Determinants of vaccine hesitancy in Switzerland: study protocol of a mixed-methods national research programme

Autor: Eleonora Frau, Sonja Merten, Rachele Cattalani, Joanna Sonderegger, Daniel Krüerke, Constanze Pfeiffer, Michael J. Deml, Claudine Burton-Jeangros, Benedikt M. Huber, Valérie Mettraux, Philip E. Tarr, Kristen Jafflin, Paulina Kliem, Andrea Buhl
Rok vydání: 2019
Předmět:
Adult
Complementary Therapies
Male
Parents
medicine.medical_specialty
Adolescent
Decision Making
Alternative medicine
Mixed methods research
complementary and alternative medicine (CAM)
Vaccination information sources
Interviews as Topic
Young Adult
03 medical and health sciences
Patient-provider communication
0302 clinical medicine
Professional-Family Relations
Physicians
Surveys and Questionnaires
030225 pediatrics
Intervention (counseling)
Spirituality
Protocol
Humans
Medicine
030212 general & internal medicine
Vaccine hesitancy
Protocol (science)
HPV vaccination
Consumer Health Information
business.industry
Under-immunisation
Public health
Multimethodology
Vaccination
General Medicine
Infectious Diseases
Research Design
Childhood vaccinations
Family medicine
Female
ddc:301
business
Attitude to Health
Switzerland
Qualitative research
Zdroj: BMJ Open, Vol. 9, No 11 (2019) P. e032218
BMJ Open
ISSN: 2044-6055
Popis: IntroductionVaccine hesitancy is a complex public health issue referring to concerns about the safety, efficacy or need for vaccination. Relatively little is known about vaccine hesitancy in Switzerland. This ongoing study (2017–2021) focuses on biomedical and complementary and alternative medicine (CAM) providers and their patients since healthcare professionals play important roles in vaccination decision-making. This national research programme seeks to assess the sociocultural determinants of vaccine hesitancy regarding childhood and human papillomavirus vaccines in Switzerland. We aim to provide a detailed characterisation of vaccine hesitancy, including CAM and biomedical perspectives, patient–provider interactions, and sociocultural factors, to establish the mediating effects of vaccine hesitancy on underimmunisation, and to design an intervention to improve vaccination communication and counselling among physicians, parents and adolescents.Methods and analysisOur transdisciplinary team employs a sequential exploratory mixed-methods study design. We have established a network of more than 150 medical providers across Switzerland, including more than 40 CAM practitioners. For the qualitative component, we conduct interviews with parents, youth, and biomedical and CAM providers and observations of vaccination consultations and school vaccination information sessions. For the quantitative component, a sample of 1350 parents of young children and 722 young adults (15–26 years) and their medical providers respond to questionnaires. We measure vaccine hesitancy with the Parent Attitudes about Childhood Vaccines 15-item survey and review vaccination certificates to assess vaccination status. We administer additional questions based on findings from qualitative research, addressing communication with medical providers, vaccine information sources and perceptions of risk control vis-à-vis vaccine-preventable diseases. The questionnaires capture sociodemographics, political views, religion and spirituality, and moral foundations.Ethics and disseminationThe study was approved by the local ethics committee. The results will be published in peer-reviewed journals and disseminated to healthcare professionals, researchers and the public via conferences and public presentations.
Databáze: OpenAIRE
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