The impact of the media on the decision of parents in South Wales to accept measles-mumps-rubella (MMR) immunization

Walsh, Stephen J.; Thomas, Daniel; Mason, Brendan; Evans, Matthew R.

doi:10.1017/s0950268814000752

Cited by 33 publications

(32 citation statements)

References 19 publications

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“…Of the 265 physicians seeing pediatric patients in the 30 clinics, 179 (67.5%) attended a training session, along with 198 others (18 midlevel providers, 54 nurses, and 126 other staff). The median number of total attendees was 16.5 (range [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] and of physician attendees was 6 (range 2-19). Among attendees, 278 (74%) completed posttraining evaluations.…”

Section: Resultsmentioning

confidence: 99%

“…[1][2][3] As public confidence in vaccines erodes, [4][5][6][7] parents hesitate about vaccine decisions, vaccination rates may decrease, and outbreaks of vaccinepreventable disease may be more likely. [8][9][10][11] Physicians are highly influential on parental beliefs and attitudes about childhood vaccinations, 7,12-14 yet many feel unprepared to address questions from vaccine-hesitant parents. [15][16][17] Improved physician communication with vaccine hesitant-parents could address parental hesitancy, but few evidence-based interventions are available.…”

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confidence: 99%

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Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial

et al. 2015

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BACKGROUND AND OBJECTIVES: Physicians have a major influence on parental vaccine decisions. We tested a physician-targeted communication intervention designed to (1) reduce vaccine hesitancy in mothers of infants seen by trained physicians and (2) increase physician confidence in communicating about vaccines. METHODS:We conducted a community-based, clinic-level, 2-arm cluster randomized trial in Washington State. Intervention clinics received physician-targeted communications training. We enrolled mothers of healthy newborns from these clinics at the hospital of birth. Mothers and physicians were surveyed at baseline and 6 months. The primary outcome was maternal vaccine hesitancy measured by Parental Attitudes on Childhood Vaccines score; secondary outcome was physician self-efficacy in communicating with parents by using 3 vaccine communication domains. RESULTS:We enrolled 56 clinics and 347 mothers. We conducted intervention trainings at 30 clinics, reaching 67% of eligible physicians; 26 clinics were randomized to the control group. Maternal vaccine hesitancy at baseline and follow-up changed from 9.8% to 7.5% in the intervention group and 12.6% to 8.0% in the control group. At baseline, groups were similar on all variables except maternal race and ethnicity. The intervention had no detectable effect on maternal vaccine hesitancy (adjusted odds ratio 1.22, 95% confidence interval 0.47-2.68). At follow-up, physician self-efficacy in communicating with parents was not significantly different between intervention and control groups.CONCLUSIONS: This physician-targeted communication intervention did not reduce maternal vaccine hesitancy or improve physician self-efficacy. Research is needed to identify physician communication strategies effective at reducing parental vaccine hesitancy in the primary care setting.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial

et al. 2015

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“…Negative media reporting can lessen uptake of vaccination during and/or following vaccine safety scares [46, 47]. Mass media reportage of issues is driven by what is considered currently newsworthy [35, 48].…”

Section: Discussionmentioning

confidence: 99%

The impact of a vaccine scare on parental views, trust and information needs: a qualitative study in Sydney, Australia

King

Leask

2017

BMC Public Health

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BackgroundVaccine safety scares can undermine public confidence in vaccines and decrease immunisation rates. Understanding and addressing parental concerns arising during such scares can assist in lessening their impact. In Australia in April 2010 there was a temporary suspension of influenza vaccine for children under 5 years of age after reports of an increase in the rate of adverse events following vaccination. This qualitative study aimed to explore the impact of the vaccine suspension on parental knowledge, attitudes, trust, information needs, and intent related to influenza vaccination and broader immunisation programs.MethodsSemi-structured interviews were conducted with 25 parents of children attending childcare centres in Sydney, Australia, between June 2010 and May 2011. Centres were selected to include parents from a range of socioeconomic backgrounds. Interview transcripts were coded and analysed using an approach informed by grounded theory.ResultsFindings indicated that, for those who recalled the vaccine suspension, there was a lasting sense of uncertainty and confusion and a perceived lack of information. Parents had distinct information needs following the vaccine suspension, especially in regards to vaccine safety, testing and recommendations. For many, influenza vaccination intent was conditional on receipt of information from a trusted, authoritative source allaying safety concerns. Importantly, the impact of the scare was contained to influenza vaccines only, and not other vaccine programs.ConclusionsParental concerns and information gaps following a vaccine safety scare need to be actively addressed. We provide policy and practice suggestions for proactively managing such incidents, particularly in relation to communication of timely, targeted information to parents and immunisation providers.

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“…The most common reason for hesitancy or refusal was concern about adverse effects, revealed in 13 of 20 studies. This was mentioned by participants in relation to fear of autism in 10 studies [22][23][24][25][26][29][30][31][32][33] across three countries (UK, Italy, and Sweden). Rejectors and vaccine-hesitant parents were more likely to perceive adverse effects as highly probable and severe [29,34].…”

Section: Side Effectsmentioning

confidence: 99%

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Wilder-Smith¹,

Qureshi²

2019

JEGH

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Background and Objectives: Europe has experienced a major resurgence of measles in recent years, despite the availability and free access to a safe, effective, and affordable vaccination measles, mumps and rubella vaccine (MMR). The main driver for this is suboptimal vaccine coverage. Parental attitudes and beliefs toward measles vaccination are of paramount importance in influencing vaccine coverage. The three objectives of this study are to synthesize and critically assess parental attitudes and beliefs toward MMR uptake, to develop strategies and policy recommendations to effectively improve MMR vaccine uptake accordingly, and ultimately to identify areas for further research. Methods: A systematic review was conducted using primary studies from PubMed, Medline, Embase, and Scopus published between 2011 and April 2019. Inclusion criteria comprised primary studies in English conducted in Europe and studying parental attitudes and behavior regarding MMR uptake. Data were extracted using an inductive grounded theory approach. Results: In all, 20 high-quality studies were identified. Vaccine hesitancy or refusal were mainly due to concerns about vaccine safety, effectiveness, perception of measles risk and burden, mistrust in experts, and accessibility. Factors for MMR uptake included a sense of responsibility toward child and community health, peer judgement, trust in experts and vaccine, and measles severity. Anthroposophical and Gypsy, Roma, and Traveler populations presented unique barriers such as accessibility. Conclusion: A multi-interventional, evidence-based approach is vital to improve confidence, competence, and convenience of measles vaccination uptake. Healthcare professionals need an understanding of individual contextual attitudes and barriers to MMR uptake to tailor effective communication. Effective surveillance is needed to identify under-vaccinated populations for vaccination outreach programs to improve accessibility and uptake.

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The impact of the media on the decision of parents in South Wales to accept measles-mumps-rubella (MMR) immunization

Cited by 33 publications

References 19 publications

Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial

Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial

The impact of a vaccine scare on parental views, trust and information needs: a qualitative study in Sydney, Australia

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

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