Perspectives and involvement of children and adolescents during the decision-making process of their Covid-19 vaccination

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-10-16 DOI:10.1016/j.pec.2024.108476

Simone Teresa Böhm-González , Sarah Detemple , Jasmin Gruß , Rosa Franke , Jörg Dötsch , Reinhard Berner , Christoph Härtel , Annic Weyersberg

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Abstract

Objective

This study aims to understand the perspectives of young people towards their Covid-19 vaccination and their involvement in the decision-making process.

Methods

Semi-structured interviews were conducted with 25 children and adolescents (aged 8–19 years), who attended a school in Germany during the pandemic. Interviews were explored with structured and evaluative content-analysis.

Results

Five overarching themes were identified:

1) Motivators for vaccination: protection against Covid-19, secondary societal benefits and positive experience of peers

2) Barriers to vaccination: perceived lack of risk for severe disease

3) Participation in the decision-making process: mostly adult-initiated shared decisions

4) Role of vaccination status at school: issues of marginalization and stigmatization

5) Wishes to adults and politicians: need for better information

Conclusion

Involving children at a high level of participation while taking into account their individual maturity could be a favourable strategy in a family`s decision-making process regarding vaccination. Expectations from peers or parents and societal benefits as primary incentive to get vaccinated should be minimized during the decision-process.

Practice implications

Our study highlights the need to include young people`s perspectives in vaccine research, -development and -education campaigns. Future research should develop instruments to structurally embed and promote children and youth participation in healthcare-related decisions.

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儿童和青少年在接种 Covid-19 疫苗决策过程中的观点和参与情况。

研究目的本研究旨在了解青少年对接种 Covid-19 疫苗的看法以及他们参与决策过程的情况：方法：对大流行期间在德国一所学校就读的 25 名儿童和青少年（8-19 岁）进行了半结构化访谈。通过结构化和评价性内容分析对访谈进行了探讨：结果：确定了五大主题：1) 接种疫苗的动机：预防 Covid-19、次要社会效益和同龄人的积极经验 2) 接种疫苗的障碍：认为缺乏患严重疾病的风险 3) 参与决策过程：大多由成人发起共同决策 4) 疫苗接种状况在学校中的作用：边缘化和污名化问题 5) 对成人和政治家的愿望：需要更好的信息结论：让儿童高度参与，同时考虑到他们各自的成熟度，可能是家庭在疫苗接种决策过程中的有利策略。在决策过程中，应尽量减少将同龄人或父母的期望以及社会利益作为接种疫苗的主要诱因：我们的研究强调了将年轻人的观点纳入疫苗研究、开发和教育活动的必要性。未来的研究应开发工具，从结构上嵌入并促进儿童和青少年参与医疗保健相关决策。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.