Objective: The objective of this study is to identify factors influencing the vaccine intention–behaviour relationship. Design: A total of 445 parents who received a brief intervention to promote HPV vaccination were categorized based on their intentions post-intervention
(yes/unsure/eventually/never) and subsequent adolescents’ vaccine status (yes/no). Fifty-one of these parents participated in qualitative interviews. Main Outcome Measures: Parents described their intentions, decision-making and planning processes towards vaccination. Framework
analysis was used to analyse the data. Results: Parents in the ‘Yes/Yes’ category were knowledgeable about HPV/vaccine, described strong, stable intentions, considered themselves the primary decision-makers about vaccination and said they vaccinated immediately. ‘Yes/No’
parents described strong intentions and thought their adolescent was vaccinated OR described hesitant intentions, seeking advice/agreement from others and noting barriers to vaccination without solutions. ‘Unsure/Yes’ parents described their intentions as strengthening with information
from credible sources and identified strategies for overcoming barriers. ‘Unsure/No’ and ‘Eventually/No’ parents had misinformation/negative beliefs regarding vaccination, described being ambivalent or non-supportive of vaccination and cited barriers to vaccination.
‘Never/No’ parents held negative beliefs about vaccination, described strong, stable intentions to NOT vaccinate, deferring the decision to others, and reported no planning towards vaccination. Conclusions: Intention characteristics and planning processes could moderate
the vaccine intention–behaviour relationship, potentially serving as targets for future vaccine strategies.
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Keywords:
HPV vaccination;
Human papillomavirus;
ambivalence;
intention–behaviour relationship;
parent vaccine decision-making;
vaccine acceptance
Document Type: Research Article
Affiliations:
1:
Division of Adolescent and Behavioral Health, Department of Pediatrics, University of Texas Medical Branch, Galveston, TX, USA;
2:
Department of Psychology, University of Houston-Clear Lake, Houston, TX, USA;
3:
Division of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA;
4:
Division of Child and Adolescent Health, Department of Pediatrics, Columbia College of Physician and Surgeons and New York Presbyterian Morgan Stanley Children’s Hospital, New York, NY, USA
Publication date:
04 March 2019