An Evaluation of Messages to Promote Parental Intent to Vaccinate Children Aged <12 Years Against COVID-19

Author:

Chan Isabella L.1ORCID,Schwarz Kelsey2,Weinstein Nicole1ORCID,Mansergh Gordon3,Nahhas Ramzi W.4,Gelaude Deborah3,Alexander Robert1,Rodriguez Leslie1,Strauss Warren1,Repetski Torey1,Sullivan Nancy4,Long Everett5,Evener Steve L.1,Garbarino Adrienne1,Kollar Laura M. Mercer6

Affiliation:

1. Karna, LLC, Atlanta, GA, USA

2. Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA

3. Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA

4. Department of Population and Public Health Sciences, Boonshoft School of Medicine, Wright State University, Dayton, OH, USA

5. Brunet-Garcia, Jacksonville, FL, USA

6. Division of Overdose Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA

Abstract

Objectives: Effective health communication can increase intent to vaccinate. We compared 8 messages that may influence parents’ intent to vaccinate their children against COVID-19. Methods: In a cross-sectional survey of adults in the United States administered online in August 2021, 1837 parents and legal guardians were exposed to 8 messages (individual choice, gain/practical benefits, nonexpert, health care provider recommendation, altruism/community good, safety/effectiveness, safety, and effectiveness) to determine message reception and influence on intent to vaccinate their children. Parents responded to 10 questions using a Likert scale. We computed odds ratios (ORs) for each message, with an OR >1.0 indicating greater observed odds of participant agreement with the follow-up statement as compared with a reference message. We compared outcomes individually across messages with ordinal logistic regression fit using generalized estimating equations. Results: The individual choice message had the highest odds of agreement for understanding intent (OR = 2.10; 95% CI, 1.94-2.27), followed by the health care provider recommendation message (OR = 1.58; 95% CI, 1.46-1.71). The individual choice message had the highest odds of memorability, relatability, and trustworthiness. The altruism/community good message was at or near second best. The altruism/community good message had the highest or near-highest odds of increasing parents’ intent to vaccinate their children, asking friends and family for their thoughts, and searching for additional information. The message that most motivated parents to vaccinate their children depended on parental intent to vaccinate prior to being exposed to the tested messages. Conclusions: Messages with themes of individual choice, health care provider recommendation, and altruism/community good may be used in future message campaigns. Further research is needed to refine message concepts related to altruism/community good.

Funder

Centers for Disease Control and Prevention

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

Reference38 articles.

1. US Food and Drug Administration. FDA authorizes Pfizer-BioNTech COVID-19 vaccine for emergency use in children 5 through 11 years of age. News release. October 29, 2021. Accessed September 19, 2023. https://www.fda.gov/news-events/press-announcements/fda-authorizes-pfizer-biontech-covid-19-vaccine-emergency-use-children-5-through-11-years-age

2. US Food and Drug Administration. Coronavirus (COVID-19) update: FDA authorizes Moderna and Pfizer-BioNTech COVID-19 vaccines for children down to 6 months of age. News release. June 17, 2022. Accessed September 19, 2023. https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-moderna-and-pfizer-biontech-covid-19-vaccines-children

3. Parents’ Intentions and Perceptions About COVID-19 Vaccination for Their Children: Results From a National Survey

4. Shaping perceptions to motivate healthy behavior: The role of message framing.

5. The Relative Persuasiveness of Gain- and Loss-Framed Messages for Promoting Vaccination: A Meta-Analytic Review

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