scholarly journals Use of a language intervention to reduce vaccine hesitancy

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Janet Geipel ◽  
Leigh H. Grant ◽  
Boaz Keysar

AbstractVaccine hesitancy is a major global challenge facing COVID-19 immunization programs. Its main source is low public trust in the safety and effectiveness of the vaccine. In a preregistered experimental study, we investigated how using a foreign language when communicating COVID-19 vaccine information influences vaccine acceptance. Hong Kong Chinese residents (N = 611) received COVID-19 vaccine information either in their native Chinese or in English. English increased trust in the safety and effectiveness of the vaccine and, as a result, reduced vaccine hesitancy. This indicates that language can impact vaccine attitudes and demonstrate the potential of language interventions for a low cost, actionable strategy to curtail vaccine hesitancy amongst bilingual populations. Language interventions could contribute towards achieving the United Nations Sustainable Development Goal of health and well-being.

2020 ◽  
Vol 29 (5) ◽  
pp. 508-523
Author(s):  
Pia Vuolanto ◽  
Harley Bergroth ◽  
Johanna Nurmi ◽  
Suvi Salmenniemi

The contestation of expertise is perhaps nowhere more pronounced than in the field of health and well-being, on which this article focuses. A multitude of practices and communities that stand in contentious relationships with established forms of medical expertise and promote personalised modes of self-care have proliferated across Euro-American societies. Drawing on multi-sited ethnography in three domains – body–mind–spirit therapies, vaccine hesitancy and consumer-grade digital self-tracking – we map such practices through the concept of ‘everyday fringe medicine’. The concept of everyday fringe medicine enables us to bring together various critical health and well-being practices and to unravel the complex modes of contestation and appreciation of the medical establishment that are articulated within them. We find three critiques of the medical establishment – critiques of medical knowledge production, professional practices and the knowledge base – which make visible the complexities related to public understandings of science within everyday fringe medicine.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hossein Azarpanah ◽  
Mohsen Farhadloo ◽  
Rustam Vahidov ◽  
Louise Pilote

Abstract Background Vaccine hesitancy has been a growing challenge for public health in recent decades. Among factors contributing to vaccine hesitancy, concerns regarding vaccine safety and Adverse Events (AEs) play the leading role. Moreover, cognitive biases are critical in connecting such concerns to vaccine hesitancy behaviors, but their role has not been comprehensively studied. In this study, our first objective is to address concerns regarding vaccine AEs to increase vaccine acceptance. Our second objective is to identify the potential cognitive biases connecting vaccine hesitancy concerns to vaccine-hesitant behaviors and identify the mechanism they get triggered in the vaccine decision-making process. Methods First, to mitigate concerns regarding AEs, we quantitatively analyzed the U.S. Vaccine Adverse Event Reporting System (VAERS) from 2011 to 2018 and provided evidence regarding the non-severity of the AEs that can be used as a communicable summary to increase vaccine acceptance. Second, we focused on the vaccination decision-making process. We reviewed cognitive biases and vaccine hesitancy literature to identify the most potential cognitive biases that affect vaccine hesitancy and categorized them adopting the Precaution Adoption Process Model (PAPM). Results Our results show that the top frequent AEs are expected mild reactions like injection site erythema (4.29%), pyrexia (3.66%), and injection site swelling (3.21%). 94.5% of the reports are not serious and the average population-based serious reporting rate over the 8 years was 25.3 reports per 1 million population. We also identified 15 potential cognitive biases that might affect people’s vaccination decision-making and nudge them toward vaccine hesitancy. We categorized these biases based on the factors that trigger them and discussed how they contribute to vaccine hesitancy. Conclusions This paper provided an evidence-based communicable summary of VAERS. As the most trusted sources of vaccine information, health practitioners can use this summary to provide evidence-based vaccine information to vaccine decision-makers (patients/parents) and mitigate concerns over vaccine safety and AEs. In addition, we identified 15 potential cognitive biases that might affect the vaccination decision-making process and nudge people toward vaccine hesitancy. Any plan, intervention, and message to increase vaccination uptake should be modified to decrease the effect of these potential cognitive biases.


