Systematically reviewing qualitative studies complements survey design: An exploratory study of barriers to paediatric immunisations
Systematically reviewing qualitative studies complements survey design: An exploratory study of barriers to paediatric immunisations
复制标题
DOI：
10.1016/j.jclinepi.2005.01.014
复制
发表时间：
2005-11-01
影响因子：
7.2
通讯作者：
Guyatt, GH
中科院分区：
文献类型：
--
作者：
Mills, EJ;Montori, VM;Guyatt, GH
背景和目标：设计调查问题需要内容专业知识、对先前定性文献的认识以及试点。我们检查了针对家长给儿童接种疫苗的障碍的调查，以确定它们是否全面包含已发表的定性研究中确定的主题。方法：我们对 12 个电子数据库进行了系统的文献检索，并将合格调查中提出的问题与定性研究中提出的问题进行了比较。问题包括 9 个与伤害相关的主题、6 个与不信任相关的主题、8 个与获取问题相关的主题以及 3 个其他问题。结果：29 项符合条件的调查未能充分解决定性研究中确定的几个重要主题。未能解决以下主题的人数如下： 相信疫苗会导致疾病（n = 26）；痛苦（n = 25）；对医学界的不信任（n = 28）；与工作人员的沟通问题（n = 25）；对自己或他人不良经历的记忆（n = 28）；担心长期影响（n = 26）；相信医学界不了解与疫苗相关的不良事件 (n = 28)；以及父母自身缺乏疾病知识 (n = 29)。结论：许多关于父母免疫接种障碍的调查未能解决定性研究中确定的一些重要主题。在某种程度上，在其他领域也是如此，确保调查人员进行了足够数量和种类的定性研究，并系统地审查这些研究，将提高调查内容的有效性。 (c) 2005 Elsevier Inc. 保留所有权利。
Background and Objectives: Designing survey questions requires content expertise, awareness of previous qualitative literature, and piloting. We examined surveys addressing parental barriers to vaccinating children to determine if they comprehensively included themes identified in published qualitative studies.Methods: We performed a systematic literature search of 12 electronic databases and compared questions asked in eligible surveys identified to issues raised in qualitative studies. Issues included nine themes related to harm, six related to distrust, eight to issues of access, and three other issues.Results: The 29 eligible surveys failed to adequately address several important themes identified in qualitative studies. The number that failed to address the following themes were as follows: beliefs that vaccines cause diseases (n = 26); painful (n = 25); distrust of medical community (n = 28); communication problems with staff (n = 25); memories of their own or others adverse experiences (n = 28); fear of long-term effects (n = 26); belief the medical community does not understand adverse events associated with vaccines (n = 28); and parent's own lack of knowledge about diseases (n = 29).Conclusions: Many surveys of parental barriers to immunization failed to address a number of important themes identified in qualitative studies. To the extent this is true in other areas, ensuring that investigators have conducted ail adequate number and variety of qualitative studies, and systematically reviewing those studies, Will improve Surveys' content validity. (c) 2005 Elsevier Inc. All rights reserved.