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Review
. 2021 Aug:71:34-45.
doi: 10.1016/j.coi.2021.04.002. Epub 2021 May 14.

A critical review of measures of childhood vaccine confidence

Gilla K Shapiro  1 , Jessica Kaufman  2 , Noel T Brewer  3 , Kerrie Wiley  4 , Lisa Menning  5 , Julie Leask  6 ; BeSD Working Group
Collaborators, Affiliations
Review

A critical review of measures of childhood vaccine confidence

Gilla K Shapiro et al. Curr Opin Immunol. 2021 Aug.

Abstract

The World Health Organization and global partners sought to identify existing measures of confidence in childhood vaccines, as part of a broader effort to measure the range of behavioural and social drivers of vaccination. We identified 14 confidence measures applicable to childhood vaccination in general, all published between 2010 and 2019. The measures examined 1-5 constructs and included a mean of 12 items. Validation studies commonly examined factor structure, internal consistency reliability, and criterion-related validity. Fewer studies examined convergent and discriminant validity, test-retest reliability, or used cognitive interviewing. Most measures were developed and validated only in high-income countries. These findings highlight the need for a childhood vaccine confidence measure validated for use in diverse global contexts.

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Conflict of interest statement

Conflict of interest statement

NB is a paid consultant on vaccination for Merck, CDC and WHO. GSF’s husband is a minority owner of a consulting firm that does some work for Eli Lilly. NS is the director of the London Safety and Training Solutions Ltd, which offers training in patient safety, implementation solutions and human factors to healthcare organisations and the pharmaceutical industry, including Sanofi-MSD and Merck. NS also holds an unrestricted educational research grant by Sanofi Pasteur for the project ‘Social and psychological determinants of vaccination uptake – Linking attitudinal and behavioural data to policy analysis and implementation’, 2021–24. CW is a Vaccines’ Section Editor for Current Opinion in Immunology, but he was not involved in the assessment of the suitability of this article for publication. All other authors report no conflict of interests.

Figures

Figure 1:
Figure 1:
The Behavioural and Social Drivers of Vaccination Framework. Source: The BeSD Working Group [••]. Based on the Increasing Vaccination Model [1].
See this image and copyright information in PMC

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