新冠疫情期间台湾多动症儿童照顾者研究的第二波：为其子女接种新冠疫苗的意愿及相关因素
Second Wave of the Study of Taiwanese Caregivers of Children with ADHD in the COVID-19 Pandemic: Intentions to Vaccinate Their Children for COVID-19, and Related Factors.
作者信息
Tsai Ching-Shu, Wang Liang-Jen, Hsiao Ray C, Yen Cheng-Fang
机构信息
Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, Taiwan.
School of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.
出版信息
Vaccines (Basel). 2022 May 11;10(5):753. doi: 10.3390/vaccines10050753.
The second wave of the Study of Taiwanese Caregivers of Children with Attention-Deficit/Hyperactivity Disorder (ADHD) in the COVID-19 Pandemic was conducted at the time of a severe COVID-19 outbreak. The aims of this study were to compare the level of the intentions of caregivers of children with ADHD to vaccinate their children between the first and second waves of study, as well as to examine the COVID-19 pandemic and non-COVID-19 pandemic factors related to caregivers' intentions. In total, 252 caregivers of children with ADHD completed the structured questionnaires, including the Drivers of COVID-19 Vaccination Acceptance Scale; the Risk Perception of the COVID-19 Scale; caregivers' Difficulties in Asking Their Children to Adopt Self-Protective Behavior Scale; the Brief Symptom Rating Scale; the Parental Bonding Instrument; the Swanson, Nolan, and Pelham version IV Scale; and the questionnaires for the intentions to vaccinate their children and child's medication use for treating ADHD. The results demonstrated that 82.5% of caregivers reported their willingness to vaccinate their children definitely or under doctors' recommendation; the level of intentions to vaccinate significantly increased compared with that of caregivers in the first wave of the study. Caregivers' drivers of COVID-19 vaccination uptake, namely, values, impact, and autonomy but not knowledge; being male caregivers; being caregivers of girls; and the older age of the children were positively associated with caregiverscaregivers' intentions. The specific intervention programs for enhancing caregivers' intentions should be specified according to the sex and age of caregivers and of the children with ADHD. The Drivers of COVID-19 Vaccination Uptake should be also the target of intervention for enhancing caregivers' intentions through strengthening caregivers' acceptance of the COVID-19 vaccines' values, positive impact and autonomy to vaccinate their children.
“台湾注意力缺陷多动障碍（ADHD）儿童照顾者在新冠疫情期间的研究”的第二波调查是在新冠疫情严重爆发时进行的。本研究的目的是比较ADHD儿童照顾者在第一波和第二波研究中为其子女接种疫苗的意愿水平，并研究与照顾者意愿相关的新冠疫情和非新冠疫情因素。共有252名ADHD儿童的照顾者完成了结构化问卷，包括新冠疫苗接种接受度驱动因素量表、新冠风险认知量表、照顾者要求子女采取自我保护行为的困难量表、简明症状量表、父母教养方式问卷、斯旺森、诺兰和佩勒姆第四版量表，以及关于为子女接种疫苗的意愿和儿童治疗ADHD用药情况的问卷。结果表明，82.5%的照顾者表示他们肯定愿意或在医生建议下为子女接种疫苗；与第一波研究中的照顾者相比，接种意愿水平显著提高。照顾者接种新冠疫苗的驱动因素，即价值观、影响和自主性而非知识；男性照顾者；女孩的照顾者；以及孩子年龄较大，与照顾者的意愿呈正相关。应根据照顾者以及ADHD儿童的性别和年龄，制定具体的干预计划以增强照顾者的意愿。新冠疫苗接种接受度驱动因素也应成为干预目标，通过增强照顾者对新冠疫苗价值观、积极影响和为子女接种疫苗自主性的接受程度，来提高照顾者的意愿。
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