Development and Validation of a Survey Instrument for Exploring Influenza Vaccine Hesitancy among Thai Healthcare Workers

Authors

  • Sutthichai Nakphook
  • Kriengkrai Prasert
  • Suriya Naosri
  • Nuddaporn Sripradit
  • Kanlaya Sornwong
  • Ratchadaporn Ungcharoen

Keywords:

Influenza vaccine hesitancy, healthcare workers, survey instrument, validation

Abstract

Background: The objective of this study was to develop and validate a survey instrument for measuring influenza vaccine hesitancy and its associated factors among HCW in Thailand.

Methods: The survey instrument was developed after a literature review using the adapted version of vaccine hesitancy determinant matrix and finalized after completing qualitative focus group discussions. The validation process included expert review for content validity, pilot testing for assessing feasibility, acceptability, and face validity, and a larger survey for evaluating construct validity and reliability. Construct validity was measured using an exploratory factor analysis (EFA) and internal consistency was assessed by Cronbach’s alpha.

Results: Although some participants complained of the length and design of the questionnaire, their acceptability of the questionnaire was good. Overall face validity and content validity was considered good. In the EFA, three factor-structure was obtained which aligned closely with the three broad determinants - contextual factors, influenza vaccine- specific factors, and individual/group influences. The final 15-determinants structure explained 53% of the total variance. The Cronbach’s alpha for the newly identified set of three-factor structure ranged from 0.770 to 0.803.

Conclusions: In conclusion, we developed a valid and reliable survey instrument to be used among Thai HCW for measuring influenza vaccine hesitancy and its associated factors.

References

To KW., Lai A., Lee KCK., Koh D., Lee S.S. (2016). Increasing the coverage of influenza vaccination in healthcare workers: review of challenges and solutions. The Journal of Hospital Infection. 94(2), 133-42. doi: https://doi.org/10.1016/j.jhin.2016.07.003.

Karafillakis E., Dinca I., Apfel F., Cecconi S., Wűrz A., Takacs J., Suk J., Celentano L., Kramarz P., Larson H. (2016). Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine, 34(41), 5013-5020. Doi: https://doi.org/10.1016/j.vaccine.2016.08.029

Verger, P., Fressard, L., Collange, F., Gautier, A., Jestin, C., Launay, O., Peretti-Watel, P. (2015). Vaccine Hesitancy Among General Practitioners and Its Determinants During Controversies: A National Cross-sectional Survey in France. EBioMedicine, 2(8), 891-897. doi:10.1016/j.ebiom.2015.06.018

Yaqub, O., Castle-Clarke, S., Sevdalis, N., & Chataway, J. (2014). Attitudes to vaccination: a critical review. Soc Sci Med, 112, 1-11. doi:10.1016/j.socscimed.2014.04.018

MacDonald, N. E., & Hesitancy, S. W. G. o. V. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161-4164. doi:10.1016/j.vaccine.2015.04.036

Larson, H. J., Jarrett, C., Eckersberger, E., Smith, D. M., & Paterson, P. (2014). Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine, 32(19), 2150-2159. doi:10.1016/j.vaccine.2014.01.081

Paterson, P., Meurice, F., Stanberry, L. R., Glismann, S., Rosenthal, S. L., & Larson, H. J. (2016). Vaccine hesitancy and healthcare providers. Vaccine, 34(52), 6700-6706. doi:10.1016/j.vaccine.2016.10.042

Praphasiri, P., Ditsungneon, D., Greenbaum, A., Dawood, F. S., Yoocharoen, P., Stone, D. M., Muangchana, C. (2017). Do Thai Physicians Recommend Seasonal Influenza Vaccines to Pregnant Women? A Cross-Sectional Survey of Physicians' Perspectives and Practices in Thailand. PLoS One, 12(1), e0169221. doi:10.1371/journal.pone.0169221

Tanavikrankoon M., Suwannapong N., Thipayamongkolkul M., Howteerakul N. (2015). Acceptance of seasonal influenza vaccination among medical personnel in a super tertiary care hospital, Bangkok. Vajira Nursing Journal, 17(2), 15-29.

