ArticleBMC public health2012
An exploratory qualitative assessment of factors influencing childhood vaccine providers' intention to recommend immunization in the Netherlands.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Understanding and explaining the link between anthroposophy and vaccine hesitancy: a systematic review.BMC public health · 2023Pooled it
- Key factors influencing paediatric COVID-19 vaccine hesitancy: a brief overview and Decision-making Trial and Evaluation Laboratory analysis.Public health · 2023Pooled it
- Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence.The Cochrane database of systematic reviews · 2017Pooled it
- A study on the willingness and influencing factors of non-EPI vaccines recommendations among Chinese vaccination staff under major infectious disease outbreaks.Human vaccines & immunotherapeutics · 2025Article
- Healthcare professionals' perceptions of challenges in vaccine communication and training needs: a qualitative study.BMC primary care · 2024Article
- Investigation of non-National Immunization Program vaccination intentions in rural areas of China.BMC public health · 2023Article
- A qualitative study of the views of healthcare professionals on providing vaccines information to patients.International journal of clinical pharmacy · 2021Article
- The Vaccination Process against the COVID-19: Opportunities, Problems andHealthcare (Basel, Switzerland) · 2021Article
- Encountering Parents Who Are Hesitant or Reluctant to Vaccinate Their Children: A Meta-Ethnography.International journal of environmental research and public health · 2021Review
- Thoughts, beliefs and concepts concerning infectious childhood diseases of physicians practicing homeopathic, anthroposophic and conventional medicine - a qualitative study.BMC complementary medicine and therapies · 2021Article
- Vaccination concerns, beliefs and practices among Ukrainian migrants in Poland: a qualitative study.BMC public health · 2021Article
- Vaccination against Hepatitis B: A Scoping Review.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review.Vaccines · 2020Review
- Vaccination decision-making of immigrant parents in the Netherlands; a focus group study.BMC public health · 2015Article
- How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups.BMC family practice · 2013Article
- Factors that influence vaccination decision-making by parents who visit an anthroposophical child welfare center: a focus group study.Advances in preventive medicine · 2012Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnder the Dutch national immunization program (NIP), childhood vaccination is not mandatory, but its recommendation by childhood vaccine providers (CVP) is important for maintaining high vaccination coverage. We therefore examined factors related to providers' intentions to recommend vaccinations to parents of young children.
methodsWe conducted four focus group discussions with nurses and physicians who provide vaccines to children 0-4 years old in diverse regions of the Netherlands. Three groups represented CVPs at child welfare centers (CWCs) serving the general population, with the fourth representing anthroposophical CWCs. Elements of the Theory of Planned Behaviour (TPB) were used to design the groups; thematic analysis was used to structure and analyze the dataset.
resultsFour main themes emerged, including 1) perceived responsibility: to promote vaccines and discuss pros and cons with parents (although this was usually not done if parents readily accepted the vaccination); 2) attitudes toward the NIP: mainly positive, but doubts as to NIP plans to vaccinate against diseases with a low perceived burden; 3) organizational factors: limited time and information can hamper discussions with parents; 4) relationship with parents: crucial and based mainly on communication to establish trust. Compared to CVPs at standard CWCs, the anthroposophical CWCs spent more time communicating and were more willing to adapt the NIP to individual cases.
conclusionsOur qualitative assessment provides an overview of beliefs associated with providers' intention to recommend vaccinations. They were motivated to support the NIP, but their intentions to recommend vaccinations were affected by the perceived relevance of the vaccines, practical issues like limited time and by certain types of resistant parents. These results will inform future studies to test the magnitude and relative impact of these factors.
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Registered trials
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.