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Communicating to increase public uptake of pandemic flu vaccination in the UK: Which messages work?

Mowbray, F; Marcu, A; Godinho, CA; Michie, S; Yardley, L; (2016) Communicating to increase public uptake of pandemic flu vaccination in the UK: Which messages work? Vaccine , 34 (28) pp. 3268-3274. 10.1016/j.vaccine.2016.05.006. Green open access

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Abstract

BACKGROUND: Vaccination is considered the most effective preventive measure against influenza transmission, yet vaccination rates during the 2009/10 influenza A/H1N1 pandemic were low across the world, with the majority of people declining to receive the vaccine. Despite extensive research on the predictors of uptake of influenza vaccination, little research has focused on testing the effectiveness of evidence and theory-based messages. AIMS: To examine the persuasiveness of messages promoting vaccination and antiviral use either as health-enhancing or as risk-reducing, as well as messages which conveyed evidence-based information about the costs and benefits of vaccination, or which applied anticipated regret as a motivator for vaccine uptake. METHOD: We conducted 11 focus groups with forty-one members of the general population in England including young and older adults, those with lower education, parents, and those with elevated health risk. The data were analysed using thematic analysis. RESULTS: The factual, evidence-based messages were well received with participants finding them the most convincing and useful, particularly where they gave cost–benefit comparisons. Health-enhancing messages were received with scepticism and concern that the messages were not honest about the potential lack of safety of vaccination. In contrast, risk-reduction messages were perceived as being more balanced and credible. Messages aiming to elicit feelings of anticipated regret for not getting vaccinated were generally perceived as patronising and unprofessional. CONCLUSIONS: Vaccination messages should be kept brief, but convey balanced, evidence-based information, and be transparent in their communication of potential side-effects. The general public seem to prefer messages that are factual and emphasise the costs and benefits of vaccination, particularly with regards to vaccine safety.

Type: Article
Title: Communicating to increase public uptake of pandemic flu vaccination in the UK: Which messages work?
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.vaccine.2016.05.006
Publisher version: http://doi.org/10.1016/j.vaccine.2016.05.006
Language: English
Additional information: © 2016 Elsevier Ltd. All rights reserved. This manuscript version is made available under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at http://creativecommons.org/ licenses/by/4.0. Access may be initially restricted by the publisher.
Keywords: Science & Technology, Life Sciences & Biomedicine, Immunology, Medicine, Research & Experimental, Research & Experimental Medicine, Influenza, Pandemic, Risk communication, Vaccination, HEALTH-RELATED BEHAVIOR, INFLUENZA-A H1N1V, SWINE FLU, ANTICIPATED REGRET, NATIONAL SURVEYS, FRAMED MESSAGES, UNITED-KINGDOM, RISK, DETERMINANTS, METAANALYSIS
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1494687
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