Jessica R Cataldi1, Carter Sevick2, Jennifer Pyrzanowski2, Nicole Wagner3, Sarah E Brewer2, Komal J Narwaney3, Jo Ann Shoup3, Ken Resnicow4, Jason Glanz5, Amanda Dempsey2, Bethany M Kwan6. 1. University of Colorado School of Medicine, Department of Pediatrics, Aurora, CO, United States; University of Colorado, Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO, United States. Electronic address: Jessica.Cataldi@ucdenver.edu. 2. University of Colorado, Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO, United States. 3. Institute for Health Research, Kaiser Permanente Colorado, Denver, CO, United States. 4. University of Michigan, School of Public Health, Ann Arbor, MI, United States. 5. Institute for Health Research, Kaiser Permanente Colorado, Denver, CO, United States; Department of Epidemiology, Colorado School of Public Health, Aurora, CO, United States. 6. University of Colorado, Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO, United States; University of Colorado School of Medicine, Department of Family Medicine, United States.
Abstract
OBJECTIVE: Evidence-based strategies to address vaccine hesitancy are lacking. Personal values are a measurable psychological construct that could be used to deliver personalized messages to influence vaccine hesitancy and behavior. Our objectives were to develop a valid, reliable self-report survey instrument to measure vaccine values based on the Schwartz theory of basic human values, and to test the hypothesis that vaccine values are distinct from vaccine attitudes and are related to vaccine hesitancy and behavior. METHODS: Parental Vaccine Values (PVV) scale items were generated using formative qualitative research and expert input, yielding 24 items for testing. 295 parents of children aged 14-30 months completed a self-report survey with measures of Schwartz's global values, the PVV, vaccine attitudes, and vaccine hesitancy. Factor analysis was used to determine vaccine values factor structure. Associations between vaccine values, vaccine attitudes, vaccine hesitancy, and vaccination behavior were assessed using linear and logistic regression models. Late vaccination was assessed from electronic medical records. RESULTS: A six-factor structure for vaccine values was determined with good fit (RMSEA = 0.07, Bentler's CFI = 0.91) with subscales for Conformity, Universalism, Tradition, Self-Direction, Security- Disease Prevention, and Security- Vaccine Risk. Vaccine values were moderately associated with Schwartz global values and vaccine attitudes, indicating discriminant validity from these constructs. Multivariable linear regression showed vaccine hesitancy was associated with vaccine values Conformity (partial R2 = 0.10) and Universalism (0.04) and vaccine attitudes Vaccine Safety (0.52) and Vaccine Benefit (0.16). Multivariable logistic regression showed that late vaccination was associated with vaccine value Self-direction (OR = 1.80, 95% CI: 1.26-2.65) and vaccine attitude of Vaccine Benefit (OR = 0.44, 95% CI: 0.32-0.60). CONCLUSIONS: The PVV scale had good psychometric properties and appears related to but distinct from Schwartz global values and vaccine attitudes. Vaccine values are associated with vaccine hesitancy and late vaccination and may be useful in tailoring future interventions.
OBJECTIVE: Evidence-based strategies to address vaccine hesitancy are lacking. Personal values are a measurable psychological construct that could be used to deliver personalized messages to influence vaccine hesitancy and behavior. Our objectives were to develop a valid, reliable self-report survey instrument to measure vaccine values based on the Schwartz theory of basic human values, and to test the hypothesis that vaccine values are distinct from vaccine attitudes and are related to vaccine hesitancy and behavior. METHODS: Parental Vaccine Values (PVV) scale items were generated using formative qualitative research and expert input, yielding 24 items for testing. 295 parents of children aged 14-30 months completed a self-report survey with measures of Schwartz's global values, the PVV, vaccine attitudes, and vaccine hesitancy. Factor analysis was used to determine vaccine values factor structure. Associations between vaccine values, vaccine attitudes, vaccine hesitancy, and vaccination behavior were assessed using linear and logistic regression models. Late vaccination was assessed from electronic medical records. RESULTS: A six-factor structure for vaccine values was determined with good fit (RMSEA = 0.07, Bentler's CFI = 0.91) with subscales for Conformity, Universalism, Tradition, Self-Direction, Security- Disease Prevention, and Security- Vaccine Risk. Vaccine values were moderately associated with Schwartz global values and vaccine attitudes, indicating discriminant validity from these constructs. Multivariable linear regression showed vaccine hesitancy was associated with vaccine values Conformity (partial R2 = 0.10) and Universalism (0.04) and vaccine attitudes Vaccine Safety (0.52) and Vaccine Benefit (0.16). Multivariable logistic regression showed that late vaccination was associated with vaccine value Self-direction (OR = 1.80, 95% CI: 1.26-2.65) and vaccine attitude of Vaccine Benefit (OR = 0.44, 95% CI: 0.32-0.60). CONCLUSIONS: The PVV scale had good psychometric properties and appears related to but distinct from Schwartz global values and vaccine attitudes. Vaccine values are associated with vaccine hesitancy and late vaccination and may be useful in tailoring future interventions.
Authors: Saad B Omer; William K Y Pan; Neal A Halsey; Shannon Stokley; Lawrence H Moulton; Ann Marie Navar; Mathew Pierce; Daniel A Salmon Journal: JAMA Date: 2006-10-11 Impact factor: 56.272
Authors: Deborah A Gust; Allison Kennedy; Irene Shui; Philip J Smith; Glen Nowak; Larry K Pickering Journal: Am J Prev Med Date: 2005-08 Impact factor: 5.043
Authors: Daniel A Salmon; Lawrence H Moulton; Saad B Omer; M Patricia DeHart; Shannon Stokley; Neal A Halsey Journal: Arch Pediatr Adolesc Med Date: 2005-05
Authors: Giovanna Elisa Calabro'; Elettra Carini; Alessia Tognetto; Irene Giacchetta; Ester Bonanno; Marco Mariani; Walter Ricciardi; Chiara de Waure Journal: Front Public Health Date: 2022-03-09
Authors: Bethany M Kwan; Jennifer Pyrzanowski; Carter Sevick; Nicole M Wagner; Kenneth Resnicow; Jason M Glanz; Amanda F Dempsey Journal: Appl Psychol Health Well Being Date: 2021-08-16
Authors: Jason M Glanz; Nicole M Wagner; Komal J Narwaney; Jennifer Pyrzanowski; Bethany M Kwan; Carter Sevick; Kenneth Resnicow; Amanda F Dempsey Journal: Pediatrics Date: 2020-10-12 Impact factor: 7.124