title: Assessing determinants of the intention to accept a pertussis cocooning vaccination: A survey among Dutch parents.
abstract: Pertussis cocooning is one of the strategies aiming to prevent the potential harm of pertussis in infants by vaccinating (among others) their parents. Several countries adopted this strategy, but uptake is a problem. Determinants of parental uptake are important in the design of an effective vaccination programme. Therefore, this study aims to assess parents' intention to accept a pertussis cocooning vaccination and its determinants.
  
  
  
  A 98 item questionnaire was developed based on a theoretical framework, assessing parents' intention to accept a pertussis cocooning vaccination and its personal and psychosocial determinants. In addition, beliefs underlying parents' attitude towards pertussis cocooning vaccination were assessed. Both logistic and linear regression analysis were used to assess univariate and multivariate associations amongst study variables.
  
  
  
  Parents returned 282 questionnaires. The majority of the parents (78%) reported a positive intention to accept a pertussis cocooning vaccination. Attitude (OR 6.6, p<.001), anticipated negative affect in response to non acceptance (OR 1.65, p<.001), anticipated negative affect in response to acceptance (OR 0.55, p .040) and decisional uncertainty (OR 0.52, p .002) were significantly associated with intention. General vaccination beliefs (β 0.58, p<.001), moral norm (β 0.22, p<.001), perceived susceptibility of pertussis in children (β 0.10, p.004), and efficacy outcome expectations (β 0.15, p.011) were significant correlates of attitude towards pertussis cocooning vaccination.
  
  
  
  The parental intention to accept a pertussis cocooning vaccination in this study is rather high. Targeting the identified determinants of parents' acceptance in a pertussis cocooning vaccination programme is crucial to secure that intention is translated into actual vaccination uptake.
authors: Department of Primary and Community Care, Radboudumc, 117 ELG, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; Municipal Health Service Utrecht Region, P.O. Box 51, 3700 AB Zeist, The Netherlands. Electronic address: olga.visser@radboudumc.nl.
authors: Olga
authors: O
authors: Visser
authors: Municipal Health Service Utrecht Region, P.O. Box 51, 3700 AB Zeist, The Netherlands. Electronic address: jc.kraan@gmail.com.
authors: Janneke
authors: J
authors: Kraan
authors: Department of Primary and Community Care, Radboudumc, 117 ELG, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; Scientific Institute for Quality of Healthcare, IQ Healthcare, Radboudumc, 114 IQ, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Electronic address: reinier.akkermans@radboudumc.nl.
authors: Reinier
authors: R
authors: Akkermans
authors: Department of Work and Social Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. Electronic address: r.ruiter@maastrichtuniversity.nl.
authors: Robert A C
authors: RAC
authors: Ruiter
authors: Department of Primary and Community Care, Radboudumc, 117 ELG, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Electronic address: koos.vandervelden@radboudumc.nl.
authors: Koos
authors: K
authors: van der Velden
authors: Department of Primary and Community Care, Radboudumc, 117 ELG, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Electronic address: jeannine.hautvast@radboudumc.nl.
authors: Jeannine L A
authors: JLA
authors: Hautvast
authors: Scientific Institute for Quality of Healthcare, IQ Healthcare, Radboudumc, 114 IQ, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Electronic address: Marlies.hulscher@radboudumc.nl.
authors: Marlies E J L
authors: MEJL
authors: Hulscher
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs; D033182:Intention; D008297:Male; D009426:Netherlands; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000379:methods / Q000523:psychology*; D014917:Whooping Cough / Q000517:prevention & control*
keywords: Behaviour change; Beliefs; Immunization; Implementation science; Pertussis; Theory-based behavioural interventions; Vaccination; Whooping cough