Special Issue "Vaccine Acceptance and Behavior Change"

A special issue of Vaccines (ISSN 2076-393X). This special issue belongs to the section "Vaccines and Society".

Deadline for manuscript submissions: 30 September 2023 | Viewed by 4483

Special Issue Editors

Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA
Interests: design and evaluation of interventions using digital technologies; improving health equity through marketing and communication; social norms, social and behavior change (SBC); social marketing
Special Issues, Collections and Topics in MDPI journals
Behavior Design Lab, Stanford University, Stanford, CA 94305, USA
Interests: behavior models; immunization; behavioral science; social and behavior change (SBC); social media interventions; social marketing

Special Issue Information

Dear Colleagues,

Health areas such as HIV/AIDS and reproductive health/family planning have a rich history of social and behavioral science research. The stagnation of childhood immunization levels in low- and middle-income countries (LMICs) since 2011 stimulated interest in behavioral insights for vaccination. More recently, the COVID-19 pandemic and interventions implemented to reduce vaccine hesitancy have provided the opportunity to bring together learning generated from the application of behavioral science to immunization. For example, donors such as the Bill & Melinda Gates Foundation have supported population- or facility-based behavioral interventions in Cote d’Ivoire, the Democratic Republic of the Congo, Kenya, and Nigeria. In Ghana and Nepal, behavioral science practitioner capacity-building networks have been up and are providing test and learn opportunities for practitioner-friendly models of behavior. The aim of this supplement is to bring together a collection of papers that illustrate the application of behavioral science to increase immunization uptake in LMICs, with a particular focus on models of behavior that are “practitioner-friendly”.

The selection of papers will focus on a mix of conceptual, empirical, and methodological articles along with exemplar case studies. Some potential topics include:

  • Defining, characterizing, and studying practitioner-friendly models of behavior change (Guest Editors)
    • What are they and how are they helpful?
  • Practitioner-friendly models: comparison and contrast with established theories of behavior change.
  • Application of practitioner-friendly models for formative research and intervention design
    • Exemplar Case #1: Identifying and addressing barriers to COVID-19 vaccination at a mass vaccination site in Cote d’Ivoire;
    • Exemplar Case #2: Reducing vaccine hesitancy among health care workers in Nigeria;
    • Exemplar Case #3: Pharmacist’s recommendation for COVID-19 vaccination at public health facilities in rural Kenya.
  • Application of practitioner-friendly models for impact evaluation
    • Exemplar Case #4: Impact evaluation of a social media intervention to reduce vaccine hesitancy among health care workers in Nigeria;
    • Exemplar Case #5: An RCT to evaluate effects of pharmacist recommendation to obtain COVID-19 vaccination at public health facilities in rural Kenya.
  • Employing practitioner-friendly behavior models
    • Facilitators, barriers, and solutions in implementing practitioner-friendly models;
    • How to convince stakeholders within an organization;
    • Engagement of key stakeholders.
  • Methods of data collection (showcase different methods)
    • Methods of data collection;
    • Sources of data collection;
    • Practical challenges in collecting and using data;
    • Exemplar Case #6: Using BeSD data for a practitioner-friendly model in country X;
    • Exemplar Case #7: Using BeSD data for a practitioner-friendly model in country Y;
    • Reflections on methods and methodology.
  • Technical skills and financial resources required for implementing practitioner-friendly
  • Data analysis skills required.
  • Funder’s perspective
    • Why adopt practitioner-friendly models of behavior;
    • Selling practitioner-friendly models of behavior within funding organizations.
  • Epilogue: reflections on practitioner-friendly models of behavior and the future of interventions. 

We will work with the Editors of Vaccines in canvassing manuscripts from a wide range of authors to ensure high-quality submissions. We will make efforts to encourage submissions based on intervention research in low- and middle-income countries and, after initial review, work with the authors to make sure that the manuscripts fare well in the peer-review process. Members of the behavioral science network in Ghana and Nepal will be encouraged to contribute case studies.

All submissions will be peer-reviewed, and a list of reviewers will be developed in close cooperation with the Editors.

Prof. Dr. William Douglas Evans
Dr. Sohail Agha
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Vaccines is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • behavioral interventions
  • vaccination
  • behavioral science
  • social and behavior change (SBC)
  • behavioral and social drivers (BeSD)
  • Africa

Published Papers (3 papers)

