Mandatory vaccination in France: perception by outpatients and self-evaluation of its impact on their vaccine confidence

Mignot, Alèthe; Maréchal, Marion Le; Guimier, Lucie; Épaulard, Olivier

doi:10.1080/21645515.2021.1949952

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…Vaccine mandate and the further circulation of conflicting information about the vaccines may also associate with ambivalization as one‐fifth (20.2%) of the believers in T2 transited to fence‐sitters in T3 with lowered confidence and heightened complacency. This echoes the previous findings that, to at least some individuals, vaccine mandates could bring psychological reactance and decreased confidence (Betsch et al, 2015; Mignot et al, 2021) and heightened complacency (Lalot et al, 2022). Some individuals might become more complacent and acquire a false sense of security when they are vaccinated, thinking that they are well protected by the vaccines and no longer need to take precautions (Canning et al, 2022).…”

Section: Discussionsupporting

confidence: 87%

Temporal variations of vaccine hesitancy amid the COVID‐19 outbreaks in Hong Kong

Leung

Wei

et al. 2023

Applied Psych Health & Well

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To inform the dynamic adjustments of vaccination campaigns, this study examined the transitions among vaccine hesitancy profiles over the COVID‐19 pandemic progression and their predictors and outcomes. The transition patterns among hesitancy profiles over three periods were identified using a latent transition analysis with individuals from a longitudinal cohort study since the emergence of COVID‐19 in Hong Kong. Four profiles (i.e., skeptics, apathetics, fence‐sitters, and believers) emerged consistently over time. From Period 1 (third and fourth pandemic waves) to Period 2 (dormant period, vaccine rollout), 14.17% of believers became fence‐sitters (ambivalization), and 12.11% of fence‐sitters became apathetics (apathetization). From Period 2 to Period 3 (omicron surge and vaccine mandates), 20.21% of believers became fence‐sitters. Lower trust in government predicted a transition to skepticism, whereas higher trust predicted the opposite. Staying as believers was associated with decreased hygienic and social distancing behavior. The stable hesitancy profiles amid the rapid vaccine uptake suggest that structural factors rather than personal agency may drive the surge. Ambivalization and apathetization may signal disengagement in preventive behaviors. Trust in the government is crucial in the pandemic response. Public health interventions may improve compliance with guidelines and prevent skepticism and apathy.

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Section: Discussionsupporting

confidence: 87%

Temporal variations of vaccine hesitancy amid the COVID‐19 outbreaks in Hong Kong

Leung

Wei

et al. 2023

Applied Psych Health & Well

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“…Vaccine. 2019 May 6;37: 20 2748–2756. Amanda F Dempsey, Jennifer Pyrznawoski, Steven Lockhart, Juliana Barnard, Elizabeth J Campagna, Kathleen Garrett, Allison Fisher, L Miriam Dickinson, Sean T O’Leary Effect of a Health Care Professional Communication Training Intervention on Adolescent Human Papillomavirus Vaccination: A Cluster Randomized Clinical Trial .…”

Section: Caractéristiques Du Répondantmentioning

confidence: 99%

“…Mandatory vaccination programs in some countries have not always succeeded in restoring confidence in vaccination. 19 , 20 …”

Section: Introductionmentioning

confidence: 99%

Assessment of training of general practice interns in motivational interviews about vaccination

Mitilian

Gosselin

Casanova

et al. 2022

Human Vaccines & Immunotherapeutics

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The effectiveness of motivational interviewing (MI) for reducing vaccine hesitancy (VH) has been demonstrated in Quebec. We conducted a study to evaluate the acquisition of MI skills after MI training via videoconferencing for interns training as general practitioners (GPs) in southeastern France. A vaccination-specific MI training workshop was offered to interns in 2021, consisting of two separate Zoom videoconference sessions. Participants completed the Motivational Interviewing Skills in Immunization questionnaire before and after the training to measure skills acquisition. We used pairwise exact Wilcoxon-Pratt signed rank tests for the analysis. Among 45 GP interns enrolled in the first MI session, 34 (75.6%) attended both sessions and completed the questionnaire at 3 different time points. After the first session, MI knowledge scores improved significantly (+21.1 ± 21.6; P < .0001), as did application of MI skills (+36.8 ± 36.7; P < .0001), and MI practice confidence (+21.2 ± 11.1; P < .0001). The second MI session maintained the skills developed after the first session without further improvement. Participant satisfaction was high. This is the first study in France assessing the impact of a vaccination-specific MI training for GP interns. It shows a substantial improvement in knowledge, application of MI skills, and self-confidence in the practice of MI. GP interns were highly satisfied with the training despite the videoconference format. These promising results will allow the integration of MI training in GP medical curricula in order to prepare future GPs for communication in the field of vaccination.

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“…Although this measure increased childhood VC [8], overall coverage still falls short of the 95% target for some vaccines [9]. Data suggest that delays between the officially recommended and actual age at vaccination may persist, and be more pronounced in people belonging to deprived populations (data not shown); moreover, this measure has met reluctance from a quarter of parents of young children [10] and may have even reinforced VH [11]. Personalised information and/or education programmes are thus needed, but evidence that such interventions improve childhood VC and parents' intention to vaccinate their children (VI), especially when implemented top-down, is at best moderate [12].…”

Section: Introductionmentioning

confidence: 99%

A postpartum intervention for vaccination promotion by midwives using motivational interviews reduces mothers’ vaccine hesitancy, south-eastern France, 2021 to 2022: a randomised controlled trial

Verger,

Cogordan,

Fressard

et al. 2023

Eurosurveillance

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Background Despite childhood vaccine mandates imposed in 2018 in France, parental vaccine hesitancy (VH) remains frequent. Interventions in Quebec, Canada, applying motivational interviewing (MI) techniques have successfully reduced parents’ VH for childhood immunisations. Aim To determine whether MI intervention for mothers in maternity wards in the days after birth in France could significantly reduce VH, increase intentions to vaccinate (VI) their child at 2 months and reduce VH social inequalities. Methods We conducted a parallel-arm multicentre randomised controlled trial from November 2021 to April 2022 to compare impacts of MI performed by MI-trained midwives (intervention) vs a vaccination leaflet (control). We included 733 mothers from two maternity hospitals in south-eastern France, randomly assigned either arm. The validated Parents Attitudes about Childhood Vaccines questionnaire was used before and after MI or leaflet to assess mothers’ VH (13 items, 0–100 score) and VI (1 item, 1–10 score). Difference-in-difference (D-I-D) models were used to estimate net impact of MI vs leaflet for the entire sample and stratified by VH and education level. Results Motivational interview intervention reduced mothers' VH score by 33% (p < 0.0001) and increased VI by 8% (p < 0.0001); the effect was largest for the highest initial VH levels. D-I-D analyses estimated net VH decrease at 5.8/100 points (p = 0.007) and net VI increase at 0.6/10 points (p = 0.005). Net VH decrease was highest for high initial VH levels and low education levels. Conclusions Our results show positive effects of MI intervention, and means of its implementation should be investigated in France.

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Mandatory vaccination in France: perception by outpatients and self-evaluation of its impact on their vaccine confidence

Cited by 5 publications

References 12 publications

Temporal variations of vaccine hesitancy amid the COVID‐19 outbreaks in Hong Kong

Temporal variations of vaccine hesitancy amid the COVID‐19 outbreaks in Hong Kong

Assessment of training of general practice interns in motivational interviews about vaccination

A postpartum intervention for vaccination promotion by midwives using motivational interviews reduces mothers’ vaccine hesitancy, south-eastern France, 2021 to 2022: a randomised controlled trial

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