L’engagement des médecins généralistes français dans la vaccination : l’étude DIVA (Déterminants des Intentions de Vaccination)

Martínez, L.; Tugaut, Béatrice; Raineri, F.; Arnould, B; Seyler, Didier; Arnould, Pascale; Benmedjahed, Khadra; Coindard, Guillaume; Denis, François; Gallais, Jean-Luc; Duhot, Didier

doi:10.3917/spub.161.0019

Cited by 12 publications

(6 citation statements)

References 15 publications

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“…It is therefore crucial to understand the factors that influence PCPs’ commitment to vaccination. To address this need, the French Society of General Medicine (‘Société Française de Médecine Générale’ -SFMG-) developed a tool, the Determinants of Intentions to Vaccinate (DIVA © ) questionnaire, following a rigorous qualitative stepwise methodology [ 15 , 16 ]. The aims of the present study were to define the scoring rules and to assess the measurement properties of the DIVA tool.…”

Section: Introductionmentioning

confidence: 99%

Scoring and psychometric validation of the ‘Determinants of Intentions to Vaccinate’ (DIVA©) questionnaire

Martínez¹,

Fofana²,

Raineri³

et al. 2016

BMC Fam Pract

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BackgroundPrimary care physicians (PCPs) play a key role regarding vaccination in France. The aims of the present study were to define the scoring rules and to assess the measurement properties of the ‘Determinants of Intentions to Vaccinate’ (DIVA©) questionnaire that aims to assess PCPs’ attitudes and beliefs toward vaccination.MethodsThe DIVA questionnaire was derived from a literature review and PCPs focus groups. Scoring and early validation of the DIVA questionnaire were determined during a cross-sectional study conducted in France. During the study, PCPs had to complete the DIVA questionnaire for any of the six vaccine-preventable diseases (VPDs) to which they were randomly assigned (measles, pertussis, pneumococcus infection, seasonal influenza, human papillomavirus -HPV- infection and tetanus). Descriptive analyses of items and the analysis of the grouping of items into domains were conducted. Internal consistency reliability and construct validity was assessed according to each VPD.ResultsThe DIVA questionnaire was completed by 1,069 PCPs and was well accepted. The ‘Commitment of the PCP to the vaccination approach’ score showed very good internal consistency reliability (Cronbach’s alpha >0.70 overall and for each VPD). The construct validity of the DIVA questionnaire was confirmed.ConclusionsThe DIVA questionnaire is a valid and reliable measure of PCPs’ attitudes and beliefs toward vaccination.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-016-0539-3) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Scoring and psychometric validation of the ‘Determinants of Intentions to Vaccinate’ (DIVA©) questionnaire

Martínez¹,

Fofana²,

Raineri³

et al. 2016

BMC Fam Pract

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“…Additionally, only 2.4% of physicians who did not recommend rotavirus vaccination to their patients in Turkey reported safety concerns 53 but concerns about side effects were provided as a reason for not supporting universal varicella vaccination by 28% of HCPs in Hungary . 54 A qualitative study in France also found that the risk of side-effects following BCG vaccination influenced some GPs’ vaccine recommendations to patients, 57 while vaccine safety in general was significantly and negatively associated with vaccine recommendations by GPs in another study. 21 Finally, while 18.6% of pediatricians in an Italian study believed that the frequency of adverse reactions to childhood vaccines was underestimated, 82 79.5% of them also agreed that vaccines are among the safest and most tested medicinal products, 82 compared to only 6.44–14.5% of pediatricians and pediatric nurses in Spain .…”

Section: Resultsmentioning

confidence: 97%

“… 56 A qualitative study with HCPs in France also found that vaccination recommendations were influenced by perceptions of low severity of disease (varicella) and low prevalence (Meningococcal C and HPV). 57 Some HCPs also questioned the benefits of HPV vaccination and risk of HPV-associated cancers for their own sons: 33.1% of HCPs from Switzerland 58 and 17.8–20.6% of HCPs in Slovenia . 59 …”

Section: Resultsmentioning

confidence: 99%

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Factors influencing healthcare professionals’ confidence in vaccination in Europe: a literature review

Pavlovic

Sahoo

Larson

et al. 2022

Human Vaccines & Immunotherapeutics

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Health-care professionals (HCPs) have a fundamental role in vaccination, their own beliefs and attitudes affecting both their uptake and recommendation of vaccines. This literature review (n = 89) summarises evidence on HCPs’ perceptions of the risks and benefits of vaccination, trust, and perceptions of mandatory vaccination in Europe. HCPs across studies believed that vaccination is important to protect themselves and their patients. However, beliefs that some diseases such as influenza are less risky were reported by some HCPs as a reason for not getting vaccinated. Concerns about both short- and long-term side effects were identified among HCPs in most studies, such as those affecting the immune or neurological system. Mistrust toward health authorities and pharmaceutical industry was reported in some studies. The question of mandatory vaccination revealed mixed opinions, with some favoring self-determination and others viewing vaccination as a duty. This review highlights key factors influencing HCPs’ confidence in vaccination in Europe.

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“…In our study, 72.8% of the GPs stated that a vaccination schedule should be included in the letter they receive from the oncologist. Many GPs criticize a lack of communication and coordination between hospital doctors and primary care practices [26,27], and take for example hospital reports that are of little use to GPs [28].…”

Section: Discussionmentioning

confidence: 99%

Vaccination of cancer patients treated with chemotherapy: A survey among general practitioners

Glavier¹,

Puyade²,

Roblot³

et al. 2019

Médecine et Maladies Infectieuses

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L’engagement des médecins généralistes français dans la vaccination : l’étude DIVA (Déterminants des Intentions de Vaccination)

Cited by 12 publications

References 15 publications

Scoring and psychometric validation of the ‘Determinants of Intentions to Vaccinate’ (DIVA©) questionnaire

Scoring and psychometric validation of the ‘Determinants of Intentions to Vaccinate’ (DIVA©) questionnaire

Factors influencing healthcare professionals’ confidence in vaccination in Europe: a literature review

Vaccination of cancer patients treated with chemotherapy: A survey among general practitioners

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