scholarly journals To Get Vaccinated, or Not to Get Vaccinated, That Is the Question: Illness Representations about COVID-19 and Perceptions about COVID-19 Vaccination as Predictors of COVID-19 Vaccination Willingness among Young Adults in The Netherlands

Vaccines ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 941
Author(s):  
Manja Vollmann ◽  
Christel Salewski

Mass vaccination is considered necessary to reduce the spread of COVID-19; however, vaccination willingness was found to be especially low among young adults. Therefore, based on the extended Common Sense Model, the unique effects and the interplay of illness representations about COVID-19 and perceptions about COVID-19 vaccination in explaining COVID-19 vaccination willingness was investigated using a cross-sectional design. An online survey measuring the relevant variables was filled in by 584 participants (69.9% female) between 18 and 34 years. Correlation analyses showed that all illness representation dimensions except from timeline and both dimensions of vaccination perceptions were related to vaccination willingness. The mediation analysis revealed that less personal control, more prevention control, more concerns about COVID-19 as well as more perceived necessity of and fewer concerns about the vaccination were directly related to higher vaccination willingness. Additionally, prevention control was indirectly related to higher vaccination willingness through stronger perceptions of necessity of the vaccination. The extended Common Sense Model proved to be useful in the context of illness prevention. Campaigns to improve vaccination rates should aim at increasing the perception that COVID-19 is preventable through vaccination and the personal need of the vaccination as well as at decreasing concerns about the vaccination.

2014 ◽  
Vol 30 (5) ◽  
pp. 430-440 ◽  
Author(s):  
Aoife De Brún ◽  
Mary McCarthy ◽  
Kenneth McKenzie ◽  
Aileen McGloin

2020 ◽  
Author(s):  
Martin S Hagger ◽  
Sheina Orbell

The common sense model of illness self-regulation outlines the dynamic processes by which individuals perceive, interpret, respond, and adjust, psychologically and behaviorally, to health threats and illness-related information. An extended version of the model is presented, which formally operationalizes existing processes in the model and specifies additional constructs and processes to explain how lay perceptions of health threats and illnesses impact coping responses and health-related outcomes. The extended model provides detail on: (a) the mediating process by which individuals’ illness representations relate to illness outcomes through adoption of coping strategies; (b) representations of health threats and illnesses as schematically organized and activated by presentation of health-threatening stimuli; (c) behavioral and treatment beliefs as determinants of coping responses and illness outcomes independent of illness representations; and (d) effects of salient moderators (e.g., optimism, perfectionism, trait negative affectivity, emotional representations) of relations between cognitive representations, coping responses, and illness outcomes. The extended model is intended to set an agenda for future research that addresses knowledge gaps regarding how individuals represent and cope with illnesses and health threats, and augments the evidence base that may inform effective and optimally-efficient illness-management interventions. We also identify the specific kinds of research required to provide robust evidence for the revised model propositions. We call for research paradigms that employ incipient illness samples, utilize designs that better capture dynamic processes in the model such as cross-lagged panel and intervention designs, and adopt illness-specific measures of coping behaviors and self-management actions rather than reliance on generic instruments.


2021 ◽  
Vol 18 (4) ◽  
pp. 758-762
Author(s):  
Ram Kishor Sah ◽  
Andrea Straus ◽  
Deepak Sundar Shrestha ◽  
Hari Har Khanal ◽  
Bishnu Dutta Paudel ◽  
...  

Background: The prevalence of stage 2 hypertension approaches one-third in adult Nepalis and despite inexpensive effective treatment, long-term compliance is poor. World-wide, a major impediment is the incongruity between hypertension and patients’ symptom-based illness representations. The Common-Sense Model of Self-regulation was used to investigate Nepali illness representations through open-ended interviews of patients with hypertension.Methods: In a tertiary hospital setting, 50 self-identified hypertensive patients were interviewed about their representations of health, hypertension, and hypertensive treatment. Responses were analyzed with a modified Interpretative Phenomenological Analysis.Results: An Ayurvedic-influenced health model appeared in illness identity and coping responses. Hypertension was identified as a serious disease having observable, wide-ranging symptoms with chronic and intermittent timelines. Concerns included side-effects and barriers to treatment. Conclusions: Further confirmation and investigation of Nepali common-sense hypertension models in a sample size sufficient for factor analysis is warranted for effective adherence interventions.Keywords: Common-sense model; hypertension adherence; illness representations; Nepal


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