2021 ◽  
Author(s):  
Takaaki Kobayashi ◽  
Yuka Nishina ◽  
Hana Tomoi ◽  
Ko Harada ◽  
Kyuto Tanaka ◽  
...  

Background: Few studies have assessed how mobile messenger apps affect COVID-19 vaccine hesitancy. We created a COVID-19 vaccine information chatbot in a popular messenger app in Japan to answer commonly asked questions. Methods: LINE is the most popular messenger app in Japan. Corowa-kun, a free chatbot, was created in LINE on February 6, 2021. Corowa-kun provides instant, automated answers to frequently asked COVID-19 vaccine questions. In addition, a cross-sectional survey assessing COVID-19 vaccine hesitancy was conducted via Corowa-kun during April 5 to 12, 2021. Results: A total of 59,676 persons used Corowa-kun during February to April 2021. Of them, 10,192 users (17%) participated in the survey. Median age was 55 years (range 16 to 97), and most were female (74%). Intention to receive a COVID-19 vaccine increased from 59% to 80% after using Corowa-kun (p < 0.01). Overall, 20% remained hesitant: 16% (1,675) were unsure, and 4% (364) did not intend to be vaccinated. Factors associated with vaccine hesitancy were: age 16 to 34 (odds ratio [OR] = 3.7, 95% confidential interval [CI]: 3.0-4.6, compared to age ≥ 65), female sex (OR = 2.4, Cl: 2.1-2.8), and history of another vaccine side-effect (OR = 2.5, Cl: 2.2-2.9). Being a physician (OR = 0.2, Cl: 0.1-0.4) and having received a flu vaccine the prior season (OR = 0.4, Cl: 0.3-0.4) were protective. Conclusions: Corowa-kun reduced vaccine hesitancy by providing COVID-19 vaccine information in a messenger app. Mobile messenger apps could be leveraged to increase COVID-19 vaccine acceptance.


2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Toni C. Antonucci ◽  
James A. Ashton-Miller ◽  
Jennifer Brant ◽  
Emily B. Falk ◽  
Jeffrey B. Halter ◽  
...  

This paper addresses the health problems and opportunities that society will face in 2030. We propose a proactive model to combat the trend towards declining levels of physical activity and increasing obesity. The model emphasizes the need to increase physical activity among individuals of all ages. We focus on the right to move and the benefits of physical activity. The paper introduces a seven-level model that includes cells, creature (individual), clan (family), community, corporation, country, and culture. At each level the model delineates how increased or decreased physical activity influences health and well-being across the life span. It emphasizes the importance of combining multiple disciplines and corporate partners to produce a multifaceted cost-effective program that increases physical activity at all levels. The goal of this paper is to recognize exercise as a powerful, low-cost solution with positive benefits to cognitive, emotional, and physical health. Further, the model proposes that people of all ages should incorporate the “right to move” into their life style, thereby maximizing the potential to maintain health and well-being in a cost-effective, optimally influential manner.


Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 443
Author(s):  
Kaiyi Han ◽  
Mark R. Francis ◽  
Ruiyun Zhang ◽  
Qian Wang ◽  
Aichen Xia ◽  
...  

