Evidence map›Paper›PMID 36775750›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2023

Adolescent Self-Consent for COVID-19 Vaccination: Views of Healthcare Workers and Their Adolescent Children on Vaccination Autonomy.

Jeanne R Delgado, Lisa N Mansfield, Katia Bruxvoort, Mayra Macias, Joseph Grotts, Bruno Lewin, David Bronstein, Corrine Munoz-Plaza, Peter Szilagyi, John Chang and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jeanne R DelgadoNational Clinician Scholars Program, Division of General Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, California; Division of General Pediatrics, Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California. Electronic address: jedelgado@chla.usc.edu.
Lisa N MansfieldNational Clinician Scholars Program, Division of General Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, California.
Katia BruxvoortDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama.
Mayra MaciasDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California.
Joseph GrottsUCLA School of Nursing, University of California, Los Angeles, California.
Bruno LewinSouthern California Permanente Medical Group, Kaiser Permanente Southern California, Pasadena, California.
David BronsteinSouthern California Permanente Medical Group, Kaiser Permanente Southern California, Pasadena, California.
Corrine Munoz-PlazaDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California.
Peter SzilagyiDepartment of Pediatrics, UCLA Mattel Children's Hospital, University of California at Los Angeles, Los Angeles, California.
John ChangDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California.
Kristen ChoiDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California; UCLA School of Nursing, University of California, Los Angeles, California; Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study explored the perceptions of healthcare worker parents (physicians, nurses, and staff) and their adolescents (aged 12-17 years) on adolescent self-consent to COVID-19 vaccination by applying the concept of positive deviance of those already vaccinated against COVID-19.

methodsWe used a qualitative descriptive design to conduct individual, semi-structured interviews with COVID-19-vaccinated healthcare workers in Southern California and their vaccinated adolescent children. Separate interviews were conducted with parents and adolescents from November to December 2021 using digital phone conferencing software. All interviews were recorded and transcribed. Thematic and constant comparative analysis techniques were used to identify relevant themes and subthemes.

resultsTwenty one healthcare workers (9 nurses, one nurse practitioner, one technologist, and 10 physicians) and their adolescents (N = 17) participated. Three overarching themes were identified to describe participants' perspectives about adolescent self-consent for COVID-19 vaccination: (1) Family values and practices around adolescent vaccination; (2) Differences in parent and adolescent support for vaccine self-consent laws; and (3) Parent and adolescent uncertainty on readiness for vaccine self-consent laws. Adolescents largely supported self-consent while parents supported the policy if they would be able to have a discussion with their adolescent prior to the decision. DISCUSSION: Parents and adolescents supported adolescent self-consent for COVID-19 vaccination, with the reservation that adolescents should discuss the decision alongside their parents to exercise their medical autonomy with supportive guidance. Greater adolescent involvement in making decisions and providing self-consent for healthcare, including vaccines, could prepare adolescents to have a greater sense of autonomy over their health and contribute to population health measures.

Indexed as

COVID-19COVID-19 VaccinesAdolescentChildHealth PersonnelHumansInformed ConsentParentsVaccinationCOVID-19 VaccinesAdolescentCOVID-19Medical autonomySelf-consentVaccination

Identifiers

PMID36775750
PMCPMC9916604

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.