Volume 10, Issue 4 (2022)
Health Educ Health Promot 2022, 10(4): 711-718 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Darabi A, Tahmasebi R, Vahdat K, Noroozi A. Predictive Factors of COVID-19 Vaccine Acceptance Based on COM-B Model. Health Educ Health Promot 2022; 10 (4) :711-718
URL: http://hehp.modares.ac.ir/article-5-61593-en.html
URL: http://hehp.modares.ac.ir/article-5-61593-en.html
1- Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, Iran
2- Department of Epidemiology and Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of Infectious Diseases, School of Medicine, Bushehr University of Medical Science, Bushehr, Iran
4- Department of Health Education, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran ,azitanoroozi@yahoo.com
2- Department of Epidemiology and Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of Infectious Diseases, School of Medicine, Bushehr University of Medical Science, Bushehr, Iran
4- Department of Health Education, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran ,
Abstract: (1529 Views)
Aims: The success of COVID-19 vaccination depends on public acceptance of the vaccine. It is necessary to evaluate the factors affecting vaccine acceptance to increase the acceptance of vaccination. The current study aimed to determine the relationships between the three components of the COM-B (capability, motivation, and opportunity) model and the explanatory domains of each component.
Instrument & Methods: In this cross-sectional study, 1102 adults aged 18 years and older were selected through multi-stage sampling and received an online questionnaire on the WhatsApp platform in February 2021. Structure equation modeling was used to investigate the factors affecting vaccine acceptance.
Findings: Of the 1102 respondents, 938 respondents (85.1%) wanted to get vaccinated. The main indicators for the COM-B components were "behavioral regulation"(capability), "subjective norms and social support" (opportunity) and "social role" (motivation). Opportunity strongly predicted motivation (93%) and Covid-19 vaccine acceptance (74%). Motivation and capability were mediator for opportunity on vaccine acceptance.
Conclusion: Providing environmental and interpersonal conditions by creating capability and motivation in people increases vaccine acceptance.
Instrument & Methods: In this cross-sectional study, 1102 adults aged 18 years and older were selected through multi-stage sampling and received an online questionnaire on the WhatsApp platform in February 2021. Structure equation modeling was used to investigate the factors affecting vaccine acceptance.
Findings: Of the 1102 respondents, 938 respondents (85.1%) wanted to get vaccinated. The main indicators for the COM-B components were "behavioral regulation"(capability), "subjective norms and social support" (opportunity) and "social role" (motivation). Opportunity strongly predicted motivation (93%) and Covid-19 vaccine acceptance (74%). Motivation and capability were mediator for opportunity on vaccine acceptance.
Conclusion: Providing environmental and interpersonal conditions by creating capability and motivation in people increases vaccine acceptance.
Article Type: Descriptive & Survey |
Subject:
Health Education and Health Behavior
Received: 2022/05/18 | Accepted: 2022/07/10 | Published: 2022/10/1
Received: 2022/05/18 | Accepted: 2022/07/10 | Published: 2022/10/1
References
1. World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard [Internet]. Geneva: World Health Organization; 2022 [cited 2022, 13 Apr]. Available from: https://covid19.who.int/?gclid=Cj0KCQiApY6BBhCsARIsAOI_GjYiSlIK4qboz_KSKiYnZc3SQTZHP5eQxFUmBc6XXAAjmN8M_D4tU9YaAuGrEALw_wcB. [Link]
2. Chakraborty C, Sharma AR, Bhattacharya M, Sharma G, Lee SS. The 2019 novel coronavirus disease (COVID-19) pandemic: a zoonotic prospective. Asian Pac J Trop Med. 2020;13(6):242-6. [Link] [DOI:10.4103/1995-7645.281613]
3. Taherinia M, Hassanvand A. Economic consequences of Covid-19 disease on the Iranian economy; with an emphasis on employment. Q J Nurs Manag. 2020;9(3):43-58. [Persian] [Link]
4. Thanh Le T, Andreadakis Z, Kumar A, Gomez Roman R, Tollefsen S, Saville M, Mayhew S. The COVID-19 vaccine development landscape. Nat Rev Drug Discov. 2020;19(5):305-6. [Link] [DOI:10.1038/d41573-020-00073-5]
5. Larson HJ, De Figueiredo A, Xiahong Z, Schulz WS, Verger P, Johnston IG, Jones NS. The state of vaccine confidence 2016: Global insights through a 67-country survey. EBioMedicine. 2016;12:295-301. [Link] [DOI:10.1016/j.ebiom.2016.08.042]
6. Lane S, Macdonald NE, Marti M, Dumolard L. Vaccine hesitancy around the globe: Analysis of three years of WHO/UNICEF joint reporting Form data-2015-2017. Vaccine. 2018;36(26):3861-7. [Link] [DOI:10.1016/j.vaccine.2018.03.063]
7. Brien S, Kwong JC. The determinants of 2009 pandemic A/H1N1 influenza vaccination: A systematic review. Vaccine. 2012;30(7):1255-64. [Link] [DOI:10.1016/j.vaccine.2011.12.089]
