a Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine , The University of Tokyo , Tokyo , Japan.
b Department of Pediatrics , Niigata University Graduate School of Medical and Dental Sciences , Niigata City , Niigata , Japan.
Hum Vaccin Immunother. 2017 Nov 2;13(11):2639-2645. doi: 10.1080/21645515.2017.1368601. Epub 2017 Aug 30.
This study examined the effects of providing vaccination education during the perinatal period on Japanese parents' knowledge, attitudes, and beliefs about childhood vaccination. A cluster-randomized controlled-trial method was used on a sample of 160 pregnant women recruited from 9 obstetrical sites in Niigata, Japan. The treatment group received a stepwise interactive education intervention, while the control group received a general vaccination leaflet. Changes in parental attitudes toward and beliefs about infant vaccination were assessed on the child's one-month and 6-month birthdays using paper questionnaires. Of the initial 188 participants, 160 (90.4%) completed the final post-survey questionnaire. Scores on injunctive social norms (a morally neutral perception of the behavior of the majority) and descriptive social norms (a moral perception of what individuals should do) significantly increased in the treatment group (p = .02 and p = .01, respectively). There was a significant difference between the 2 groups over time in terms of perceived benefit (efficacy of available preventive actions) (p = .03), but no significant differences in perceived severity (seriousness of a disease outcome), perceived susceptibility (likelihood of getting a disease), perceived benefits, perceived behavioral control, or descriptive social norms between the groups at any time point or in the patterns of change over time (p > .31). Thus, stepwise perinatal vaccination education was found to positively influence maternal attitudes and beliefs about infant vaccination. This study suggests the importance of vaccination education during the perinatal period.
本研究旨在探讨在围产期提供疫苗接种教育对日本父母对儿童疫苗接种的知识、态度和信念的影响。采用整群随机对照试验方法，对日本新潟县 9 个产科场所招募的 160 名孕妇进行了抽样。治疗组接受了逐步互动教育干预，而对照组则接受了一般的疫苗接种传单。使用纸质问卷在孩子一个月和六个月大时评估父母对婴儿疫苗接种的态度和信念的变化。在最初的 188 名参与者中，有 160 名（90.4%）完成了最终的随访问卷。在治疗组中，规范社会规范（对大多数人的行为的道德中立看法）和描述性社会规范（对个人应该做什么的道德看法）得分显著增加（p =.02 和 p =.01）。在可感知的益处（现有预防措施的效果）方面，两组在时间上存在显著差异（p =.03），但在可感知的严重程度（疾病结果的严重性）、可感知的易感性（患病的可能性）、可感知的益处、可感知的行为控制或描述性社会规范方面，两组在任何时间点或随时间变化的模式上均无显著差异（p >.31）。因此，逐步围产期疫苗接种教育被发现对母亲对婴儿疫苗接种的态度和信念产生积极影响。本研究表明围产期疫苗接种教育的重要性。
