{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:35:53Z","timestamp":1783654553144,"version":"3.55.0"},"reference-count":37,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T00:00:00Z","timestamp":1675641600000},"content-version":"unspecified","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Public Health Agency of Sweden","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,1,19]]},"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore nurses\u2019 experiences of a tailored intervention that supported them with knowledge and tools to use during encounters and dialogue with parents with low vaccine acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study with in-depth interviews conducted in 2017. Data were analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This study was part of a multicomponent intervention targeting Somali parents and the nurses at child health centres in the Rinkeby and Tensta neighbourhoods of Stockholm. An area with documented low measles, mumps and rubella (MMR) vaccination coverage. Previous research has revealed that Somali parents in the community delayed MMR vaccination due to fear of autism despite lack of scientific evidence. The interventions were implemented in 2015\u20132017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Eleven nurses employed at the child health centres involved in the intervention participated in interviews. The tailored intervention targeting nurses included a series of seminars, a narrative film and an information card with key messages for distribution to parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The qualitative analysis revealed an overarching theme: perception of improved communication with parents. Two underlying themes were identified: (1) feeling more confident to address parents\u2019 MMR vaccine concerns and (2) diverse tools as useful support to dispel myth and reduce language barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>From the nurses\u2019 perspective, the tailored intervention was useful to improve communication with parents having vaccine concerns. Nurses have a crucial role in vaccine uptake and acceptance. Interventions aiming to strengthen their communication with parents are therefore essential, especially in areas with lower vaccine acceptance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-067169","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T11:12:48Z","timestamp":1675681968000},"page":"e067169","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring nurses\u2019 experiences of a tailored intervention to increase MMR vaccine acceptance in a Somali community in Stockholm, Sweden: a qualitative interview study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7058-2419","authenticated-orcid":false,"given":"Emma","family":"Appelqvist","sequence":"first","affiliation":[{"name":"Department of Public Health Analysis and Data Management, Public Health Agency of Sweden, Solna, Sweden"},{"name":"Department of Clinical Microbiology, Department of Translational Medicine, Lund University, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asha","family":"Jama","sequence":"additional","affiliation":[{"name":"Department of Public Health Analysis and Data Management, Public Health Agency of Sweden, Solna, Sweden"},{"name":"Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asli","family":"Kulane","sequence":"additional","affiliation":[{"name":"Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Public Health Analysis and Data Management, Public Health Agency of Sweden, Solna, Sweden"},{"name":"Department of Clinical Microbiology, Department of Translational Medicine, Lund University, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Lindstrand","sequence":"additional","affiliation":[{"name":"Department of Immunization, Vaccines and Biologicals, Unit Essential Programme on Immunization, WHO, Geneve, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Godoy-Ramirez","sequence":"additional","affiliation":[{"name":"The Office of the Head for Communicable Disease Control and Health Protection, Public Health Agency of Sweden, Solna, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,2,6]]},"reference":[{"key":"2025121515230860000_13.2.e067169.1","unstructured":"European Centre for Disease Prevention and Control . Measles and rubella surveillance \u2013 2017. Stockholm: ECDC, 2018."},{"key":"2025121515230860000_13.2.e067169.2","unstructured":"World Health Organization . Measles emergency in the European region. WHO; 2019. Available: https:\/\/www.who.int\/europe\/emergencies\/situations\/measles-emergency-in-the-european-region"},{"key":"2025121515230860000_13.2.e067169.3","unstructured":"World Health Organization . Tailoring immunization programmes (TIP). Copenhagen: WHO Regional Office for Europe, 2019."},{"key":"2025121515230860000_13.2.e067169.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.04.038"},{"key":"2025121515230860000_13.2.e067169.5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1007\/s00103-019-03063-0","article-title":"Understanding vaccine acceptance and demand-and ways to increase them","volume":"63","author":"Habersaat","year":"2020","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"2025121515230860000_13.2.e067169.6","unstructured":"Folkh\u00e4lsomyndigheten . Barnvaccinationsprogrammet i Sverige 2020 - \u00c5rsrapport; 2021."},{"key":"2025121515230860000_13.2.e067169.7","unstructured":"Folkh\u00e4lsomyndigheten . Barnvaccinationsprogrammet i Sverige 2019 \u2013 \u00c5rsrapport; 2020."},{"key":"2025121515230860000_13.2.e067169.8","unstructured":"World Health Organization . Sixth meeting of the european regional verification commission for measles and rubella elimination (RVC). 2017."},{"key":"2025121515230860000_13.2.e067169.9","unstructured":"Folkh\u00e4lsomyndigheten . Barriers and motivating factors to MMR vaccination in communities with low coverage in Sweden; 2015."},{"key":"2025121515230860000_13.2.e067169.10","unstructured":"Folkh\u00e4lsomyndigheten . Barnvaccinationsprogrammet i Sverige 2017. 2018."