Evidence map›Paper›PMID 40374211›Full record

ArticleBMJ open2025

Exploring health locus of control among vaccine-hesitant parents: a scoping review.

Camilla Elena Magi, Emanuele Buccione, Stefano Bambi, Paolo Iovino, Patrizio Zanobini, Federica Cecchi, Federica Maria De Blasi, Loredana De Marchis, Chiara Peduto, Domenico Sinisi and 7 more

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

17 authors.

Camilla Elena MagiDepartment of Health Sciences, University of Florence, Florence, Italy.ORCID http://orcid.org/0009-0007-5599-2405
Emanuele BuccionePediatric Intensive Care Unit, Local Health Authority 3 Pescara, Pescara, Italy.ORCID http://orcid.org/0000-0003-4146-8948
Stefano BambiDepartment of Health Sciences, University of Florence, Florence, Italy.
Paolo IovinoDepartment of Health Sciences, University of Florence, Florence, Italy paolo.iovino@unifi.it.ORCID http://orcid.org/0000-0001-5952-881X
Patrizio ZanobiniDepartment of Health Sciences, University of Florence, Florence, Italy.
Federica CecchiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Federica Maria De BlasiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Loredana De MarchisDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Chiara PedutoDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Domenico SinisiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Antonia Maria VanellaDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Antonio BonacaroDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Chiara LoriniDepartment of Health Sciences, University of Florence, Florence, Italy.
Guglielmo BonaccorsiDepartment of Health Sciences, University of Florence, Florence, Italy.
Laura RaseroDepartment of Health Sciences, University of Florence, Florence, Italy.
Khadija El AoufyDepartment of Health Sciences, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0003-3278-8296
Yari LongobuccoDepartment of Health Sciences, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis scoping review aimed to explore the relationship between health locus of control (HLOC) and vaccine hesitancy among parents of children aged 0-18 years, focusing on the tools and methods used to assess these constructs.

designThe review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines and adhered to established methodologies for scoping reviews, including systematic searches across four electronic databases. DATA SOURCES: PubMed, PsycINFO, Web of Science and CINAHL were searched using a comprehensive search strategy to identify relevant studies on 24 September 2024. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies were included if they examined HLOC and vaccine hesitancy in parents, measured these constructs with validated tools and focused on childhood vaccination. DATA EXTRACTION AND SYNTHESIS: Data were extracted into a structured table capturing study characteristics, HLOC and vaccine hesitancy measurements, and key findings. Results were synthesised narratively to highlight associations and patterns.

resultsFive studies involving a total of 11 758 parents and caregivers of children aged 0-18 years met inclusion criteria. Higher internal HLOC was consistently associated with lower vaccine hesitancy and higher compliance, while lower chance HLOC correlated with greater hesitancy. Powerful others HLOC (ie, trust in healthcare professionals) emerged as a key predictor of better vaccine adherence.

conclusionsThe findings suggest that internal HLOC and trust in healthcare providers are predictors of vaccine acceptance among parents. However, standardised tools and longitudinal studies are needed to further elucidate these relationships and inform targeted interventions to reduce vaccine hesitancy.

Indexed as

Internal-External ControlParentsVaccinationVaccination HesitancyAdolescentChildChild, PreschoolHumansInfantInfant, NewbornParentsPUBLIC HEALTHVaccination

Identifiers

PMID40374211
PMCPMC12083398

What OpenQuestion holds

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LicenceCC BY-NC
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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.