‘Transparency would be lovely’: differences in information seeking and assessing behaviours between vaccine hesitant and vaccine confident mothers of newborns

Authors

DOI:

https://doi.org/10.47989/ir31ISIC65228

Keywords:

information seeking behaviour, information assessing behaviour, vaccine hesitancy, information needs, health information needs

Abstract

Introduction. While today’s vaccines have robust scientific evidence supporting broad distribution and use, many individuals experience concerns about vaccination, resulting in vaccine hesitancy. Many factors may contribute to vaccine hesitancy including lack of trust in vaccination recommendations, misinformation about vaccine safety and effectiveness, and social norms. This study explored the information seeking and assessment behaviours of new mothers regarding infant vaccination schedules.

Method. Participants were recruited within two communities identified for low vaccine uptake. Semi-structured interviews were conducted with 32 mothers. Interview transcripts and researcher fieldnotes formed the data for analysis.

Analysis. Reflexive thematic analysis was used to qualitatively analyse interview transcripts, resulting in four overarching themes addressing the research questions.

Results. Vaccine hesitant mothers appear to have different information needs and subsequent information seeking and assessment behaviours compared to vaccine confident mothers in the same communities. Vaccine hesitant mothers reported consistently unmet vaccine-related information needs and described more intensive information seeking and triangulation practices because of these unmet needs.

Conclusion. Increased and creative vaccine communication opportunities are necessary to address vaccine hesitancy in target communities. Additionally, the relationship between mistrust and information seeking should be further explored, ideally in collaboration between information scientists and public health.

References

Argyris, Y. A., Kim, Y., Roscizewski, A., & Song, W. (2021). The mediating role of vaccine hesitancy between maternal engagement with anti- and pro-vaccine social media posts and adolescent HPV-vaccine uptake rates in the US: The perspective of loss aversion in emotion-laden decision circumstances. Social Science & Medicine, 282, 114043. https://doi.org/10.1016/j.socscimed.2021.114043

Ashfield, S., & Donelle, L. (2020). Parental online information access and childhood vaccination decisions in North America: Scoping review. Journal of Medical Internet Research, 22(10), e20002. https://doi.org/10.2196/20002

Betsch, C., Schmid, P., Heinemeier, D., Korn, L., Holtmann, C., & Böhm, R. (2018). Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PLOS ONE, 13(12), e0208601. https://doi.org/10.1371/journal.pone.0208601

Braun, V., & Clarke, V. (2023). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. International Journal of Transgender Health, 24(1), 1–6. https://doi.org/10.1080/26895269.2022.2129597

Braun, V., Clarke, V., Hayfield, N., Davey, L., & Jenkinson, E. (2022). Doing Reflexive thematic analysis. In S. Bager-Charleson & A. McBeath (Eds.), Supporting research in counselling and psychotherapy (pp. 19–38). Springer International Publishing. https://doi.org/10.1007/978-3-031-13942-0_2

Brunson, E. K. (2013). How parents make decisions about their children’s vaccinations. Vaccine, 31(46), 5466–5470. https://doi.org/10.1016/j.vaccine.2013.08.104

Chen, X., Lee, W., & Lin, F. (2022). Infodemic, institutional trust, and COVID-19 vaccine hesitancy: A cross-national survey. International Journal of Environmental Research and Public Health, 19(13), 8033. https://doi.org/10.3390/ijerph19138033

Connaway, L. S., Dickey, T. J., & Radford, M. L. (2011). “If it is too inconvenient I’m not going after it:” Convenience as a critical factor in information-seeking behaviors. Library & Information Science Research, 33(3), 179–190. https://doi.org/10.1016/j.lisr.2010.12.002

Creswell, J. W., & Poth, C. N. (2025). Qualitative inquiry & research design: Choosing among five approaches (Fifth edition). Sage.

