MacDougall Donna, Crowe Lois, Pereira Jennifer A, Kwong Jeffrey C, Quach Susan, Wormsbecker Anne E, Ramsay Hilary, Salvadori Marina I, Russell Margaret L
St Francis Xavier University, Antigonish, Nova Scotia, Canada.
Bruyère Research Institute, Ottawa, Ontario, Canada.
BMJ Open. 2014 Jun 5;4(6):e005189. doi: 10.1136/bmjopen-2014-005189.
To understand the perspectives of Ontario parents regarding the advantages and disadvantages of adding influenza immunisation to the currently existing Ontario school-based immunisation programmes.
Descriptive qualitative study.
Parents of school-age children in Ontario, Canada, who were recruited using a variety of electronic strategies (social media, emails and media releases), and identified as eligible (Ontario resident, parent of one or more school-age children, able to read/write English) on the basis of a screening questionnaire. We used stratified purposeful sampling to obtain maximum variation in two groups: parents who had ever immunised at least one child against influenza or who had never done so. We conducted focus groups (teleconference or internet forum) and individual interviews to collect data. Thematic analysis was used to analyse the data.
Ontario, Canada.
Of the 55 participants, 16 took part in four teleconference focus groups, 35 in 6 internet forum focus groups and four in individual interviews conducted between October 2012 and February 2013. Participants who stated that a school-based influenza immunisation programme would be worthwhile for their child valued its convenience and its potential to reduce influenza transmission without interfering with the family routine. However, most thought that for a programme to be acceptable, it would need to be well designed and voluntary, with adequate parental control and transparent communication between the key stakeholder groups of public health, schools and parents.
These results will benefit decision-makers in the public health and education sectors as they consider the advantages and disadvantages of immunising children in schools as part of a system-wide influenza prevention approach. Further research is needed to assess the perceptions of school board and public health stakeholders.
了解安大略省家长对于在现有的安大略省学校免疫计划中增加流感疫苗接种的利弊的看法。
描述性定性研究。
加拿大安大略省学龄儿童的家长，通过多种电子策略（社交媒体、电子邮件和媒体发布）招募，并根据一份筛选问卷确定为符合条件（安大略省居民、一个或多个学龄儿童的家长、能够读写英语）。我们采用分层目的抽样法，在两组中获得最大差异：至少为一个孩子接种过流感疫苗的家长和从未接种过的家长。我们通过焦点小组（电话会议或网络论坛）和个人访谈收集数据。采用主题分析法分析数据。
加拿大安大略省。
在55名参与者中，16人参加了4次电话会议焦点小组，35人参加了6次网络论坛焦点小组，4人参加了2012年10月至2013年2月期间的个人访谈。表示基于学校的流感免疫计划对其孩子有价值的参与者看重其便利性以及在不干扰家庭日常安排的情况下减少流感传播的潜力。然而，大多数人认为，要使一项计划被接受，它需要设计完善且为自愿参与，要有家长的充分控制权，以及公共卫生、学校和家长等关键利益相关者群体之间的透明沟通。
这些结果将有助于公共卫生和教育部门的决策者在考虑将在校儿童免疫作为全系统流感预防方法的一部分时权衡利弊。需要进一步研究以评估学校董事会和公共卫生利益相关者的看法。