Understanding the public’s attitude towards COVID-19 vaccination and their acceptance could help facilitate the COVID-19 rollout. This study aimed to assess the acceptance and willingness to pay (WTP) for the COVID-19 vaccine among migrants in Shanghai, China. A cross-sectional study was conducted among 2126 migrants in Shanghai for the period 1–20 November 2020. Convenience sampling was used to recruit respondents in workplaces with large numbers of migrant workers. Multivariable (ordered) logistic regressions were used to examine factors associated with acceptance and WTP of the COVID-19 vaccine. Most (89.1%) migrants would accept COVID-19 vaccination. Over 90.0% perceived the COVID-19 vaccine as important, while only 75.0% and 77.7% perceived vaccines safe and effective. Socio-demographic factors were not significantly associated with vaccine acceptance, but confidence in the importance (OR 8.71, 95% CI 5.89–12.89), safety (OR 1.80, 95% CI 1.24–2.61) and effectiveness (OR 2.66, 95% CI 1.83–3.87) of COVID-19 vaccine was significantly positively associated with vaccine acceptance. The top reasons for vaccine hesitancy were lack of vaccine information and confidence. The proportion of those definitely willing to get the COVID-19 vaccine was 20% lower if paid by themselves than free vaccination. Migrants were willing to pay a median amount of USD 46 for the COVID-19 vaccine. Results show that a high acceptance of the COVID-19 vaccine was universal among migrants in Shanghai. Concerns about vaccine safety, effectiveness and high costs of the COVID-19 vaccine may hinder their uptake. Effective health communication to build confidence in the COVID-19 vaccine and subsidies toward the costs of these vaccines are needed to improve uptake.


2015 ◽  
Vol 19 (4) ◽  
pp. 182-187
Author(s):  
Shelagh Marshall OBE ◽  
Janet Crampton

Purpose – The purpose of this paper is to: first, report on a pilot; second, provide a further opportunity for a wider audience to be aware of the work carried out by the Age Action Alliance, Isolation and Loneliness Working Group to identify vulnerable people in the community. Third, to highlight the successful aspects of the project which could be used by other organisations seeking to reduce the effects of isolation and loneliness in the community. Links to the full report and the more detailed findings can be found at: www.ageactionalliance Design/methodology/approach – The main proposal was to test the most effective approach to identifying those at risk of loneliness, using pharmacists in two well-known “high street” pharmacies, through the use of a simple questionnaire that could be handed out to a target 100 customers at each pharmacy or health care team over a six-week period. Findings – A simple questionnaire proves to be successful and gets a good rate of return. The right partners are essential to bring effective results. Referrals were handled very professionally and people were helped to connect socially. Research limitations/implications – The sample was small but the authors achieved a relatively high rate of returns and, in consequence, a number of people were directly helped access the support, information and advice to enable them to feel less lonely. Practical implications – The planning and preparation for this project proved that all needed to be actively and continuously involved in the planning from the beginning. Furthermore in this project involving local pharmacies, the manager or lead pharmacist at a store need to lead and actively engage their staff in the aims and objectives of the project. Social implications – This project aimed to identify people at risk of loneliness and the potential adverse effect on their health and well-being. Anyone helped to avoid social isolation and loneliness is a success, and sometimes with relatively low cost but high-impact intervention. Originality/value – This project was conceived amongst partners and reflected the particular involvement of a “household name” pharmacy and recognition of its key role in identifying and accessing people who may be at risk of loneliness.


Sensors ◽  
2021 ◽  
Vol 21 (18) ◽  
pp. 6080
Author(s):  
Marc Mertens ◽  
Glen Debard ◽  
Jesse Davis ◽  
Els Devriendt ◽  
Koen Milisen ◽  
...  

The aging population has resulted in interest in remote monitoring of elderly individuals’ health and well being. This paper describes a simple unsupervised monitoring system that can automatically detect if an elderly individual’s pattern of presence deviates substantially from the recent past. The proposed system uses a small set of low-cost motion sensors and analyzes the produced data to establish an individual’s typical presence pattern. Then, the algorithm uses a distance function to determine whether the individual’s observed presence for each day significantly deviates from their typical pattern. Empirically, the algorithm is validated on both synthetic data and data collected by installing our system in the residences of three older individuals. In the real-world setting, the system detected, respectively, five, four, and one deviating days in the three locations. The deviating days detected by the system could result from a health issue that requires attention. The information from the system can aid caregivers in assessing the subject’s health status and allows for a targeted intervention. Although the system can be refined, we show that otherwise hidden but relevant events (e.g., fall incident and irregular sleep patterns) are detected and reported to the caregiver.


