Page 32 - Preventing pertussis in early infancy - Visser

Chapter 2
Qualitative study
work in their own private practices with busy shift schedules often have no arrangements with an occupational health service. If the organisation around administering a vaccination were their own responsibility, that would hinder acceptance. All the professionals stated that an easily accessible location for vaccination with flexible timing options would facilitate their acceptance.
Logistically, things have not been arranged, things like where to get it since we're not a group. In an institution or an organisation you can apply to your manager or your work regulations. But we are self-employed, so where do we go? We can go see our general practitioner and pay.
–Midwife
Discussion
Determinants of pertussis cocooning acceptance
In this study, we have identified nine perceived determinants of intention to accept pertussis cocooning among different target groups in the Netherlands. Five of these determinants (i.e. risk perception, general vaccination beliefs, the opinions of others, perceived autonomy and organisational issues) have been previously identified in studies of pertussis cocooning acceptance (Goins et al. 2007, Wicker et al. 2008, Cheng et al. 2010, Top et al. 2010, Miller et al. 2011, Baron-Epel et al. 2012, Beel et al. 2013, Donnan et al. 2013, Wiley et al. 2013, Bodeker et al. 2014, Lu et al. 2014, Rossmann Beel et al. 2014, Suryadevara et al. 2014, Vasilevska et al. 2014, Clarke et al. 2015, Dempsey et al. 2015, Hayles et al. 2015, MacDougall et al. 2015, O'Leary et al. 2015, Tuckerman et al. 2015, Wong et al. 2015, Hayles et al. 2016), albeit in a slightly different form. We have added perceived cost-effectiveness (as a concept of outcome expectations), justice (as a concept of moral norms), anticipated regret, and decisional uncertainty as perceived determinants of the intention to accept pertussis cocooning.
Relation to known determinants of pertussis cocooning acceptance
All studies of the determinants of pertussis cocooning acceptance, both on the intention to accept and on the actual acceptance, name the influence of the risk perception of pertussis (Goins et al. 2007, Wicker et al. 2008, Cheng et al. 2010, Top et al. 2010, Miller et al. 2011, Baron-Epel et al. 2012, Beel et al. 2013, Donnan et al. 2013, Wiley et al. 2013, Bodeker et al. 2014, Lu et al. 2014, Rossmann Beel et al. 2014, Suryadevara et al. 2014, Vasilevska et al. 2014, Clarke et al. 2015, Dempsey et al. 2015, Hayles et al. 2015, MacDougall et al. 2015, O'Leary et al. 2015, Tuckerman et al. 2015, Wong et al. 2015, Hayles et al. 2016), which is in line with our findings. It is also consistent with Brewer’s meta-analysis (2007), which confirms the role of the perceived risk of vaccine-preventable diseases in relation to vaccination behaviour in general. The studies of pertussis cocooning acceptance also mention some form of the perception of the risk of transmission to an infant and the risk associated with vaccination (Goins et al. 2007, Wicker et al. 2008, Cheng et al.
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