{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:54:25Z","timestamp":1791921265442,"version":"4.3.4"},"reference-count":42,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2012,10,19]]},"published-print":{"date-parts":[[2012]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Although public health offices have a detailed record of the vaccination coverage among adolescents in Switzerland, little is known about the factors that determine the decisions of parents to get their children vaccinated. Based on Schulz &amp; Nakamoto's Extended Health Empowerment Model, the present study aims at surveying parents of adolescents in Ticino (Switzerland) to get insights into the role of health literacy, health empowerment, information search behaviour and potential confounding variables that influence whether adolescents are not at all vaccinated, undervaccinated or fully covered against measles, mumps and rubella (MMR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>A survey including concepts of the Extended Health Empowerment Model will be administered to all families with adolescents attending the third year of middle school in Ticino. Subsequently, survey responses will be matched with actual data on MMR vaccination coverage of adolescents collected from the Cantonal Office of Public Health in Ticino.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The results of this study will allow one to draw more comprehensive conclusions about the factors that play a role in parents\u2019 decisions regarding the vaccination of their children. At the same time, the study will provide useful insights on which are the main issues to be considered when addressing parents (on an interpersonal as well as a mass communication level) regarding the vaccination of their children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2012-002162","type":"journal-article","created":{"date-parts":[[2012,11,19]],"date-time":"2012-11-19T20:56:12Z","timestamp":1353358572000},"page":"e002162","source":"Crossref","is-referenced-by-count":11,"title":["Health literacy, health empowerment and health information search in the field of MMR vaccination: a cross-sectional study protocol"],"prefix":"10.1136","volume":"2","author":[{"given":"Nicola","family":"Diviani","sequence":"first","affiliation":[{"name":"Institute of Communication and Health (ICH), Universit\u00e0 della Svizzera italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Linda","family":"Camerini","sequence":"additional","affiliation":[{"name":"Institute of Communication and Health (ICH), Universit\u00e0 della Svizzera italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danuta","family":"Reinholz","sequence":"additional","affiliation":[{"name":"Dipartimento della Sanit\u00e0 e della Socialit\u00e0 (DSS), Ufficio del Medico Cantonale Canton Ticino, Bellinzona, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Galfetti","sequence":"additional","affiliation":[{"name":"Dipartimento della Sanit\u00e0 e della Socialit\u00e0 (DSS), Ufficio del Medico Cantonale Canton Ticino, Bellinzona, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J","family":"Schulz","sequence":"additional","affiliation":[{"name":"Institute of Communication and Health (ICH), Universit\u00e0 della Svizzera italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,11,19]]},"reference":[{"key":"2025121422314217000_2.6.e002162.1","first-page":"666","volume":"60","author":"Centers for Disease Control and Prevention, CDC","year":"2011","journal-title":"MMWR"},{"key":"2025121422314217000_2.6.e002162.2","first-page":"349","article-title":"Measles vaccines: WHO position paper","volume":"84","author":"World Health Organization, WHO","year":"2009","journal-title":"Wkly Epidemiol Rec"},{"key":"2025121422314217000_2.6.e002162.3","unstructured":"Lang P . 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