Buursma Petra, Anraad Charlotte, van Empelen Pepijn, Ruiter Robert A C, van Keulen Hilde M
VU University Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, the Netherlands; TNO Child Health, Netherlands Organization for Applied Scientific Research, P.O. Box 3005, 2316 ZL Leiden, the Netherlands.
TNO Child Health, Netherlands Organization for Applied Scientific Research, P.O. Box 3005, 2316 ZL Leiden, the Netherlands; Department of Work & Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD Maastricht, the Netherlands.
Patient Educ Couns. 2023 Feb;107:107566. doi: 10.1016/j.pec.2022.11.008. Epub 2022 Nov 11.
To assess whether cognitive reappraisal and acceptance are effective emotion regulation strategies to decrease the influence of negative affect on intention to accept maternal pertussis vaccination (MPV) among pregnant women in the Netherlands.
An experimental study with baseline and two follow-up measurements was conducted. Participants selected after baseline (N = 382) were randomized into two experimental groups (cognitive reappraisal, acceptance) and a control group. The effect of the experimental manipulations on negative affect was examined with multilevel analyses. A moderation analysis was performed to examine whether the manipulations moderated the association between negative affect and intention.
All groups showed a decrease in negative affect (all p's < 0.001), with no differences between groups. A small decrease in the influence of negative affect on intention was found among those who used acceptance.
No additional value of the emotion regulation strategies was found compared to the control group. However, exploratory analyses showed that acceptance seemed a promising strategy to decrease the influence of negative affect on intention to accept MPV.
This study stressed the relevance for communication strategies to consider the emotions pregnant women experience during the decision-making process about the MPV.
评估认知重评和接纳是否为有效的情绪调节策略,以减少负面影响对荷兰孕妇接受百日咳疫苗(MPV)意愿的影响。
进行一项包含基线和两次随访测量的实验研究。基线后选取的参与者(N = 382)被随机分为两个实验组(认知重评、接纳)和一个对照组。采用多水平分析检验实验操作对负面影响的效果。进行调节分析以检验操作是否调节了负面影响与意愿之间的关联。
所有组的负面影响均有所降低(所有p值<0.001),组间无差异。在使用接纳策略的人群中,发现负面影响对意愿的影响略有降低。
与对照组相比,未发现情绪调节策略有额外价值。然而,探索性分析表明,接纳似乎是一种有前景的策略,可减少负面影响对接受MPV意愿的影响。
本研究强调了沟通策略考虑孕妇在MPV决策过程中所经历情绪的相关性。