Sponsor
This study is part of a research project which has received funding from the Dutch Ministry of Health, Welfare and Sport (VWS).
Published In
Discourse Processes
Document Type
Article
Publication Date
11-27-2024
Subjects
Vaccination -- Research -- Netherlands
Abstract
Communication-intervention strategies for reducing vaccine hesitancy have been primarily based on survey and interview data. Virtually absent is an understanding of how vaccine hesitancy is organized interactionally in its primary, natural environment of medical consultations between parents and healthcare providers. This article uses conversation analysis to describe the sequence organization of the action of providers soliciting parents’ vaccination intent. We demonstrate that parents’ acceptance is “preferred” and sequence-closure relevant and that refusal is “dispreferred” and sequence-expansion relevant. Regarding vaccine refusal, we describe three different sequence-expansive actions, including soliciting an account, cautioning about the consequences of vaccine refusal, and “keeping the door open” to future vaccination. Data are 62 videotaped interactions between providers and parents of newborns in the Netherlands. Findings have implications for the design of communication-intervention strategies involving understanding parents’ perspectives and providing them with information toward the goal of reducing their vaccine hesitancy.
Rights
© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.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 work is properly cited. The terms on which thisarticle has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Locate the Document
DOI
10.1080/0163853X.2024.2424694
Persistent Identifier
https://archives.pdx.edu/ds/psu/42973
Citation Details
Prettner, R., te Molder, H., & Robinson, J. D. (2024). Not taking “no” for an answer: the interactional organization of accepting and refusing childhood vaccination in the Netherlands. Discourse Processes, 1–27. https://doi.org/10.1080/0163853x.2024.2424694