scholarly journals “Until I Know It’s Safe for Me”: The Role of Timing in COVID-19 Vaccine Decision-Making and Vaccine Hesitancy

Vaccines ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1417
Author(s):  
Eric B. Kennedy ◽  
Jean-François Daoust ◽  
Jenna Vikse ◽  
Vivian Nelson

Managing the COVID-19 pandemic—and other communicable diseases—involves broad societal uptake of vaccines. As has been demonstrated, however, vaccine uptake is often uneven and incomplete across populations. This is a substantial challenge that must be addressed by public health efforts. To this point, significant research has focused on demographic and attitudinal correlates with vaccine hesitancy to understand uptake patterns. In this study, however, we advance understandings of individual decision-making processes involved in vaccine uptake through a mixed-methods investigation of the role of timing in COVID-19 vaccine choices. In the first step, a survey experiment, we find the timing of vaccine rollout (i.e., when a vaccine becomes available to the respondent) has a significant impact on public decision-making. Not only is there a higher level of acceptance when the vaccine becomes available at a later time, but delayed availability is correlated with both lower levels of ‘desire to wait’ and ‘total rejection’ of the vaccine. In a second step, we explore associated qualitative data, finding that temporal expressions (i.e., professing a desire to wait) can serve as a proxy for underlying non-temporal rationales, like concerns around safety, efficacy, personal situations, or altruism. By identifying these patterns, as well as the complexities of underlying factors, through a mixed-methods investigation, we can inform better vaccine-related policy and public messaging, as well as enhance our understanding of how individuals make decisions about vaccines in the context of COVID-19.

2017 ◽  
Vol 15 (3) ◽  
pp. 68-80 ◽  
Author(s):  
Dudith Pierre-Victor ◽  
Dionne P. Stephens ◽  
Rachel Clarke ◽  
Kemesha Gabbidon ◽  
Purnima Madhivanan

Background and Purpose: The strong influence of physician recommendation on vaccine uptake is well established in the literature. However, its influence on HPV vaccine decision-making among young Haitian women is understudied. This study investigated the role of healthcare providers� recommendation style in Haitian parents� and female patients� HPV vaccine decision-making. Methods: Thirty selfidentified Haitian women aged 17-26 years were recruited from a large university campus in the Southeastern United States (N=30). They completed in-depth face-to-face interviews regarding their HPV vaccine decision-making process. Transcripts were analyzed using thematic analysis. Results: Provider recommendation was cited as a major factor that influenced HPV vaccine uptake. Additionally, the framing of the HPV vaccine message greatly influenced vaccine decisions. Messages that framed the vaccine as a preventive measure for cervical cancer or as a preventive vaccine without an emphasis on the sexual transmission route of the virus were most effective. Messages that framed the vaccine as a preventive measure against a sexually transmitted infection did not positively influence young women to be vaccinated. Conclusions: These findings indicate that providers� recommendation style highly affects HPV vaccine decision. Thus, appropriate HPV vaccine framing is important for encouraging vaccine uptake in this ethnic group.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 364-364
Author(s):  
Michaela Clark ◽  
Julie Hicks Patrick ◽  
Michaela Reardon

Abstract Consumer tasks permit an ecologically-valid context in which to examine the contributions of affective and cognitive resources to decision-making processes and outcomes. Although previous work shows that cognitive factors are important when individuals make decisions (Patrick et al., 2013; Queen et al.), the role of affective components is less clear. We examine these issues in two studies. Study 1 used data from 1000+ adults to inform a cluster analysis examining affective aspects (importance, meaningfulness) of making different types of decisions. A 4-cluster solution resulted. In Study 2, we used affective cluster membership and cognitive performance as predictors of experimental decision-making outcomes among a subset of participants (N = 60). Results of the regression (F(2, 40) = 6.51, p < .01, R2 = .25.) revealed that both the affective clusters (b = .37, p = .01) and cognitive ability (b = -.30, p = .04) uniquely contributed to the variance explained in decision quality. Age did not uniquely contribute. Results are discussed in the context of developing measures that enable us to move the field forward.


2016 ◽  
Vol 21 (1) ◽  
pp. 65-76 ◽  
Author(s):  
Sanna Aaltonen

This paper seeks to contribute to the research on the role of the family in the educational decision-making of young people by highlighting two overlooked areas of study: vocational education and the role of siblings. It explores young, mainly working-class Finnish 15- to 17-year-olds’ future expectations and decision-making processes concerning the choice between the academic and vocational tracks by drawing on interviews with the young participants of targeted support programmes and their parents. The aim of the paper is to shed light both on how parents try to influence their children's post-school choices and on young people's perceptions of the influence that parents and older brothers and sisters had on their aspirations towards vocational education. The paper demonstrates how horizons for action and educational choices are influenced by family traditions and advice, but that the pieces of advice dispensed by parents and siblings are not necessarily in congruence with each other. The familial suggestions work as a point of reference which is acknowledged and reflected on in the young people's process of mapping and recognising their own preferences. The paper suggests that while the goals of parents and older siblings would not necessarily be upward mobility, but rather to help young people to make a decent choice within a sector corresponding to their own, it is important to acknowledge their influence as a resource valued by many young people.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ulla Hakala