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Research

Article
HPV Vaccination Behavior, Vaccine Preference, and Health Beliefs in Chinese Female Health Care Workers: A Nationwide Cross-Sectional Study
Vaccines 2023, 11(8), 1367; https://doi.org/10.3390/vaccines11081367 - 15 Aug 2023
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Abstract
Human papillomavirus (HPV) vaccination has been proven to be the most effective method to prevent cervical cancer. This study aimed to determine the HPV vaccination behavior and preference in Chinese female health care workers. A nationwide cross-sectional study was performed to recruit 15,967 [...] Read more.
Human papillomavirus (HPV) vaccination has been proven to be the most effective method to prevent cervical cancer. This study aimed to determine the HPV vaccination behavior and preference in Chinese female health care workers. A nationwide cross-sectional study was performed to recruit 15,967 respondents aged 18–45 years from 31 provinces in China’s mainland in 2021. Of them, 30.0% have been vaccinated or have made an appointment. Regardless of actual vaccination status, respondents mostly preferred the 9-valent HPV vaccine (58.6%), followed by 4-valent (15.6%) and 2-valent vaccines (3.1%); additionally, 17.9% did not have a preference. Moreover, health beliefs on HPV and HPV vaccination were measured using a health belief model (HBM) analysis. Six HBM constructs differed significantly by HPV vaccination status. Higher levels of perceived susceptibility (beta = 0.074), perceived benefit (beta = 0.072), self-efficacy (beta = 0.304), and cues to action (beta = 0.039) scales were significantly associated with increasing HPV vaccine uptake. In contrast, perceived severity (beta = −0.019) and perceived barriers (beta = −0.089) were negative factors. In conclusion, HPV vaccine uptake is high in Chinese female health care workers. HBM constructs may be effective in facilitating the improvement and delivery of targeted intervention programs to increase HPV vaccine uptake. Full article
(This article belongs to the Special Issue Vaccine Acceptance and Behavior Change)
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Article
Development and Evaluation of an Index to Measure the Ability to Get Vaccinated for COVID-19
Vaccines 2023, 11(2), 342; https://doi.org/10.3390/vaccines11020342 - 03 Feb 2023
Viewed by 1539
Abstract
The COVID-19 pandemic has been an historic challenge to public health, and to behavior change programs. There have been challenges in promoting vaccination in LMICs, including Nigeria. One important hypothesis deserving consideration is the ability to obtain vaccination as a potential barrier to [...] Read more.
The COVID-19 pandemic has been an historic challenge to public health, and to behavior change programs. There have been challenges in promoting vaccination in LMICs, including Nigeria. One important hypothesis deserving consideration is the ability to obtain vaccination as a potential barrier to vaccination uptake. The MOA (motivation, opportunity, and ability) framework, as illustrated by multiple theories such as COM-B, EAST, and the Fogg model, is a primary theoretical basis for the evaluation of this ability as a factor in vaccination uptake. There is little research on measuring the ability to get vaccinated in LMICs, including on the role of all of the MOA framework. The aim of this study was to develop and evaluate an ability factors index measured through social media-based data collected in Nigeria in late 2021 and early 2022. We present findings from an online survey of 8574 Nigerians and highlight new social media-based data collection techniques in this research. This study found that a new ability factors index comprising 12 items was associated with vaccine uptake independent of measures capturing other components of the MOA framework. This index may serve as a valuable research instrument for future studies. We conclude that a person’s perceived ability to get vaccinated, measured by a newly validated index, is related to vaccination uptake and hesitancy, and that more research should be conducted in this area. Full article
(This article belongs to the Special Issue Vaccine Acceptance and Behavior Change)
Article
Identifying Drivers of COVID-19 Vaccine Uptake among Residents of Yopougon Est, Abidjan, Côte d’Ivoire
Vaccines 2022, 10(12), 2101; https://doi.org/10.3390/vaccines10122101 - 08 Dec 2022
Viewed by 1078
Abstract
This study applied the Fogg Behavioral Model (FBM) to identify and prioritize factors influencing COVID-19 vaccination among residents of Yopougon Est, Abidjan, Côte d’Ivoire. A total of 568 respondents were recruited from among individuals entering eleven participant recruitment and data collection sites located [...] Read more.
This study applied the Fogg Behavioral Model (FBM) to identify and prioritize factors influencing COVID-19 vaccination among residents of Yopougon Est, Abidjan, Côte d’Ivoire. A total of 568 respondents were recruited from among individuals entering eleven participant recruitment and data collection sites located near high pedestrian trafficked areas. Among all respondents, 52% reported being vaccinated versus 48% who reported not being vaccinated. Of those who reported being vaccinated, 42% reported received a single dose, 54% a double dose, and 4% three or more doses. A categorical regression analysis suggested that potential predictors of COVID-19 vaccination included acceptance and rejection factors, which are both aligned with motivation in the FBM and socio-demographic characteristics, proximity to services, and religion. Our findings suggest that demand creation activities should target individuals with less formal education, those who are not formally employed, non-Catholic Christians, and individuals who do not identify as Akan. Results also suggest the need to design programmatic messages and activities that focus on generating family and community support for COVID-19 vaccination. Full article
(This article belongs to the Special Issue Vaccine Acceptance and Behavior Change)
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