Evidence map›Paper›PMID 15239914›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2004

Managing controversy through consultation: a qualitative study of communication and trust around MMR vaccination decisions.

Robert McMurray, Francine M Cheater, Anna Weighall, Carolyn Nelson, Martin Schweiger, Suzanne Mukherjee

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
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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

30 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Robert McMurrayDurham Business School, University of Durham. r.m.mcmurray@durham.ac.uk
Francine M Cheater
Anna Weighall
Carolyn Nelson
Martin Schweiger
Suzanne Mukherjee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControversy over the measles, mumps, and rubella (MMR) vaccine has reduced uptake, raising concerns of a future disease epidemic.

aimsTo explore parents' accounts of decision making relating to the MMR vaccine controversy, identifying uptake determinants and education needs. DESIGN OF STUDY: Qualitative interviews analysed using the 'framework' approach.

settingFive general practices in the Leeds area, 2002-2003.

methodSixty-nine interviews conducted with parents of children aged between 4 and 5 years, and 12 interviews with primary care practitioners, managers and immunisation coordinators serving participating sites. Participants were interviewed one-to-one in a place of their choice.

resultsThe vaccination decision is primarily a function of parental assessments of the relative acceptability and likelihood of possible outcomes. For most parents the evidence of science and medicine plays little role in the decision. Although local general practitioners and health visitors are trusted information sources, the influence of primary care providers on the vaccination decision is limited by concerns over consultation legitimacy, discussion opportunity, and perceptions of financial and political partiality. Parents and practitioners identify a need for new approaches to support decisions and learning when faced with this and similar healthcare controversies. These include new collaborative approaches to information exchange designed to transform rather than supplant existing parent knowledge as part of an ongoing learning process.

conclusionThe study identified new ways in which parents and practitioners need to be supported in order to increase understanding of medical science and secure more informed decisions in the face of health controversy.

Indexed as

CommunicationDecision MakingMeasles-Mumps-Rubella VaccineAdultAttitude to HealthEnglandFamily PracticeFemaleHumansMaleParentsPatient Acceptance of Health CarePatient Education as TopicPhysician-Patient RelationsPublic OpinionTrustMeasles-Mumps-Rubella Vaccine

Identifiers

PMID15239914
PMCPMC1324804

What OpenQuestion holds

Textmetadata
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Registered trials

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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.