Childhood vaccination communication outcomes unpacked and organized in a taxonomy to facilitate core outcome establishment
Childhood vaccination communication outcomes unpacked and organized in a taxonomy to facilitate core outcome establishment
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DOI：
10.1016/j.jclinepi.2017.02.007
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发表时间：
2017-04-01
影响因子：
7.2
通讯作者：
Hill, Sophie
中科院分区：
文献类型：
--
作者：
Kaufman, Jessica;Ryan, Rebecca;Hill, Sophie
目的：我们提出了一个全面的分类结果的儿童疫苗接种沟通干预。除了我们早期的试验结果地图，我们的目的是（1）确定相关的结果没有在试验中测量，（2）确定利益相关者的焦点小组的结果，（3）组织结果到一个taxonomy.Study设计和设置：我们确定了额外的结果从nonvaccination健康沟通文献，并通过父母和医疗保健专业人士的焦点小组。我们通过迭代讨论将结果组织到分类中，并通过领导者在核心成果research.Results中建立的组织原则进行通知：分类包括三个总体核心领域，分为八个领域，然后再分为结果。核心领域一是社会心理影响，包括“知识或理解”、“态度或信仰”和“决策”等领域。核心领域二是健康影响，包括“疫苗接种状况和行为”和“健康状况和幸福感”。核心领域三是社区、社会或卫生系统的影响，包括“干预设计和实施”、“社区参与”和“资源利用“。“结论：据我们所知，这种分类法是首次尝试概念化疫苗接种沟通的潜在结果范围。研究人员可以使用它来选择复杂的沟通干预措施的结果。我们还将向利益相关者展示分类法，以建立核心结果域。(C)2017作者爱思唯尔公司出版
Objectives: We present a comprehensive taxonomy of outcomes for childhood vaccination communication interventions. Adding to our earlier map of trial outcomes, we aimed to (1) identify relevant outcomes not measured in trials, (2) identify outcomes from stakeholder focus groups, and (3) organize outcomes into a taxonomy.Study Design and Setting: We identified additional outcomes from nonvaccination health communication literature and through parent and health care professional focus groups. We organized outcomes into the taxonomy through iterative discussion and informed by organizational principles established by leaders in core outcome research.Results: The taxonomy includes three overarching core areas, divided into eight domains and then into outcomes. Core area one is psychosocial impact, including the domains "knowledge or understanding," "attitudes or beliefs," and "decision-making." Core area two is health impact, covering "vaccination status and behaviors" and "health status and well-being." Core area three is community, social, or health system impact, containing "intervention design and implementation," "community participation," and "resource use."Conclusion: To our knowledge, this taxonomy is the first attempt to conceptualize the range of potential outcomes for vaccination communication. It can be used by researchers selecting outcomes for complex communication interventions. We will also present the taxonomy to stakeholders to establish core outcome domains. (C) 2017 The Authors. Published by Elsevier Inc.