Birthe A Lehmann1, Hester E de Melker2, Daniëlle R M Timmermans2, Liesbeth Mollema2. 1. Center for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands. Electronic address: birthe.lehmann@rivm.nl. 2. Center for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Abstract
OBJECTIVE: We aimed to assess informed decision making about childhood immunization by measuring knowledge, deliberation and value-consistency. Additionally, we investigated whether informed decision making is different for parents who accept and parents who decline vaccination. METHODS: Parents of at least one child between 3 months and 3,5 years of age were randomly selected from a vaccination register and were asked to fill in an online questionnaire measuring informed decision making. RESULTS: In total, 1615 parents completed the questionnaire (16.2%). 77.6% of the parents were classified as having sufficient knowledge, 34.3% of the decisions were deliberate, and 94% were value-consistent. This resulted in 21% of parents who were classified as making an informed decision. Vaccination decliners more often made a decision classified as informed than vaccination acceptors (34.3% vs. 19.7%). When decliners made a decision classified as uninformed, this was mainly due to insufficient knowledge, while uninformed decisions among acceptors were mainly due to a low level of deliberation. CONCLUSION AND PRACTICE IMPLICATIONS: Most parents made an uninformed decision about childhood vaccinations. Decision aids and counseling by child vaccine providers could improve the knowledge of decliners and motivate acceptors to deliberate about their decision, and by that promote informed decision making.
OBJECTIVE: We aimed to assess informed decision making about childhood immunization by measuring knowledge, deliberation and value-consistency. Additionally, we investigated whether informed decision making is different for parents who accept and parents who decline vaccination. METHODS: Parents of at least one child between 3 months and 3,5 years of age were randomly selected from a vaccination register and were asked to fill in an online questionnaire measuring informed decision making. RESULTS: In total, 1615 parents completed the questionnaire (16.2%). 77.6% of the parents were classified as having sufficient knowledge, 34.3% of the decisions were deliberate, and 94% were value-consistent. This resulted in 21% of parents who were classified as making an informed decision. Vaccination decliners more often made a decision classified as informed than vaccination acceptors (34.3% vs. 19.7%). When decliners made a decision classified as uninformed, this was mainly due to insufficient knowledge, while uninformed decisions among acceptors were mainly due to a low level of deliberation. CONCLUSION AND PRACTICE IMPLICATIONS: Most parents made an uninformed decision about childhood vaccinations. Decision aids and counseling by child vaccine providers could improve the knowledge of decliners and motivate acceptors to deliberate about their decision, and by that promote informed decision making.
Authors: Kim Agj Romijnders; Erna Jz Krüsemann; Sanne Boesveldt; Kees de Graaf; Hein de Vries; Reinskje Talhout Journal: Int J Environ Res Public Health Date: 2019-11-22 Impact factor: 3.390
Authors: Anne C de Munter; Wilhelmina L M Ruijs; Robert A C Ruiter; Dagmar J J van Nimwegen; Anke J M Oerlemans; Rijk van Ginkel; Marlies E J L Hulscher; Jeannine L A Hautvast Journal: PLoS One Date: 2020-11-12 Impact factor: 3.240
Authors: Laurene Peckeu-Abboud; Patrick Mangoni; Kaouther Chammam; Papy Kwete; Patrick Mutombo Lupola; Veerle Vanlerberghe; Jepsy Yango; Marie Meudec; Christian Ifufa; Marianne A B van der Sande; Joule Madinga Ntwan; Placide Mbala Journal: Vaccines (Basel) Date: 2022-07-01