ArticleBMJ open2016
What are parents' perspectives on psychological empowerment in the MMR vaccination decision? A focus group study.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2021Pooled it
- Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine.Journal of epidemiology and global health · 2020Pooled 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
- Effectiveness of a smartphone app to increase parents' knowledge and empowerment in the MMR vaccination decision: A randomized controlled trial.Human vaccines & immunotherapeutics · 2017Trial
- Evolving measles status and immunization policy development in six European countries.Human vaccines & immunotherapeutics · 2022Review
- A critical review of measures of childhood vaccine confidence.Current opinion in immunology · 2021Review
- Willingness to vaccinate against Covid-19: A qualitative study involving older adults from Southern Switzerland.Vaccine: X · 2021Article
- Decision-making on maternal pertussis vaccination among women in a vaccine-hesitant religious group: Stages and needs.PloS one · 2020Article
- Using protection motivation theory to predict intention to adhere to official MMR vaccination recommendations in Switzerland.SSM - population health · 2019Article
- Toward an Understanding of Parental Views and Actions on Social Media Influencers Targeted at Adolescents: The Roles of Parents' Social Media Use and Empowerment.Frontiers in psychology · 2019Article
- Validation of a scale to measure parental psychological empowerment in the vaccination decision.Journal of public health research · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesMost developed countries do not have compulsory immunisation requirements, but instead issue recommendations. Although parents are expected to make an informed, autonomous (ie, empowered) decision regarding their children's vaccinations, there is no evidence about how parents' interpret this demand nor on the latitude of their decision-making. The goal of this study is to gain insights from parents residing in a low measles-mumps-rubella (MMR) uptake area on what constitutes feelings of empowerment in the decision they have to make on their child's MMR vaccination.
designA qualitative study employing focus group interviews.
setting11 vaccination centres and hospitals in the Province of Trento, Italy.
participants24 mothers and 4 fathers of children for whom the MMR vaccination decision was still pending participated in 6 focus groups.
resultsAutonomy and competence were salient themes in relation to empowerment, and were further connected with beliefs regarding legal responsibility and ethics of freedom concerning the decision, parents' relationship with the paediatrician (trust), feelings of relevance of the decision and related stress, and seeking, avoidance, or fear of vaccination-related information. Competence was interpreted as medical knowledge and information-seeking skills, but it was also related to the extent parents perceived the paediatrician to be competent.
conclusionsSince parents' interpretation of empowerment goes beyond mere perceptions of being informed and autonomous and differs across individuals, it is important that this construct be correctly interpreted and implemented by best practice, for instance by explicitly adopting a relational conception of autonomy. Knowing whether parents want to make an empowered decision and what their information and autonomy needs are might help health professionals adapt their communication about immunisation, and promote parental perception of making an informed, autonomous decision.
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