Journal Article

What is ‘confidence’ and what could affect it?: A qualitative study of mothers who are hesitant about vaccines

Mendel-Van Alstyne, Judith A., Nowak, Glen J., Aikin, Ann L.

2018

Overview

•Trust is a major component of parents’ vaccine confidence.•Confidence involves control, experience, satisfaction, and certainty in a decision.•Building confidence could benefit from acknowledging factors at the root of concerns.•There is value in using short videos to illustrate key immunization concepts. Public confidence in immunization is critical to maintaining high vaccine-coverage rates needed to protect individuals and communities from vaccine-preventable diseases. Recent attention has been placed on factors influencing confidence in vaccination in the US and globally, but comprehensive understanding of what drives or hinders confidence in childhood vaccination is yet to be reached. As such, assessing parents' confidence in childhood vaccination and the ways in which educational materials affect confidence is needed. We sought to (1) learn how mothers who are hesitant about vaccination characterize confidence in health-related products for young children, including the recommended vaccines; (2) gain insights on what influences vaccine confidence beliefs; and (3) assess whether short, education materials affect parental confidence in childhood vaccinations. Eight moderator-lead focus groups (n=61), stratified by socioeconomic status, were undertaken with mothers of children 5years of age of less who are hesitant about vaccines. Four of the groups were held in the Philadelphia, PA area and four were held in the San Francisco/Oakland, CA area. Three educational material pairs, each consisting of a 2–3min video and an infographic poster about an immunization-related topic, were reviewed and assessed for influence on confidence. Qualitative data analysis was used to identify overarching themes across the focus groups. Themes, insights, and illustrative quotes were identified and provided for each of the major discussion areas: primary health concerns for young children; confidence beliefs and perceptions, including for recommended vaccines; facilitators and barriers to confidence; and reactions to the educational materials. Results provide helpful insights into how mothers who are hesitant about vaccines perceive confidence in childhood vaccines and health-related products, suggestions for how to improve confidence, and support for the value and use of short videos as part of vaccination education efforts. Findings can aid those developing vaccination education materials and resources designed to foster vaccine confidence.

• Publisher: Elsevier Ltd,Elsevier Limited
• Subject: Adult / California / childhood / Childhood vaccination / Children / Confidence / Data analysis / Data processing / Education / educational materials / Female / Focus Groups / Health / Health Education / Health Knowledge, Attitudes, Practice / Humans / Immunization / Immunization - adverse effects / Immunization - psychology / Lead / Measles / Middle Aged / mothers / Mothers - psychology / Parental decision-making / Parents / Parents & parenting / Patient Acceptance of Health Care / Patient Education as Topic / Pennsylvania / Perceptions / Philadelphia / Public concern / Qualitative analysis / Qualitative Research / San Francisco / Schedules / Socioeconomic Factors / socioeconomic status / Socioeconomics / Teaching methods / vaccination / Vaccination - adverse effects / Vaccination - psychology / Vaccination - statistics & numerical data / Vaccination Coverage - statistics & numerical data / Vaccination education / Vaccination infographics / Vaccination Refusal - statistics & numerical data / Vaccination videos / Vaccine confidence / Vaccine hesitancy / Vaccines / Young Adult