Research output

Assessing determinants of the intention to accept a pertussis cocooning vaccination: A survey among Dutch parents

Research output: Contribution to journalArticleAcademicpeer-review

Associated researcher

  • Visser, O.
  • Kraan, J.
  • Akkermans, R.
  • Ruiter, Robert A. C.

  • van der Velden, K.
  • Hautvast, J. L. A.
  • Hulscher, M. E. J. L.

Associated organisations


INTRODUCTION: Pertussis cocooning is one of the strategies aiming to prevent the potential harm of pertussis in infants by vaccinating (among others) their parents. Several countries adopted this strategy, but uptake is a problem. Determinants of parental uptake are important in the design of an effective vaccination programme. Therefore, this study aims to assess parents' intention to accept a pertussis cocooning vaccination and its determinants.

METHODS: A 98 item questionnaire was developed based on a theoretical framework, assessing parents' intention to accept a pertussis cocooning vaccination and its personal and psychosocial determinants. In addition, beliefs underlying parents' attitude towards pertussis cocooning vaccination were assessed. Both logistic and linear regression analysis were used to assess univariate and multivariate associations amongst study variables.

RESULTS: Parents returned 282 questionnaires. The majority of the parents (78%) reported a positive intention to accept a pertussis cocooning vaccination. Attitude (OR 6.6, p<.001), anticipated negative affect in response to non acceptance (OR 1.65, p<.001), anticipated negative affect in response to acceptance (OR 0.55, p .040) and decisional uncertainty (OR 0.52, p .002) were significantly associated with intention. General vaccination beliefs (β 0.58, p<.001), moral norm (β 0.22, p<.001), perceived susceptibility of pertussis in children (β 0.10, p.004), and efficacy outcome expectations (β 0.15, p.011) were significant correlates of attitude towards pertussis cocooning vaccination.

CONCLUSION: The parental intention to accept a pertussis cocooning vaccination in this study is rather high. Targeting the identified determinants of parents' acceptance in a pertussis cocooning vaccination programme is crucial to secure that intention is translated into actual vaccination uptake.

    Research areas

  • Whooping cough, Pertussis, Vaccination, Immunization, Beliefs, Behaviour change, Implementation science, Theory-based behavioural interventions, HEALTH-CARE WORKERS, HUMAN-PAPILLOMAVIRUS VACCINATION, PLANNED BEHAVIOR, ANTICIPATED REGRET, INFLUENZA VACCINE, PREGNANT-WOMEN, UNITED-STATES, IMMUNIZATION, ATTITUDES, ADULTS
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Original languageEnglish
Pages (from-to)4744–4751
Number of pages8
Issue number39
Early online date11 Aug 2016
Publication statusPublished - 7 Sep 2016