Abstract

Objective

We use self-determination theory to extend the conceptual understanding of flu vaccine hesitancy among health professionals. The scale sheds light on the role played by motivational factors above and beyond traditional cognitive factors such as biased risk judgements and health beliefs.

Design

Across five phases using data from 718 healthcare professionals we establish factor structure, reliability, discriminant, convergent, criterion-related, incremental validity, and measurement invariance of the Treatment Self-Regulation Questionnaire assessing healthcare professionals’ motivation for flu vaccination scale (TSRQ-Flu).

Main Outcome Measures

In addition to the four factors of the TSRQ-Flu (autonomous, introjection, external and amotivation regulations), we assess intentions to vaccinate, past vaccination behaviour and validate the scale using measures of cognitive empowerment, vaccine attitudes and social desirability.

Results

Our findings indicate that the newly developed 11-item scale is distinct from and contributes over and beyond other psychosocial measures of flu vaccination intentions and can be used to understand the motivation of both vaccinated and not-vaccinated healthcare professionals.

Conclusion

This new scale has the potential to make a marked change in the conceptualisation of the roots of vaccine hesitancy among healthcare professionals and aid healthcare managers in developing evidence-based interventions to promote vaccination among their staff.

中文翻译：

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评估医疗保健专业人员接种流感疫苗动机的治疗自我调节问卷（TSRQ-Flu）的开发和验证

摘要

客观的

我们使用自决理论来扩展卫生专业人员对流感疫苗犹豫的概念理解。该量表阐明了动机因素在传统认知因素（如有偏见的风险判断和健康信念）之外所起的作用。

设计

在五个阶段使用来自 718 名医疗保健专业人员的数据，我们建立了治疗自我调节问卷评估医疗保健专业人员流感疫苗接种动机量表 (TSRQ-Flu) 的因子结构、可靠性、判别性、收敛性、标准相关、增量有效性和测量不变性）。

主要观察指标

除了 TSRQ-Flu 的四个因素（自主性、内向性、外部性和动机性规定）之外，我们还评估了疫苗接种的意图、过去的疫苗接种行为，并使用认知赋权、疫苗态度和社会期望度来验证量表。

结果

我们的研究结果表明，新开发的 11 项量表与流感疫苗接种意图的其他心理社会测量方法不同，并有助于了解接种疫苗和未接种疫苗的医疗保健专业人员的动机。

结论

这种新的量表有可能显着改变医疗保健专业人员对疫苗犹豫的根源的概念化，并帮助医疗保健管理人员开发基于证据的干预措施，以促进其员工的疫苗接种。