Dubé, E., Gagnon, D., MacDonald, N., Bocquier, A., Peretti-Watel, P., & Verger, P. (2018). Underlying factors impacting vaccine hesitancy in high income countries: A review of qualitative studies. Expert Review of Vaccines, 17(11), 989–1004. https://doi.org/10.1080/14760584.2018.1541406

Ebi, S. J., Deml, M. J., Jafflin, K., Buhl, A., Engel, R., Picker, J., Häusler, J., Wingeier, B., Krüerke, D., Huber, B. M., Merten, S., & Tarr, P. E. (2022). Parents’ vaccination information seeking, satisfaction with and trust in medical providers in Switzerland: A mixed-methods study. BMJ Open, 12(2), e053267. https://doi.org/10.1136/bmjopen-2021-053267

Eddy, J. J., Smith, H. A., & Abrams, J. E. (2023). Historical lessons on vaccine hesitancy: Smallpox, polio, and measles, and implications for COVID-19. Perspectives in Biology and Medicine, 66(1), 145–159. https://doi.org/10.1353/pbm.2023.0008

Frew, P. M., Murden, R., Mehta, C. C., Chamberlain, A. T., Hinman, A. R., Nowak, G., Mendel, J., Aikin, A., Randall, L. A., Hargreaves, A. L., Omer, S. B., Orenstein, W. A., & Bednarczyk, R. A. (2019). Development of a US trust measure to assess and monitor parental confidence in the vaccine system. Vaccine, 37(2), 325–332. https://doi.org/10.1016/j.vaccine.2018.09.043

Giese, H., Neth, H., & Gaissmaier, W. (2021). Determinants of information diffusion in online communication on vaccination: The benefits of visual displays. Vaccine, 39(43), 6407–6413. https://doi.org/10.1016/j.vaccine.2021.09.016

Gilkey, M. B., Magnus, B. E., Reiter, P. L., McRee, A.-L., Dempsey, A. F., & Brewer, N. T. (2014). The Vaccination Confidence Scale: A brief measure of parents’ vaccination beliefs. Vaccine, 32(47), 6259–6265. https://doi.org/10.1016/j.vaccine.2014.09.007

Gilkey, M. B., Reiter, P. L., Magnus, B. E., McRee, A.-L., Dempsey, A. F., & Brewer, N. T. (2016). Validation of the Vaccination Confidence Scale: A brief measure to identify parents at risk for refusing adolescent vaccines. Academic Pediatrics, 16(1), 42–49. https://doi.org/10.1016/j.acap.2015.06.007

Greyson, D., & Bettinger, J. A. (2022). How do mothers’ vaccine attitudes change over time? SSM - Qualitative Research in Health, 2, 100060. https://doi.org/10.1016/j.ssmqr.2022.100060

Hagen, L., Greyson, D., Fox, A., Koltai, K., & Dumas, C. (2021). Social media, vaccines, and partisan division of health information. Proceedings of the Association for Information Science and Technology, 58(1), 594–597. https://doi.org/10.1002/pra2.506

Janesick, V. J. (2015). Journaling, Reflexive. In The Blackwell encyclopedia of sociology. John Wiley & Sons, Ltd. https://doi.org/10.1002/9781405165518.wbeosj007.pub2

Jones, A. M., Omer, S. B., Bednarczyk, R. A., Halsey, N. A., Moulton, L. H., & Salmon, D. A. (2012). Parents’ source of vaccine information and impact on vaccine attitudes, beliefs, and nonmedical exemptions. Advances in Preventive Medicine, 2012(1), 932741. https://doi.org/10.1155/2012/932741

Lalot, F., Abrams, D., Heering, M. S., Babaian, J., Ozkececi, H., Peitz, L., Davies Hayon, K., & Broadwood, J. (2023). Distrustful complacency and the COVID-19 vaccine: How concern and political trust interact to affect vaccine hesitancy. Political Psychology, 44(5), 983–1011. https://doi.org/10.1111/pops.12871

Larson, H. J., Figueiredo, A. de, Xiahong, Z., Schulz, W. S., Verger, P., Johnston, I. G., Cook, A. R., & Jones, N. S. (2016). The state of vaccine confidence 2016: Global insights through a 67-country survey. eBioMedicine, 12, 295–301. https://doi.org/10.1016/j.ebiom.2016.08.042

Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Schuster, M., MacDonald, N. E., & Wilson, R. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165–4175. https://doi.org/10.1016/j.vaccine.2015.04.037

Lee, H. O., & Kim, S. (2015). Linking health information seeking to behavioral outcomes: Antecedents and outcomes of childhood vaccination information seeking in South Korea. Journal of Health Communication, 20(3), 285–296. https://doi.org/10.1080/10810730.2014.927035

MacDonald, N. E. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161–4164. https://doi.org/10.1016/j.vaccine.2015.04.036

McKenzie, P. J. (2003). A model of information practices in accounts of everyday-life information seeking. Journal of Documentation, 59(1), 19. https://doi.org/10.1108/00220410310457993

