University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Public preferences for vaccination and antiviral medicines under different pandemic flu outbreak scenarios

Rubinstein, H, Marcu, A, Yardley, L and Michie, S (2015) Public preferences for vaccination and antiviral medicines under different pandemic flu outbreak scenarios BMC Public Health, 15 (190). pp. 1-13.

Full text not available from this repository.

Abstract

Background During the 2009-2010 A(H1N1) pandemic, many people did not seek care quickly enough, failed to take a full course of antivirals despite being authorised to receive them, and were not vaccinated. Understanding facilitators and barriers to the uptake of vaccination and antiviral medicines will help inform campaigns in future pandemic influenza outbreaks. Increasing uptake of vaccines and antiviral medicines may need to address a range of drivers of behaviour. The aim was to identify facilitators of and barriers to being vaccinated and taking antiviral medicines in uncertain and severe pandemic influenza scenarios using a theoretical model of behaviour change, COM-B. Methods Focus groups and interviews with 71 members of the public in England who varied in their at-risk status. Participants responded to uncertain and severe scenarios, and to messages giving advice on vaccination and antiviral medicines. Data were thematically analysed using the theoretical framework provided by the COM-B model. Results Influences on uptake of vaccines and antiviral medicines - capabilities, motivations and opportunities - are part of an inter-related behavioural system and different components influenced each other. An identity of being healthy and immune from infection was invoked to explain feelings of invulnerability and hence a reduced need to be vaccinated, especially during an uncertain scenario. The identity of being a ‘healthy person’ also included beliefs about avoiding medicine and allowing the body to fight disease ‘naturally’. This was given as a reason for using alternative precautionary behaviours to vaccination. This identity could be held by those not at-risk and by those who were clinically at-risk. Conclusions Promoters and barriers to being vaccinated and taking antiviral medicines are multi-dimensional and communications to promote uptake are likely to be most effective if they address several components of behaviour. The benefit of using the COM-B model is that it is at the core of an approach that can identify effective strategies for behaviour change and communications for the future. Identity beliefs were salient for decisions about vaccination. Communications should confront identity beliefs about being a ‘healthy person’ who is immune from infection by addressing how vaccination can boost wellbeing and immunity.

Item Type: Article
Authors :
NameEmailORCID
Rubinstein, HUNSPECIFIEDUNSPECIFIED
Marcu, Aafrodita.marcu@surrey.ac.ukUNSPECIFIED
Yardley, LUNSPECIFIEDUNSPECIFIED
Michie, SUNSPECIFIEDUNSPECIFIED
Date : 2015
Identification Number : 10.1186/s12889-015-1541-8
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 10:30
Last Modified : 17 May 2017 14:49
URI: http://epubs.surrey.ac.uk/id/eprint/828028

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800