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Parents' Choices and Rationales for Alternative Vaccination Schedules: A Qualitative Study

机译：父母选择替代接种时间表的选择和理由：定性研究

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Background. A growing number of parents adopt alternative vaccination schedules for their children. A better understanding of parents' rationales for these choices is needed to guide vaccine decision making. Methods. We conducted 24 semistructured telephone interviews with parents of 12- to 36-month-olds and analyzed data using an inductive approach. Results. We identified 5 alternative vaccination approaches: Dr Sears schedule, shot-limiting approach, selective delay or decline, visit-by-visit decisions, and refusal of all vaccines. Parents who adopted alternative approaches expressed a desire for more control of exposure to vaccine ingredients; vaccine safety, immune system burden, and perceived disease risk were articulated as concerns. Conclusions. Parents who adopt alternative vaccination schedules can be classified in defined subgroups based on their decision-making approaches, and many describe considered reasons to support their actions. Communications that acknowledge and address those reasons may be better able to engage parents and ultimately enhance the process of decision making about vaccines.
机译：背景。越来越多的父母为孩子采用了替代性的疫苗接种时间表。需要更好地了解父母对这些选择的理由，以指导疫苗决策。方法。我们与12至36个月大的父母进行了24次半结构化电话采访，并使用归纳法分析了数据。结果。我们确定了5种替代疫苗接种方法：Sears医生的日程安排，限制注射的方法，选择性延迟或拒绝，每次拜访决定以及所有疫苗的拒绝。采取替代方法的父母表示希望进一步控制疫苗成分的接触。人们关注疫苗的安全性，免疫系统负担和疾病风险。结论可以将采用替代疫苗接种计划的父母根据他们的决策方法分类为已定义的亚组，其中许多人描述了支持其行动的考虑原因。承认并解决这些原因的交流可能会更好地吸引父母，并最终增强疫苗决策的过程。

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