Meppelink, C. S., Smit, E. G., Fransen, M. L., & Diviani, N. (2019). “I was right about vaccination”: Confirmation bias and health literacy in online health information seeking. Journal of Health Communication, 24(2), 129–140. https://doi.org/10.1080/10810730.2019.1583701

Meyer, K., & Willis, R. (2019). Looking back to move forward: The value of reflexive journaling for novice researchers. Journal of Gerontological Social Work, 62(5), 578–585. https://doi.org/10.1080/01634372.2018.1559906

Mierzecka, A., Brylska, K., Gromova, A., & Łączyński, M. (2023). What should I believe in? This is about my child’s health! Exploring information behavior and attitudes towards vaccination: A comparative study of Polish and Ukrainian parents. Proceedings of the Association for Information Science and Technology, 60(1), 1077–1079. https://doi.org/10.1002/pra2.950

Mierzecka, A., & Łączyński, M. (2025). Parents information behavior: Typology of vaccine attitudes in the context of information source use. Journal of the Association for Information Science and Technology, n/a(n/a). https://doi.org/10.1002/asi.70025

Mossey, S., Hosman, S., Montgomery, P., & McCauley, K. (2020). Parents’ experiences and nurses’ perceptions of decision-making about childhood immunization. Canadian Journal of Nursing Research, 52(4), 255–267. https://doi.org/10.1177/0844562119847343

Opel, D. J., Taylor, J. A., Zhou, C., Catz, S., Myaing, M., & Mangione-Smith, R. (2013). The relationship between parent attitudes about childhood vaccines survey scores and future child immunization status: A validation study. JAMA Pediatrics, 167(11), 1065–1071. https://doi.org/10.1001/jamapediatrics.2013.2483

Plotkin, S. (2014). History of vaccination. Proceedings of the National Academy of Sciences of the United States of America, 111(34), 12283–12287. https://doi.org/10.1073/pnas.1400472111

Rathbone, A., & Prescott, J. (2019). “I feel like a neurotic mother at times”—A mixed methods study exploring online health information seeking behaviour in new parents. mHealth, 5(0). https://doi.org/10.21037/mhealth.2019.05.02

Roozenbeek, J., Schneider, C. R., Dryhurst, S., Kerr, J., Freeman, A. L. J., Recchia, G., van der Bles, A. M., & van der Linden, S. (2020). Susceptibility to misinformation about COVID-19 around the world. Royal Society Open Science, 7(10), 201199. https://doi.org/10.1098/rsos.201199

Sarathchandra, D., Navin, M. C., Largent, M. A., & McCright, A. M. (2018). A survey instrument for measuring vaccine acceptance. Preventive Medicine, 109, 1–7. https://doi.org/10.1016/j.ypmed.2018.01.006

Smith, L. E., Driggers, A., & Douthitt, C. L. (n.d.). History, politics, and variolation vaccination hesitancy in the American South during the American Civil War. Proceedings (Baylor University. Medical Center), 37(2), 357–360. https://doi.org/10.1080/08998280.2023.2295824

Trainor, L. R., & Bundon, A. (2021). Developing the craft: Reflexive accounts of doing reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 13(5), 705–726. https://doi.org/10.1080/2159676X.2020.1840423

Tustin, J. L., Crowcroft, N. S., Gesink, D., Johnson, I., & Keelan, J. (2018). Internet exposure associated with Canadian parents’ perception of risk on childhood immunization: Cross-Sectional study. JMIR Public Health and Surveillance, 4(1), e8921. https://doi.org/10.2196/publichealth.8921

World Health Organization. (2022). Understanding the behavioural and social drivers of vaccine uptake WHO position paper. Weekly Epidemiological Record, 20, 209–224.

Yudianto, B., Caldwell, P. H., Nanan, R., Barnes, E. H., & Scott, K. M. (2023). Patterns of parental online health information-seeking behaviour. Journal of Paediatrics and Child Health, 59(5), 743–752. https://doi.org/10.1111/jpc.16387

Downloads

Published

2026-05-25

How to Cite

Mulder, M., Gemmell, E., Bettinger, J. A., & Greyson, D. (2026). ‘Transparency would be lovely’: differences in information seeking and assessing behaviours between vaccine hesitant and vaccine confident mothers of newborns. Information Research an International Electronic Journal, 31(ISIC), 399–414. https://doi.org/10.47989/ir31ISIC65228