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      Promoting COVID-19 vaccine confidence through public responses to misinformation: The joint influence of message source and message content

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          Abstract

          Objective

          During the pandemic healthcare professionals and political leaders routinely used traditional and new media outlets to publicly respond to COVID-19 myths and inaccuracies. We examine how variations in the sources and messaging strategies of these public statements affect respondents’ beliefs about the safety of COVID-19 vaccines.

          Methods

          We analyzed the results of an experiment embedded within a multi-wave survey deployed to US and UK respondents in January–February 2022 to examine these effects. We employ a test-retest between-subjects experimental protocol with a control group. Respondents were randomly assigned to one of four experimental conditions reflecting discrete pairings of message source (political authorities vs. healthcare professionals) and messaging strategy (debunking misinformation vs. discrediting mis-informants) or a control condition. We use linear regression to compare the effects of exposure to treatment conditions on changes in respondent beliefs about the potential risks associated with COVID-19 vaccination.

          Results

          In the UK sample, we observe a statistically significant decrease in beliefs about the risks of COVID-19 vaccines among respondents exposed to debunking messages by healthcare professionals. We observe a similar relationship in the US sample, but the effect was weaker and not significant. Identical messages from political authorities had no effect on respondents’ beliefs about vaccine risks in either sample. Discrediting messages critical of mis-informants likewise had no influence on respondent beliefs, regardless of the actor to which they were attributed. Political ideology moderated the influence of debunking statements by healthcare professionals on respondent vaccine attitudes in the US sample, such that the treatment was more effective among liberals and moderates than among conservatives.

          Conclusions

          Brief exposure to public statements refuting anti-vaccine misinformation can help promote vaccine confidence among some populations. The results underscore the joint importance of message source and messaging strategy in determining the effectiveness of responses to misinformation.

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          Most cited references50

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          Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.

          Hypotheses involving mediation are common in the behavioral sciences. Mediation exists when a predictor affects a dependent variable indirectly through at least one intervening variable, or mediator. Methods to assess mediation involving multiple simultaneous mediators have received little attention in the methodological literature despite a clear need. We provide an overview of simple and multiple mediation and explore three approaches that can be used to investigate indirect processes, as well as methods for contrasting two or more mediators within a single model. We present an illustrative example, assessing and contrasting potential mediators of the relationship between the helpfulness of socialization agents and job satisfaction. We also provide SAS and SPSS macros, as well as Mplus and LISREL syntax, to facilitate the use of these methods in applications.
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            A global database of COVID-19 vaccinations

            An effective rollout of vaccinations against COVID-19 offers the most promising prospect of bringing the pandemic to an end. We present the Our World in Data COVID-19 vaccination dataset, a global public dataset that tracks the scale and rate of the vaccine rollout across the world. This dataset is updated regularly and includes data on the total number of vaccinations administered, first and second doses administered, daily vaccination rates and population-adjusted coverage for all countries for which data are available (169 countries as of 7 April 2021). It will be maintained as the global vaccination campaign continues to progress. This resource aids policymakers and researchers in understanding the rate of current and potential vaccine rollout; the interactions with non-vaccination policy responses; the potential impact of vaccinations on pandemic outcomes such as transmission, morbidity and mortality; and global inequalities in vaccine access.
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              Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA

              Widespread acceptance of a vaccine for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) will be the next major step in fighting the coronavirus disease 2019 (COVID-19) pandemic, but achieving high uptake will be a challenge and may be impeded by online misinformation. To inform successful vaccination campaigns, we conducted a randomized controlled trial in the UK and the USA to quantify how exposure to online misinformation around COVID-19 vaccines affects intent to vaccinate to protect oneself or others. Here we show that in both countries-as of September 2020-fewer people would 'definitely' take a vaccine than is likely required for herd immunity, and that, relative to factual information, recent misinformation induced a decline in intent of 6.2 percentage points (95th percentile interval 3.9 to 8.5) in the UK and 6.4 percentage points (95th percentile interval 4.0 to 8.8) in the USA among those who stated that they would definitely accept a vaccine. We also find that some sociodemographic groups are differentially impacted by exposure to misinformation. Finally, we show that scientific-sounding misinformation is more strongly associated with declines in vaccination intent.
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                Author and article information

                Journal
                Soc Sci Med
                Soc Sci Med
                Social Science & Medicine (1982)
                The Authors. Published by Elsevier Ltd.
                0277-9536
                1873-5347
                22 March 2023
                22 March 2023
                : 115863
                Affiliations
                [a ]Department of Government, University of Essex, United Kingdom
                [b ]Department of Psychology, University of Essex, United Kingdom
                [c ]School of Politics and Global Studies, Arizona State University, United Kingdom
                [d ]Tsinghua University, United Kingdom
                Author notes
                []Corresponding author. Department of Government, 5.424, Colchester Campus, Wivenhoe Park, Colchester, CO43SQ, United Kingdom.
                Article
                S0277-9536(23)00220-4 115863
                10.1016/j.socscimed.2023.115863
                10030442
                37b692d3-038a-4f8c-a77c-54fc2665aef9
                © 2023 The Authors. Published by Elsevier Ltd.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 9 September 2022
                : 7 March 2023
                : 20 March 2023
                Categories
                Article

                Health & Social care
                pandemic,covid-19,vaccines,misinformation,debunking,politics
                Health & Social care
                pandemic, covid-19, vaccines, misinformation, debunking, politics

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