Encouraging COVID-19 vaccination via an evolutionary theoretical approach: A randomized controlled study in Japan

Patient Educ Couns. 2022 Jul;105(7):2248-2255. doi: 10.1016/j.pec.2022.02.013. Epub 2022 Feb 18.

Abstract

Objective: We aimed to examine the effect of a message that target the fundamental human motive of kin care on COVID-19 vaccination recommendations among participants with young children, based on an evolutionary theoretical approach.

Methods: Participants with young children (n = 969) were randomly assigned either to a group that received an intervention message that targeted the fundamental motive of kin care, or that targeted the fundamental motive of disease avoidance, or a control message. Intention to receive COVID-19 vaccination was assessed both before and after reading the messages. A one-way ANOVA with Tukey's or Games-Howell test was conducted.

Results: An intervention message targeting the fundamental motive of kin care and disease avoidance significantly increased intention of vaccination versus a control message (p < 0.001, respectively).

Conclusion: The evolutionary theoretical approach that focuses on fundamental human motives has the potential to extend the communication strategy for COVID-19 vaccination recommendations.

Practice implications: Health professionals should deliver messages that target the fundamental motive of kin care as well as messages about the susceptibility and severity of COVID-19 and vaccine efficacy (e.g., "Get vaccinated against COVID-19 for your child's sake, because if you are infected, you will be unable to care for your child.").

Keywords: COVID-19; Health communication; Immunization; Pandemic; Vaccination; Vaccine hesitancy; Vaccines.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19 Vaccines*
  • COVID-19* / prevention & control
  • Child
  • Child, Preschool
  • Health Personnel
  • Humans
  • Intention
  • Japan
  • Vaccination

Substances

  • COVID-19 Vaccines