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A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London
OBJECTIVES: Incentivising vaccine consent form return may improve vaccine uptake and be seen as less coercive than incentivising vaccination itself. We assessed the acceptability of financial incentives in this context among adolescent females and explored potential mechanisms by which incentives mi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7446903/ https://www.ncbi.nlm.nih.gov/pubmed/32822387 http://dx.doi.org/10.1371/journal.pone.0237805 |
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author | Rockliffe, Lauren Stearns, Selma Forster, Alice S. |
author_facet | Rockliffe, Lauren Stearns, Selma Forster, Alice S. |
author_sort | Rockliffe, Lauren |
collection | PubMed |
description | OBJECTIVES: Incentivising vaccine consent form return may improve vaccine uptake and be seen as less coercive than incentivising vaccination itself. We assessed the acceptability of financial incentives in this context among adolescent females and explored potential mechanisms by which incentives might change behaviour. DESIGN: Focus groups and analysis of free-text questionnaire responses. METHODS: Study 1: 36 female secondary students in London (age 13–14) participated in six focus groups exploring the use of incentives in the context of vaccination. Data were analysed thematically. Study 2: was conducted to triangulate the findings of Study 1, by analysing free-text questionnaire responses from 181 female secondary students in London (age 12–13) reporting their opinion of incentivising consent form return. Data from Study 1 was also used to explore perceived potential mechanisms of action by which incentives might encourage consent form return. RESULTS: Focus group participants had positive attitudes towards incentives, with 61% of free-text responses also expressing this. Most focus group participants thought that incentives would encourage consent form return (18% of free-text respondents spontaneously also mentioned this). While incentivising consent form return was seen as ethical, focus group participants who incorrectly thought that vaccine receipt was being incentivised raised concerns about bribery, although only 4% of free text respondents reported these concerns. Frequently raised mechanisms of action included incentives increasing engagement with, and the perceived value of consent form return. CONCLUSIONS: Adolescents had positive views of financially incentivising consent form return to promote vaccine uptake, although care must be taken to reduce misconceptions regarding what is being incentivised. Incentivising vaccination was seen as coercive, but incentivising actions that increase the likelihood of vaccination (i.e. consent form return) were not. Incentives may encourage adolescents to return consent forms by helping them engage with this behaviour or increasing its’ perceived value. |
format | Online Article Text |
id | pubmed-7446903 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-74469032020-08-26 A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London Rockliffe, Lauren Stearns, Selma Forster, Alice S. PLoS One Research Article OBJECTIVES: Incentivising vaccine consent form return may improve vaccine uptake and be seen as less coercive than incentivising vaccination itself. We assessed the acceptability of financial incentives in this context among adolescent females and explored potential mechanisms by which incentives might change behaviour. DESIGN: Focus groups and analysis of free-text questionnaire responses. METHODS: Study 1: 36 female secondary students in London (age 13–14) participated in six focus groups exploring the use of incentives in the context of vaccination. Data were analysed thematically. Study 2: was conducted to triangulate the findings of Study 1, by analysing free-text questionnaire responses from 181 female secondary students in London (age 12–13) reporting their opinion of incentivising consent form return. Data from Study 1 was also used to explore perceived potential mechanisms of action by which incentives might encourage consent form return. RESULTS: Focus group participants had positive attitudes towards incentives, with 61% of free-text responses also expressing this. Most focus group participants thought that incentives would encourage consent form return (18% of free-text respondents spontaneously also mentioned this). While incentivising consent form return was seen as ethical, focus group participants who incorrectly thought that vaccine receipt was being incentivised raised concerns about bribery, although only 4% of free text respondents reported these concerns. Frequently raised mechanisms of action included incentives increasing engagement with, and the perceived value of consent form return. CONCLUSIONS: Adolescents had positive views of financially incentivising consent form return to promote vaccine uptake, although care must be taken to reduce misconceptions regarding what is being incentivised. Incentivising vaccination was seen as coercive, but incentivising actions that increase the likelihood of vaccination (i.e. consent form return) were not. Incentives may encourage adolescents to return consent forms by helping them engage with this behaviour or increasing its’ perceived value. Public Library of Science 2020-08-21 /pmc/articles/PMC7446903/ /pubmed/32822387 http://dx.doi.org/10.1371/journal.pone.0237805 Text en © 2020 Rockliffe et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Rockliffe, Lauren Stearns, Selma Forster, Alice S. A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London |
title | A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London |
title_full | A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London |
title_fullStr | A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London |
title_full_unstemmed | A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London |
title_short | A qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in London |
title_sort | qualitative exploration of using financial incentives to improve vaccination uptake via consent form return in female adolescents in london |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7446903/ https://www.ncbi.nlm.nih.gov/pubmed/32822387 http://dx.doi.org/10.1371/journal.pone.0237805 |
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