2021 ◽  
Vol 15 (2) ◽  
pp. 1-8
Author(s):  
Ayokunle O. Familusi ◽  
Adebola A. Adekunle ◽  
Adedayo A. Badejo ◽  
Olayemi J. Adeosun ◽  
Kasali A. Mujedu ◽  
...  

The significance of the impact of water-related diseases on human health has been recognized as a major threat to sustainable human development in some international forums. This study is an investigation into the correlation between unclean water and the outbreak of water-related diseases in Nigeria. It was established from the review of previous researches that the concept of clean water and sanitation is critical to the good health and well-being of all individuals. Nigeria still has a long way to go towards achieving the Sustainable Development Goal number 6 (SDG 6) of the United Nations, hence it is high time government at all levels and individuals embraced Water, Sanitation and Hygiene (WASH) agenda 2030.


10.2196/17572 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e17572 ◽  
Author(s):  
Dorothy Szinay ◽  
Andy Jones ◽  
Tim Chadborn ◽  
Jamie Brown ◽  
Felix Naughton

Background The public health impact of health and well-being digital interventions is dependent upon sufficient real-world uptake and engagement. Uptake is currently largely dependent on popularity indicators (eg, ranking and user ratings on app stores), which may not correspond with effectiveness, and rapid disengagement is common. Therefore, there is an urgent need to identify factors that influence uptake and engagement with health and well-being apps to inform new approaches that promote the effective use of such tools. Objective This review aimed to understand what is known about influences on the uptake of and engagement with health and well-being smartphone apps among adults. Methods We conducted a systematic review of quantitative, qualitative, and mixed methods studies. Studies conducted on adults were included if they focused on health and well-being smartphone apps reporting on uptake and engagement behavior. Studies identified through a systematic search in Medical Literature Analysis and Retrieval System Online, or MEDLARS Online (MEDLINE), EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, Scopus, Cochrane library databases, DataBase systems and Logic Programming (DBLP), and Association for Computing Machinery (ACM) Digital library were screened, with a proportion screened independently by 2 authors. Data synthesis and interpretation were undertaken using a deductive iterative process. External validity checking was undertaken by an independent researcher. A narrative synthesis of the findings was structured around the components of the capability, opportunity, motivation, behavior change model and the theoretical domains framework (TDF). Results Of the 7640 identified studies, 41 were included in the review. Factors related to uptake (U), engagement (E), or both (B) were identified. Under capability, the main factors identified were app literacy skills (B), app awareness (U), available user guidance (B), health information (E), statistical information on progress (E), well-designed reminders (E), features to reduce cognitive load (E), and self-monitoring features (E). Availability at low cost (U), positive tone, and personalization (E) were identified as physical opportunity factors, whereas recommendations for health and well-being apps (U), embedded health professional support (E), and social networking (E) possibilities were social opportunity factors. Finally, the motivation factors included positive feedback (E), available rewards (E), goal setting (E), and the perceived utility of the app (E). Conclusions Across a wide range of populations and behaviors, 26 factors relating to capability, opportunity, and motivation appear to influence the uptake of and engagement with health and well-being smartphone apps. Our recommendations may help app developers, health app portal developers, and policy makers in the optimization of health and well-being apps.


2022 ◽  
pp. 335-352
Author(s):  
Dimpal Vij ◽  
Harjit Singh

Third of the Sustainable Development Goals (SDGs) set by United Nations to be achieved by 2030 is health and well-being for all which is the first requisite for the progress of a nation. The countdown to the date sets for the achievement of SDGs has already begun and during these years our government has tried a lot to achieve these targets. This chapter analyses India's preparation for achieving Sustainable Development Goal 3. It begins with India's current status on key health indicators as set by SDG 3 and what progress India has already made at nation and state levels. The chapter includes government initiatives taken to achieve goals before the target dates. Finally, it analyses the weaknesses of India's healthcare system and suggests strategies that can help India achieve goals much before the target dates.


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