Chotpitayasunondh, C., Patrasuwan, S., Prontri, M., & Poiynok, S. (2011). Acceptance of pandemic influenza A (H1N1) 2009 vaccine among health care workers, Thailand. BMC Proceedings, 5(S6). doi:10.1186/1753-6561-5-s6-p83

MacDonald, N. E., & Dube, E. (2015). Unpacking Vaccine Hesitancy Among Healthcare Providers. EBioMedicine, 2(8), 792-793. doi:10.1016/j.ebiom.2015.06.028

Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Hesitancy, S. W. G. o. V. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165-4175. doi:10.1016/j.vaccine.2015.04.037

Shapiro GK., Tatar O., Dube E., Amsel R., Knauper B., Naz A., Peres S., Rosberger Z. (2018). The vaccine hesitancy scale: Psychometric properties and validation. Vaccine, 36(5), 660-667. doi: https://doi.org/10.1016/j.vaccine.2017.12.043

Domek, G. J., O'Leary, S. T., Bull, S., Bronsert, M., Contreras-Roldan, I. L., Bolanos Ventura, G. A., Asturias, E. J. (2018). Measuring vaccine hesitancy: Field testing the WHO SAGE Working Group on Vaccine Hesitancy survey tool in Guatemala. Vaccine, 36(35), 5273-5281. doi:10.1016/j.vaccine.2018.07.046

Cresswell J., Plano Clark V., Gutmann M.L., Hanson W.E. (2003) An expanded Typology for classifying mixed methods research into designs. SAGE, 159-160. Retrieved from http://rszarf.ips.uw.edu.pl/ewalps/teksty/creswell.pdf, Accessed 26 May 2022

Thompson, B. (2004). Exploratory and confirmatory factor analysis: Understanding concepts and applications. Washington, DC, US: American Psychological Association.

Kaiser, H. F. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurement, 20, 141-151. doi:10.1177/001316446002000116

European Centre for Disease Prevention and Control. Catalogue of interventions addressing vaccine hesitancy. Stockholm: ECDC; 2017.

Handy, L. K., Maroudi, S., Powell, M., Nfila, B., Moser, C., Japa, I., . . . Feemster, K. A. (2017). The impact of access to immunization information on vaccine acceptance in three countries. PLoS One, 12(8), e0180759. doi:10.1371/journal.pone.0180759

Owusu, J. T., Prapasiri, P., Ditsungnoen, D., Leetongin, G., Yoocharoen, P., Rattanayot, J., Muangchana, C. (2015). Seasonal influenza vaccine coverage among high-risk populations in Thailand, 2010-2012. Vaccine, 33(5), 742-747. doi:10.1016/j.vaccine.2014.10.029

Attwell, K., Leask, J., Meyer, S.B. et al. Vaccine Rejecting Parents’ Engagement With Expert Systems That Inform Vaccination Programs. Bioethical Inquiry 14, 65–76 (2017). https://doi.org/10.1007/s11673-016-9756-7

Downloads

Published

2024-01-04

How to Cite

1.
Nakphook S, Prasert K, Naosri S, Sripradit N, Sornwong K, Ungcharoen R. Development and Validation of a Survey Instrument for Exploring Influenza Vaccine Hesitancy among Thai Healthcare Workers. Nakhonphanom Hosp J [internet]. 2024 Jan. 4 [cited 2026 Jan. 26];11(1):e268144. available from: https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/268144

Issue

Vol. 11 No. 1 (2024): January - April

Section

Original article

License

Copyright (c) 2024 Nakhonphanom Hospital Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

  1. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ โรงพยาบาลนครพนม
  2. ข้อความหรือข้อคิดเห็นต่างๆ เป็นของผู้เขียนบทความนั้นๆ ไม่ใช่ความเห็นของกองบรรณาธิการ