A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom
Background: High uptake of vaccinations is crucial for disease prevention. Although overall uptake of childhood immunisations is high in the United Kingdom (UK), pockets of lower uptake remain. Novel systematic methods have not been employed when reviewing the qualitative literature examining parent...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-12-01
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| Series: | SSM: Population Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827316300477 |
| _version_ | 1811277690921025536 |
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| author | Alice S. Forster Lauren Rockliffe Amanda J. Chorley Laura A.V. Marlow Helen Bedford Samuel G. Smith Jo Waller |
| author_facet | Alice S. Forster Lauren Rockliffe Amanda J. Chorley Laura A.V. Marlow Helen Bedford Samuel G. Smith Jo Waller |
| author_sort | Alice S. Forster |
| collection | DOAJ |
| description | Background: High uptake of vaccinations is crucial for disease prevention. Although overall uptake of childhood immunisations is high in the United Kingdom (UK), pockets of lower uptake remain. Novel systematic methods have not been employed when reviewing the qualitative literature examining parents’ vaccination decisions. Aims: We aimed to conduct a qualitative systematic review of studies in the UK to understand factors influencing parental decisions to vaccinate a child. Methods: On 12/2/14 we searched PsycINFO, MEDLINE, CINAHL plus, Embase, Social Policy and Practice and Web of Science for studies using qualitative methods and reporting reasons why parents in the UK had or had not immunised their child. Participant quotes and authors’ interpretations of qualitative data were extracted from the results of articles. Thematic synthesis was used to develop higher-order themes (conducted in 2015). Results: 34 papers were included. Two types of decision-making had been adopted: non-deliberative and deliberative. With non-deliberative decisions parents felt they had no choice, were happy to comply and/or relied on social norms. Deliberative decisions involved weighing up the risks and benefits, considering others’ advice/experiences and social judgement. Emotions affected deliberative decision-making. Trust in information and vaccine stakeholders was integral to all decision-making. Practical issues affected those who intended to vaccinate. Conclusions: Parents adopted two different approaches to decision-making about childhood vaccinations. By understanding more about the mechanisms underpinning parents’ vaccination behaviour, in collaboration with vaccine stakeholders, we can better design interventions to enhance informed uptake. Keywords: Thematic synthesis, Vaccination, Parents, Patient Acceptance of Health Care |
| first_indexed | 2024-04-13T00:20:10Z |
| format | Article |
| id | doaj.art-75aef00b7f244e049bf70aee3e6c4860 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-04-13T00:20:10Z |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-75aef00b7f244e049bf70aee3e6c48602022-12-22T03:10:47ZengElsevierSSM: Population Health2352-82732016-12-012603612A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United KingdomAlice S. Forster0Lauren Rockliffe1Amanda J. Chorley2Laura A.V. Marlow3Helen Bedford4Samuel G. Smith5Jo Waller6Health Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, United Kingdom; Corresponding author.Health Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, United KingdomHealth Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, United KingdomHealth Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, United KingdomInstitute of Child Health, UCL, 30 Guilford Street, London WC1N 1EH, United KingdomWolfson Institute of Preventive Medicine, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, United KingdomHealth Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, United KingdomBackground: High uptake of vaccinations is crucial for disease prevention. Although overall uptake of childhood immunisations is high in the United Kingdom (UK), pockets of lower uptake remain. Novel systematic methods have not been employed when reviewing the qualitative literature examining parents’ vaccination decisions. Aims: We aimed to conduct a qualitative systematic review of studies in the UK to understand factors influencing parental decisions to vaccinate a child. Methods: On 12/2/14 we searched PsycINFO, MEDLINE, CINAHL plus, Embase, Social Policy and Practice and Web of Science for studies using qualitative methods and reporting reasons why parents in the UK had or had not immunised their child. Participant quotes and authors’ interpretations of qualitative data were extracted from the results of articles. Thematic synthesis was used to develop higher-order themes (conducted in 2015). Results: 34 papers were included. Two types of decision-making had been adopted: non-deliberative and deliberative. With non-deliberative decisions parents felt they had no choice, were happy to comply and/or relied on social norms. Deliberative decisions involved weighing up the risks and benefits, considering others’ advice/experiences and social judgement. Emotions affected deliberative decision-making. Trust in information and vaccine stakeholders was integral to all decision-making. Practical issues affected those who intended to vaccinate. Conclusions: Parents adopted two different approaches to decision-making about childhood vaccinations. By understanding more about the mechanisms underpinning parents’ vaccination behaviour, in collaboration with vaccine stakeholders, we can better design interventions to enhance informed uptake. Keywords: Thematic synthesis, Vaccination, Parents, Patient Acceptance of Health Carehttp://www.sciencedirect.com/science/article/pii/S2352827316300477 |
| spellingShingle | Alice S. Forster Lauren Rockliffe Amanda J. Chorley Laura A.V. Marlow Helen Bedford Samuel G. Smith Jo Waller A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom SSM: Population Health |
| title | A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom |
| title_full | A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom |
| title_fullStr | A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom |
| title_full_unstemmed | A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom |
| title_short | A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom |
| title_sort | qualitative systematic review of factors influencing parents vaccination decision making in the united kingdom |
| url | http://www.sciencedirect.com/science/article/pii/S2352827316300477 |
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