Purpose Listening to the customers has long been a key phrase and success element in product branding. This paper aims to highlight the importance of listening to residents during the branding of a place. The study explores ways of listening to residents to ensure they are heard and also discusses the challenges and benefits related to place branding flowing from having residents participate in decision-making processes. Design/methodology/approach Listening to residents and offering opportunities to participate requires place branders to fully attend to, comprehend and respond to residents’ comments, requests, ideas and feedback. This study reports on how two Nordic cities – Turku and Helsinki – listen to their residents. The data used comprise face-to-face interviews, telephone and e-mail conversations and documentary material. Findings Residents should not be considered as one homogeneous target; participation options and channels should be adapted to the demographics and geographic issues of the different regions and resident groups. Research limitations/implications The role of residents and the importance of listening are crucial features in the emerging concept of inclusive place branding (Kavaratzis et al., 2017); its future conceptual development could benefit from the case examples at hand. Practical implications City authorities should listen to residents and provide them with opportunities to actively contribute to decision-making. Other cities could learn from the examples introduced in the paper. Originality/value This paper documents two Nordic examples of cities putting into practice a policy of listening to the residents, a previously neglected research area.


2019 ◽  
Vol 1 (1) ◽  
pp. 51-57
Author(s):  
Maria Liana Lacatus

The paper presents important issues of decision making processes with an emphasis on rational and irrational components of these processes. After a short introduction outlining the need for a deeper understanding of rational and non-rational factors that affect the decisions people make, the rationality of people decisions in daily life is questioned and the role of non-rational factors such as intuition are analyzed. The economic understanding of the decision making process is presented and principles of rational decision-making are explained. Different methods used and recommended by economists in order to make decisions are presented and applied in different life situations in order to demonstrate their value in daily life. Special emphasis is put on factors such as imperfect information, illusion of control, or risk aversion that may affect the rationality of the decision making processes. In the final section of the paper the concept of bounded rationality is introduced and explained along with new theories in economics that are challenging the classic economic perspective on the decision making process


2018 ◽  
Vol 6 (1) ◽  
pp. 515
Author(s):  
Inayah Hidayati

Objective: This research aims to explain the impact of social media on the migration decision-making process of Indonesian student migrants in University of Groningen who used a social media account. In detail, this research will consider the role of social media in the migration decision-making process of students who emigrated from Indonesia and how they uses social media in the context of the migration decision-making process. Methods: The data collected included qualitative data from in-depth interviews and supported by study literatures. An interview guide was formulated to facilitate the indepth interviews and generate a better understanding of migration behavior. Expectation: Social media help Indonesian student migrants on migration decision making process and they use social media for searching information about destination area. Result: Student migrant in University of Groningen use their social media to gain information before they choose that university for study. They use Facebook to making contact with their friends and collagues in the destination country. Student group on Facebook help Indonesian student to get information about school and daily life.


2021 ◽  
pp. 147612702110468
Author(s):  
James D Westphal ◽  
David H Zhu ◽  
Rajyalakshmi Kunapuli

We examine the symbolic management of participative strategic decision-making programs that purportedly use crowdsourcing technology to solicit strategic input below the executive suite, but are often decoupled from actual strategic decision making. Specifically, top management may decide on a strategic option before soliciting input under the program. The first portion of our theoretical framework explains why disclosure of a participative strategic decision making program in communicating with security analysts is associated with more positive analyst appraisals, despite decoupling, and why the benefits of disclosure are amplified to the extent that leaders highlight the use of crowdsourcing technology in the program. The second portion of our framework addresses the antecedents of symbolic adoption. We suggest that firms are more likely to adopt and decouple a program when the CEO has a personal friendship tie to the CEO of another firm that has adopted and decoupled, especially following relatively negative analyst appraisals. Analysis of a unique dataset that includes longitudinal survey data from executives supported our predictions.


2021 ◽  
Author(s):  
Serkan Varol ◽  
Serkan Catma ◽  
Diana Reindl ◽  
Elizabeth Serieux

BACKGROUND Vaccine refusal still poses a risk to reaching herd immunity in the United States. The existing literature focuses on identifying the predictors that would impact the willingness to accept (WTA) vaccines using survey data. These variables range from the socio-demographic characteristics of the participants to the perceptions and attitudes towards the vaccines so each variable’s statistical relationship with the WTA a vaccine can be investigated. However, while the results of these studies may have important implications for understanding vaccine hesitancy by offering interpretation of the statistical relationships, the prediction of vaccine decision-making has rarely been investigated OBJECTIVE We aimed to identify the factors that contribute to the prediction of COVID-19 vaccine acceptors and refusers using machine learning METHODS A nationwide survey was administered online in November, 2020 to assess American public perceptions and attitudes towards COVID-19 vaccines. Seven machine learning techniques were utilized to identify the model with the highest predictive power. Moreover, a set of variables that would contribute the most to the predictions of vaccine acceptors and refusers was identified using Gini importance based on Random Forest structure RESULTS The resulting machine learning algorithm has better prediction ability for willingness to accept (82%) versus reject (51%) a COVID-19 vaccine. In terms of predictive success, the Random Forest model outperformed the other machine learning techniques with a 69.52% accuracy rate. Worrying about (re) contracting Covid 19 and opinions regarding mandatory face covering were identified as the most important predictors of vaccine decision-making CONCLUSIONS The complexity of vaccine hesitancy needs to be investigated thoroughly before the threshold needed to reach population immunity can be achieved. Predictive analytics can help the public health officials design and deliver individually tailored vaccination programs that would increase the overall vaccine uptake.


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