents/guardians of children <18 years old, and addressed vaccinating children for the benefit of others. RESULTS: The search yielded 5876 titles; 91 articles were identified for full review. Twenty-nine studies met inclusion criteria. Seventeen studies identified benefit to others as 1 among several motivating factors for immunization by using interviews or focus groups. Nine studies included the concept of benefit to others in surveys but did not rank its relative importance. In 3 studies, the importance of benefit to others was ranked relative to other motivating factors. One to six percent of parents ranked benefit to others as their primary reason to vaccinate their children, and 37% of parents ranked benefit to others as their second most important factor in decision-making. CONCLUSIONS: There appears to be some parental willingness to immunize children for the benefit of others, but its relative importance as a motivator is largely unknown. Further work is needed to explore this concept as a possible motivational tool for increasing childhood immunization uptake.

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Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence

Ames

Glenton

Lewin

2017

Cochrane Database of Systematic Reviews

225

194

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BackgroundChildhood vaccination is an effective way to prevent serious childhood illnesses, but many children do not receive all the recommended vaccines. There are various reasons for this; some parents lack access because of poor quality health services, long distances or lack of money. Other parents may not trust vaccines or the healthcare workers who provide them, or they may not see the need for vaccination due to a lack of information or misinformation about how vaccinations work and the diseases they can prevent.Communication with parents about childhood vaccinations is one way of addressing these issues. Communication can take place at healthcare facilities, at home or in the community. Communication can be two-way, for example face-to-face discussions between parents and healthcare providers, or one-way, for instance via text messages, posters or radio programmes. Some types of communication enable parents to actively discuss vaccines and their benefits and harms, as well as diseases they can prevent. Other communication types simply give information about vaccination issues or when and where vaccines are available. People involved in vaccine programmes need to understand how parents experience different types of communication about vaccination and how this influences their decision to vaccinate.ObjectivesThe specific objectives of the review were to identify, appraise and synthesise qualitative studies exploring: parents' and informal caregivers' views and experiences regarding communication about childhood vaccinations and the manner in which it is communicated; and the influence that vaccination communication has on parents' and informal caregivers' decisions regarding childhood vaccination.Search methodsWe searched MEDLINE (OvidSP), MEDLINE In-process and Other Non-Index Citations (Ovid SP), Embase (Ovid), CINAHL (EbscoHOST), and Anthropology Plus (EbscoHost) databases for eligible studies from inception to 30 August 2016. We developed search strategies for each database, using guidelines developed by the Cochrane Qualitative Research Methods Group for searching for qualitative evidence as well as modified versions of the search developed for three related reviews of effectiveness. There were no date or geographic restrictions for the search.Selection criteriaWe included studies that utilised qualitative methods for data collection and analysis; focused on the views and experiences of parents and informal caregivers regarding information about vaccination for children aged up to six years; and were from any setting globally where information about childhood vaccinations was communicated or distributed.Data collection and analysisWe used maximum variation purposive sampling for data synthesis, using a three-step sampling frame. We conducted a thematic analysis using a constant comparison strategy for data extraction and synthesis. We assessed our confidence in the findings using the GRADE-CERQual approach. High confidence suggests that it is highly likely that the review finding is a reasonable repres...

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‘It's just the normal thing to do’: Exploring parental decision-making about the ‘five-in-one’ vaccine

Cited by 36 publications

References 22 publications

Parental attitudes and information needs in an adolescent HPV vaccination programme

Parental attitudes and information needs in an adolescent HPV vaccination programme

The Role of Herd Immunity in Parents’ Decision to Vaccinate Children: A Systematic Review

Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence

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