},{"key":"2025121515230860000_13.2.e067169.11","doi-asserted-by":"crossref","first-page":"6752","DOI":"10.1016\/j.vaccine.2014.10.011","article-title":"Parental attitudes and decision-making regarding MMR vaccination in an anthroposophic community in Sweden -- a qualitative study","volume":"32","author":"Bystr\u00f6m","year":"2014","journal-title":"Vaccine"},{"key":"2025121515230860000_13.2.e067169.12","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph15112428","article-title":"Perspectives on the measles, mumps and rubella vaccination among somali mothers in Stockholm","volume":"15","author":"Jama","year":"2018","journal-title":"Int J Environ Res Public Health"},{"key":"2025121515230860000_13.2.e067169.13","doi-asserted-by":"crossref","first-page":"177","DOI":"10.2147\/PHMT.S212921","article-title":"Nurses\u2019 perceptions of MMR vaccine hesitancy in an area with low vaccination coverage","volume":"10","author":"Jama","year":"2019","journal-title":"Pediatric Health Med Ther"},{"key":"2025121515230860000_13.2.e067169.14","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.puhe.2019.04.008","article-title":"Exploring childhood immunization among undocumented migrants in Sweden-following qualitative study and the world health organizations guide to tailoring immunization programmes (TIP)","volume":"171","author":"Godoy-Ramirez","year":"2019","journal-title":"Public Health"},{"key":"2025121515230860000_13.2.e067169.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)11096-0"},{"key":"2025121515230860000_13.2.e067169.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2014.04.085"},{"key":"2025121515230860000_13.2.e067169.17","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021134"},{"key":"2025121515230860000_13.2.e067169.18","unstructured":"Bahta L . Addressing MMR vaccine resistance in minnesota\u2019s somali community. Minnesota Medicine, 2015."},{"key":"2025121515230860000_13.2.e067169.19","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-4260"},{"key":"2025121515230860000_13.2.e067169.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2016.10.042"},{"key":"2025121515230860000_13.2.e067169.21","article-title":"Parents\u2019 and informal caregivers\u2019 views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence","volume":"2","author":"Ames","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121515230860000_13.2.e067169.22","doi-asserted-by":"crossref","first-page":"6480","DOI":"10.1016\/j.vaccine.2017.10.077","article-title":"Sharing knowledge about immunisation (SKAI): an exploration of parents\u2019 communication needs to inform development of a clinical communication support intervention","volume":"36","author":"Berry","year":"2018","journal-title":"Vaccine"},{"key":"2025121515230860000_13.2.e067169.23","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2016.08.029"},{"key":"2025121515230860000_13.2.e067169.24","doi-asserted-by":"crossref","first-page":"100305","DOI":"10.1016\/j.puhip.2022.100305","article-title":"Design and implementation of tailored intervention to increase vaccine acceptance in a Somali community in stockholm, Sweden - based on the tailoring immunization programmes approach","volume":"4","author":"Jama","year":"2022","journal-title":"Public Health Pract (Oxf)"},{"key":"2025121515230860000_13.2.e067169.25","unstructured":"Folkh\u00e4lsomyndigheten . Informationsmaterial om vaccinationer p\u00e5 somaliska. 2022. Available: https:\/\/www.folkhalsomyndigheten.se\/smittskydd-beredskap\/vaccinationer\/informationsmaterial-om-vaccinationer\/informationsmaterial-om-vaccinationer-pa-somaliska\/"},{"key":"2025121515230860000_13.2.e067169.26","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2025121515230860000_13.2.e067169.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.04.036"},{"key":"2025121515230860000_13.2.e067169.28","doi-asserted-by":"publisher","DOI":"10.1080\/14760584.2018.1541406"},{"key":"2025121515230860000_13.2.e067169.29","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2019.24.2.1800204","article-title":"Towards equity in immunisation","volume":"24","author":"Boyce","year":"2019","journal-title":"Euro Surveill"},{"key":"2025121515230860000_13.2.e067169.30","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2431-12-154","article-title":"Communicating with parents about vaccination: a framework for health professionals","volume":"12","author":"Leask","year":"2012","journal-title":"BMC Pediatr"},{"key":"2025121515230860000_13.2.e067169.31","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0538"},{"key":"2025121515230860000_13.2.e067169.32","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2013.05.030"},{"key":"2025121515230860000_13.2.e067169.33","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-0987"},{"key":"2025121515230860000_13.2.e067169.34","first-page":"26","article-title":"Healthcare workers role in keeping MMR vaccination uptake high in Europe: a review of evidence","volume":"17","author":"Simone","year":"2012","journal-title":"Euro Surv"},{"key":"2025121515230860000_13.2.e067169.35","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.cmi.2016.11.007","article-title":"Addressing vaccine hesitancy: the crucial role of healthcare providers","volume":"23","author":"Dub\u00e9","year":"2017","journal-title":"Clin Microbiol Infect"},{"key":"2025121515230860000_13.2.e067169.36","doi-asserted-by":"crossref","first-page":"4191","DOI":"10.1016\/j.vaccine.2015.04.041","article-title":"Strategies intended to address vaccine hesitancy: review of published reviews","volume":"33","author":"Dub\u00e9","year":"2015","journal-title":"Vaccine"},{"key":"2025121515230860000_13.2.e067169.37","doi-asserted-by":"crossref","first-page":"S187","DOI":"10.1016\/j.jpeds.2016.04.055","article-title":"Child health systems in Sweden","volume":"177S","author":"Wettergren","year":"2016","journal-title":"J Pediatr"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2022-067169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T23:23:13Z","timestamp":1765840993000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2022-067169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2]]},"references-count":37,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,2,6]]},"published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1136\/bmjopen-2022-067169"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2022-067169","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2]]}}}