Development of a survey to identify vaccine-hesitant parents The parent attitudes about childhood vaccines survey
Development of a survey to identify vaccine-hesitant parents The parent attitudes about childhood vaccines survey
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DOI：
10.4161/hv.7.4.14120
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发表时间：
2011-04-01
期刊：
影响因子：
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通讯作者：
Martin, Diane P.
中科院分区：
文献类型：
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作者：
Opel, Douglas J.;Mangione-Smith, Rita;Martin, Diane P.
目的：开展一项调查，准确评估父母对疫苗犹豫的情况。结果：初步调查包含4个内容领域17个项目：（1）免疫行为； (2) 对疫苗安全性和有效性的信念； (3) 对疫苗强制和豁免的态度； (4)信任。焦点小组数据产生了另外 10 个调查项目。专家审查后，删除了27个调查项目中的9个，并对剩余18个调查项目中的11个进行了修订。家长预测试结果删除了 1 项、添加了 1 项、修订了 4 项，并更改了格式以增强可用性。最终调查包含原始 4 个内容领域中的 18 个项目。方法：使用迭代过程来开发调查。首先，我们回顾了之前关于父母疫苗接种健康信念的研究和调查，以开发内容领域并起草初步调查项目。家长和儿科医生的焦点小组产生了额外的主题和调查项目。六位免疫专家审查了最终调查草案中的项目，并按照 1-5 级的等级对它们在识别疫苗犹豫父母方面的重要性进行了排名（5 表示非常重要的项目）。排名最低的三分之一的物品被丢弃。修订后的调查在 25 名家长中进行了预先测试，以评估表面效度、可用性和项目可理解性。结论：家长对儿童疫苗的态度调查是采用定性方法构建的，旨在识别对疫苗犹豫不决的父母，具有内容效度和表面效度。需要进一步的心理测试。
Objective: To develop a survey to accurately assess parental vaccine hesitancy.Results: The initial survey contained 17 items in 4 content domains: (1) immunization behavior; (2) beliefs about vaccine safety and efficacy; (3) attitudes about vaccine mandates and exemptions; and (4) trust. Focus group data yielded an additional 10 survey items. Expert review of the survey resulted in the deletion of 9 of 27 items and revisions to 11 of the remaining 18 survey items. Parent pretesting resulted in the deletion of 1 item, the addition of 1 item, the revision of 4 items, and formatting changes to enhance usability. The final survey contains 18 items in the original 4 content domains.Methods: An iterative process was used to develop the survey. First, we reviewed previous studies and surveys on parental health beliefs regarding vaccination to develop content domains and draft initial survey items. Focus groups of parents and pediatricians generated additional themes and survey items. Six immunization experts reviewed the items in the resulting draft survey and ranked them on a 1-5 scale for significance in identifying vaccine-hesitant parents (5 indicative of a highly significant item). The lowest third of ranked items were dropped. The revised survey was pretested with 25 parents to assess face validity, usability and item understandability.Conclusions: The Parent Attitudes about Childhood Vaccines survey was constructed using qualitative methodology to identify vaccine-hesitant parents and has content and face validity. Further psychometric testing is needed.