How to Improve People's Intentions Regarding COVID-19 Vaccination in China: A Randomized Controlled Trial

Overview

Journal Int J Behav Med

Publisher Informa Healthcare

Date 2024 Feb 21

PMID 38378973

Authors

Qianqian Ju

Han Xiao

Huini Peng

Yiqun Gan

Affiliations

Soon will be listed here.

Abstract

Background: The global COVID-19 pandemic has impaired the health and living conditions of millions of people. For governments to formulate policies promoting vaccination behavior, it is important to understand individuals' intentions to vaccinate. This study explores the effectiveness of a brief online intervention based on the Health Action Process Approach (HAPA) in improving individuals' COVID-19 vaccination intention, as well as considering the reasons for their unwillingness to get vaccinated.

Method: A total of 1,258 participants were assessed using a questionnaire to determine their phase of vaccination intention (pre-intention, intention, and action). Subsequently, focused on the underlying factors in the pre-intention phase (i.e., task self-efficacy, outcome expectation, and risk perception), a 7-day randomized controlled HAPA intervention (n = 57, n = 49) was conducted online for individuals who were not willing to get vaccinated. The measurement points included pre- (T1), post- (T2), and 30-day follow-up (T3).

Results: The intervention may effectively improve participants' COVID-19 vaccination intentions; however, it had no impact on their planning and actions involved in taking the vaccine.

Conclusions: This study provides relevant reference data for government stakeholders to use in developing public awareness campaigns and policies to encourage COVID-19 vaccination.

References

Haldane V, Foo C, Abdalla S, Jung A, Tan M, Wu S . Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries. Nat Med. 2021; 27(6):964-980. DOI: 10.1038/s41591-021-01381-y. View

Callaway E . The race for coronavirus vaccines: a graphical guide. Nature. 2020; 580(7805):576-577. DOI: 10.1038/d41586-020-01221-y. View

Sanchez-Saez F, Peiro S, Cuenca L, Vanaclocha H, Limon R, Salas D . Side effects during the week after first dose vaccination with four Covid-19 vaccines. Results of the ProVaVac Survey Study with 13,837 people in Spain. Vaccine. 2022; 40(41):5942-5949. PMC: 9420721. DOI: 10.1016/j.vaccine.2022.08.028. View

Adhikari B, Cheah P, von Seidlein L . Trust is the common denominator for COVID-19 vaccine acceptance: A literature review. Vaccine X. 2022; 12:100213. PMC: 9536059. DOI: 10.1016/j.jvacx.2022.100213. View

Schwarzer R, Lippke S, Luszczynska A . Mechanisms of health behavior change in persons with chronic illness or disability: the Health Action Process Approach (HAPA). Rehabil Psychol. 2011; 56(3):161-70. DOI: 10.1037/a0024509. View

Zhang C, Zhang R, Schwarzer R, Hagger M . A meta-analysis of the health action process approach. Health Psychol. 2019; 38(7):623-637. DOI: 10.1037/hea0000728. View

Zhou G, Gan Y, Miao M, Hamilton K, Knoll N, Schwarzer R . The role of action control and action planning on fruit and vegetable consumption. Appetite. 2015; 91:64-8. DOI: 10.1016/j.appet.2015.03.022. View

Duan Y, Wienert J, Hu C, Si G, Lippke S . Web-Based Intervention for Physical Activity and Fruit and Vegetable Intake Among Chinese University Students: A Randomized Controlled Trial. J Med Internet Res. 2017; 19(4):e106. PMC: 5404143. DOI: 10.2196/jmir.7152. View

Yeager C, Shoji K, Luszczynska A, Benight C . Engagement With a Trauma Recovery Internet Intervention Explained With the Health Action Process Approach (HAPA): Longitudinal Study. JMIR Ment Health. 2018; 5(2):e29. PMC: 5938690. DOI: 10.2196/mental.9449. View

10.

Ranjbaran S, Shojaeizadeh D, Dehdari T, Yaseri M, Shakibazadeh E . The effectiveness of an intervention designed based on health action process approach on diet and medication adherence among patients with type 2 diabetes: a randomized controlled trial. Diabetol Metab Syndr. 2022; 14(1):3. PMC: 8725444. DOI: 10.1186/s13098-021-00773-x. View

11.

Payaprom Y, Bennett P, Alabaster E, Tantipong H . Using the Health Action Process Approach and implementation intentions to increase flu vaccine uptake in high risk Thai individuals: a controlled before-after trial. Health Psychol. 2011; 30(4):492-500. DOI: 10.1037/a0023580. View

12.

Ernsting A, Gellert P, Schneider M, Lippke S . A mediator model to predict workplace influenza vaccination behaviour--an application of the health action process approach. Psychol Health. 2012; 28(5):579-92. DOI: 10.1080/08870446.2012.753072. View

13.

Rollo S, Prapavessis H . Sedentary Behaviour and Diabetes Information as a Source of Motivation to Reduce Daily Sitting Time in Office Workers: A Pilot Randomised Controlled Trial. Appl Psychol Health Well Being. 2020; 12(2):449-470. DOI: 10.1111/aphw.12190. View

14.

Milne-Ives M, Lam C, de Cock C, Van Velthoven M, Meinert E . Mobile Apps for Health Behavior Change in Physical Activity, Diet, Drug and Alcohol Use, and Mental Health: Systematic Review. JMIR Mhealth Uhealth. 2020; 8(3):e17046. PMC: 7113799. DOI: 10.2196/17046. View

15.

Sjoblom L, Bonn S, Alexandrou C, Dahlgren A, Eke H, Trolle Lagerros Y . Dietary habits after a physical activity mHealth intervention: a randomized controlled trial. BMC Nutr. 2023; 9(1):23. PMC: 9893597. DOI: 10.1186/s40795-023-00682-4. View

16.

Saied S, Saied E, Kabbash I, Abdo S . Vaccine hesitancy: Beliefs and barriers associated with COVID-19 vaccination among Egyptian medical students. J Med Virol. 2021; 93(7):4280-4291. PMC: 8013865. DOI: 10.1002/jmv.26910. View

17.

Troiano G, Nardi A . Vaccine hesitancy in the era of COVID-19. Public Health. 2021; 194:245-251. PMC: 7931735. DOI: 10.1016/j.puhe.2021.02.025. View

18.

Rieck T, Feig M, Delere Y, Wichmann O . Utilization of administrative data to assess the association of an adolescent health check-up with human papillomavirus vaccine uptake in Germany. Vaccine. 2014; 32(43):5564-9. DOI: 10.1016/j.vaccine.2014.07.105. View

19.

Delere Y, Bohmer M, Walter D, Wichmann O . HPV vaccination coverage among women aged 18-20 years in Germany three years after recommendation of HPV vaccination for adolescent girls: results from a cross-sectional survey. Hum Vaccin Immunother. 2013; 9(8):1706-11. PMC: 3906270. DOI: 10.4161/hv.24904. View

20.

Field S . Reasons for influenza vaccination underutilization: A case-control study. Am J Infect Control. 2016; 44(10):1084-1088. DOI: 10.1016/j.ajic.2016.05.021. View