Evidence map›Paper›PMID 11761204›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2001

Parents' perspectives on the MMR immunisation: a focus group study.

M Evans, H Stoddart, L Condon, E Freeman, M Grizzell, R Mullen

Open access · greenAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
9.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 192 citations in OpenAlex.

  1. Pooled it
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  4. A systematic review of decision support needs of parents making child health decisions.Health expectations : an international journal of public participation in health care and health policy · 2008
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Clinician Communication to Address Vaccine Hesitancy.Pediatric clinics of North America · 2023
    Review
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  14. Article
  15. Self-Analysis: How to Engage with Social Media. A Fellow's Perspective.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2019
    Article
  16. Article
  17. Perspectives on the Measles, Mumps and Rubella Vaccination among Somali Mothers in Stockholm.International journal of environmental research and public health · 2018
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

M EvansDivision of Primary Health Care, University of Bristol. m.a.evans@bristol.ac.uk
H Stoddart
L Condon
E Freeman
M Grizzell
R Mullen
University of Bristol · GBPrimary Health Care · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe uptake of the combined measles, mumps and rubella immunisation (MMR) in Britain has fallen since 1998, when a link was hypothesised with the development of bowel disorders and childhood autism. Despite reassurances about the safety of MMR, uptake levels remain lower than optimal. We need to understand what influences parents' decisions on whether to accept MMR or not so that health professionals can provide a service responsive to their needs.

aimTo investigate what influences parents' decisions on whether to accept or refuse the primary MMR immunisation and the impact of the recent controversy over its safety.

designQualitative study using focus group discussions.

settingForty-eight parents, whose youngest child was between 14 months and three years old, attended groups at community halls in six localities in Avon and Gloucestershire.

methodsPurposive sampling strategy was used to include parents from a variety of socioeconomic backgrounds. Three groups comprised parents who had accepted MMR and three groups comprised parents who had refused MMR. Data analysis used modified grounded theory techniques incorporating the constant comparative method.

resultsAll parents felt that the decision about MMR was difficult and stressful, and experienced unwelcome pressure from health professionals to comply. Parents were not convinced by Department of Health reassurances that MMR was the safest and best option for their children and many had accepted MMR unwillingly. Four key factors influenced parents' decisions: (a) beliefs about the risks and benefits of MMR compared with contracting the diseases, (b) information from the media and other sources about the safety of MMR, (c) confidence and trust in the advice of health professionals and attitudes towards compliance with this advice, and (d) views on the importance of individual choice within Government policy on immunisation.

conclusionsParents wanted up-to-date information about the risks and benefits of MMR to be available in advance of their immunisation appointment. Many parents did not have confidence in the recommendations of health professionals because they were aware that GPs needed to reach immunisation targets. Most parents would, however, welcome more open discussion about immunisation with health professionals.

Indexed as

Attitude to HealthAdultDecision MakingEnglandFemaleFocus GroupsHumansImmunizationInfantInfant, NewbornMaleMeasles-Mumps-Rubella VaccineMiddle AgedParentsMeasles-Mumps-Rubella Vaccine

Identifiers

PMID11761204
PMCPMC1314147
OpenAlexW1798570304

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.