8. World Health Organization. The guide to tailoring immunization programmes (TIP): Increasing coverage of infant and child vaccination in the WHO European Region [Internet]. Geneva: World Health Organization; 2014 [cited 2022, 15 Apr]. Available from: https://apps.who.int/iris/handle/10665/351166 [Link]
9. Miller JG, Hartman TK, Levita L, Martinez AP, Mason L, et al. Capability, opportunity, and motivation to enact hygienic practices in the early stages of the COVID-19 outbreak in the United Kingdom. Br J Health Psychol 2020;25(4):856-64. [Link] [DOI:10.1111/bjhp.12426]
10. Michie S, Stralen MM, West R. The behavior change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:42. [Link] [DOI:10.1186/1748-5908-6-42]
11. Howlett N, Schulz J, Trivedi D, Troop N, Chater A. A prospective study exploring the construct and predictive validity of the COM-B model for physical activity. J Health Psychol. 2019;24(10):1378-91. [Link] [DOI:10.1177/1359105317739098]
12. Michie S, Johnston M, Abraham C, et al. Making psychological theory useful for implementing evidence- based practice: A consensus approach. Qual Saf Health Care. 2005;14(1): 26-33. [Link] [DOI:10.1136/qshc.2004.011155]
13. Atkins L, Francis J, Islam R, O'Connor D, Patey A, et al. A guide to using the Theoretical Domains Framework of behavior change to investigate implementation problems. Implement Sci. 2017;12:77-95. [Link] [DOI:10.1186/s13012-017-0605-9]
14. Cane J, O'Connor D and Michie S. Validation of the theoretical domains framework for use in behavior change and implementation research. Implement Sci. 2012;7(1): 37. [Link] [DOI:10.1186/1748-5908-7-37]
15. Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021;27(2):225-8. [Link] [DOI:10.1038/s41591-020-1124-9]
16. Huijg JM, Gebhardt WA, Crone MR, Dusseldorp E, Presseau J. Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research. Implement Sci. 2014;9:11-27. [Link] [DOI:10.1186/1748-5908-9-11]
17. West R, Michie S, Atkins L, Chadwick P. Achieving behavior change: A guide for local government and partners. London, UK: PHE publications; 2019. [Link]
18. Costello AB, Osborne JW. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Pract Assess Res Eval. 2005;10(7):1-9. [Link]
19. Galbraith-Gyan KV, Lechuga J, Jenerette CM, Palmer MH, Moore AD, Hamilton JB. HPV vaccine acceptance among African- American mothers and their daughters: an inquiry grounded in culture. Ethn Health. 2019;24(3):323-40. [Link] [DOI:10.1080/13557858.2017.1332758]
20. Gaston Godin G, Ve'zina-Im LA, Naccache H. Determinants of Influenza vaccination among healthcare workers. Infect Control Hosp Epidemiol. 2010;31(7):689-93. [Link] [DOI:10.1086/653614]
21. Dillard JP. An application of the integrative model to women's intention to be vaccinated against HPV: Implications for message design. Health Commun. 2011;26(5):479-86. [Link] [DOI:10.1080/10410236.2011.554170]
22. Cornally N, Deasy EA, McCarthy G, Moran J, Weathers E. Student nurses' intention to get the influenza vaccine. Br J Nurs. 2013;22(21):1207-11. [Link] [DOI:10.12968/bjon.2013.22.21.1207]
23. Kim SY, Seo JW, Ryu E. Korean college students' attitudes and health behaviour regarding human papillo-mavirus vaccination. 2020;28(1):57-62. [Link] [DOI:10.1016/j.colegn.2020.04.009]
24. Griffin RJ, Dunwoody S, Neuwirth K. Proposed model of the relationship of risk information seeking and processing to the development of preventive behaviors. Environ Res. 1999;80(2 Pt 2):S230-45. [Link] [DOI:10.1006/enrs.1998.3940]
25. Baron G, De wals P, Milord F. Vaccination practices of Quebec family physicians: Influenza vaccination status and professional practices for influenza vaccination. Can Fam Physician. 2001;47:2261-6. [Link]
26. Weinstein ND, Kwitel A, McCaul KD, Magnan RE, Gerrard M, Gibbons FX. Risk perceptions: Assessment and relationship to influenza vaccination. Health Psychol. 2007;26(2):146-51. [Link] [DOI:10.1037/0278-6133.26.2.146]
27. Williams GC, Minicucci DS, Kouides RW, Levesque CS, Chirkov VI, Ryan RM, Deci EL. Self-determination, smoking, diet and health. Health Educ Res. 2002;17(5):512-21. [Link] [DOI:10.1093/her/17.5.512]
28. Nejaddadgar N, Jafarzadeh M, Ziapour A, Rezaei F. Determinants of COVID-19 Vaccine Acceptance in Ardabil: a WebBased Survey. Health Educ Health Promot. 2022;10(2):221-5. [Link]
29. Falomir-Pichastor JM, Toscani L, Despointes SH. Determinants of flu vaccination among nurses: the effect of group identification and professional responsibility. Appl Psychol Int Rev. 2009;58(1):42-58. [Link] [DOI:10.1111/j.1464-0597.2008.00381.x]
30. Nichol KL, Hauge M. Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 1997;18(3):189-94. [Link] [DOI:10.2307/30141980]
31. LaVela SL, Smith B, Weaver FM, Legro MW, Goldstein B, Nichol K. Attitudes and practices regarding influenza vaccination among healthcare workers providing services to individuals with spinal cord injuries and disorders. Infect Control Hosp Epidemiol 2004;25(11):933-40. [Link] [DOI:10.1086/502323]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |