Page 124 - Preventing pertussis in early infancy - Visser

Summary
and evidence-based vaccination programme that fits the characteristics of the target
and evidence-based vaccination programme that fits the characteristics of the target
population and intervention context.
population and intervention context.
In chapter 7 we discuss the main outcomes and implications of this thesis and In chapter 7 we discuss the main outcomes and implications of this thesis and
examine its relation to the currently available literature. First, we discuss the theoretical
examine its relation to the currently available literature. First, we discuss the theoretical
framework developed during the preparatory phase of the questionnaire studies and the IM
framework developed during the preparatory phase of the questionnaire studies and the IM
process. Although not perfect, we feel the framework is comprehensive, accessible and
process. Although not perfect, we feel the framework is comprehensive, accessible and
clear, and is able to measure the most important determinants of vaccination acceptance.
clear, and is able to measure the most important determinants of vaccination acceptance.
Furthermore, our studies indicate that experience, information and trust are important
Furthermore, our studies indicate that experience, information and trust are important
overarching themes regarding pertussis cocooning vaccination acceptance, which matches
overarching themes regarding pertussis cocooning vaccination acceptance, which matches
changes in society described in literature. More specifically, attitude, decisional uncertainty
changes in society described in literature. More specifically, attitude, decisional uncertainty
and anticipated negative affect showed to be associated with the intention to accept a
and anticipated negative affect showed to be associated with the intention to accept a
pertussis cocooning vaccination. Taking these determinants into account, we specifically
pertussis cocooning vaccination. Taking these determinants into account, we specifically
included a deliberate decision as an objective for a pilot vaccination programme, which
included a deliberate decision as an objective for a pilot vaccination programme, which
resulted in the development of an online deliberation tool. Additionally, it led us to adapt
resulted in the development of an online deliberation tool. Additionally, it led us to adapt
the message of an invitation letter, information folder and website.
the message of an invitation letter, information folder and website.
We conclude by stating that upon implementing a pertussis cocooning vaccination
We conclude by stating that upon implementing a pertussis cocooning vaccination
programme we recommend to (1) include our theoretical framework and pilot vaccination
programme we recommend to (1) include our theoretical framework and pilot vaccination
programme, (2) acknowledge the importance of experience, information and trust, (3)
programme, (2) acknowledge the importance of experience, information and trust, (3)
facilitate deliberate choice, and (4) take contextual moral convictions on mandatory
facilitate deliberate choice, and (4) take contextual moral convictions on mandatory
vaccination into account. Furthermore, we recommend to further study (1) the theoretical
vaccination into account. Furthermore, we recommend to further study (1) the theoretical
framework to provide a better understanding of vaccination acceptance, (2) the role of
framework to provide a better understanding of vaccination acceptance, (2) the role of
decisional uncertainty and reflection on values in the vaccination decision making process,
decisional uncertainty and reflection on values in the vaccination decision making process,
and (3) the effect of the online deliberation tool on decisional uncertainty, deliberate choice
and (3) the effect of the online deliberation tool on decisional uncertainty, deliberate choice
and vaccination intention.
and vaccination intention.
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