Childhood vaccination communication outcomes unpacked and organized in a taxonomy to facilitate core outcome establishment

Jessica Kaufman; Rebecca Ryan; Claire Glenton; Simon Lewin; Xavier Bosch-Capblanch; Yuri Cartier; Julie Cliff; Angela Oyo-Ita; Heather Ames; Artur Manuel Muloliwa; Afiong Oku; Gabriel Rada; Sophie Hill

doi:10.1016/j.jclinepi.2017.02.007

Childhood vaccination communication outcomes unpacked and organized in a taxonomy to facilitate core outcome establishment

J Clin Epidemiol. 2017 Apr:84:173-184. doi: 10.1016/j.jclinepi.2017.02.007. Epub 2017 Feb 24.

Authors

Affiliations

¹ Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Health Sciences 2 Rm 412, Bundoora, Victoria 3086, Australia. Electronic address: [email protected].
² Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Health Sciences 2 Rm 412, Bundoora, Victoria 3086, Australia.
³ Norwegian Knowledge Centre for the Health Services, Norwegian Institute of Public Health, PO Box 4404, Nydalen, Oslo N-0403, Norway.
⁴ Norwegian Knowledge Centre for the Health Services, Norwegian Institute of Public Health, PO Box 4404, Nydalen, Oslo N-0403, Norway; Health Systems Research Unit, South African Medical Research Council, PO Box 19070, Tygerberg 7505, Cape Town, South Africa.
⁵ Swiss Tropical and Public Health Institute, Socinstrasse 57, P.O. Box CH-4002, Basel, Switzerland; Universität Basel, Petersplatz 1, CH-4003, Basel, Switzerland.
⁶ International Union for Health Promotion and Education, 42 boulevard de la Libération, Saint-Denis 93203, France.
⁷ Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo CP 257, Mozambique.
⁸ Department of Community Medicine, University of Calabar, Calabar PMB 1115, Cross River State, Nigeria.
⁹ Provincial Directorate of Health, Av. Samora Machel n(º) 1016 R/C, C.P. N(º) 14, Nampula, Mozambique.
¹⁰ Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Avda, Libertador Bernardo O'Higgins 340, Santiago, Chile.

PMID: 28238788
DOI: 10.1016/j.jclinepi.2017.02.007

Abstract

Objectives: We present a comprehensive taxonomy of outcomes for childhood vaccination communication interventions. Adding to our earlier map of trial outcomes, we aimed to (1) identify relevant outcomes not measured in trials, (2) identify outcomes from stakeholder focus groups, and (3) organize outcomes into a taxonomy.

Study design and setting: We identified additional outcomes from nonvaccination health communication literature and through parent and health care professional focus groups. We organized outcomes into the taxonomy through iterative discussion and informed by organizational principles established by leaders in core outcome research.

Results: The taxonomy includes three overarching core areas, divided into eight domains and then into outcomes. Core area one is psychosocial impact, including the domains "knowledge or understanding," "attitudes or beliefs," and "decision-making." Core area two is health impact, covering "vaccination status and behaviors" and "health status and well-being." Core area three is community, social, or health system impact, containing "intervention design and implementation," "community participation," and "resource use."

Conclusion: To our knowledge, this taxonomy is the first attempt to conceptualize the range of potential outcomes for vaccination communication. It can be used by researchers selecting outcomes for complex communication interventions. We will also present the taxonomy to stakeholders to establish core outcome domains.

Keywords: Childhood vaccination; Communication; Core outcome set; Immunization; Outcomes; Taxonomy.

MeSH terms

Child, Preschool
Focus Groups
Health Communication / methods*
Health Knowledge, Attitudes, Practice*
Health Personnel
Humans
Infant
Interdisciplinary Communication*
Outcome Assessment, Health Care / methods*
Parents
Vaccination*