Message framing's limited efficacy in counteracting parental hesitancy towards human papillomavirus vaccination for female adolescents: Insights from a randomized trial.

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Naiyang Shi, Jie Liang, Youqin Yi, Ruishuai Miao, Xuying Yang, Liuqing Yang, Tingsu Tao, Yanlin Zhang, Hui Jin, Xiaoyan Zheng
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引用次数: 0

Abstract

Background: Parental acceptance of HPV vaccination remains low. This study investigates the influence of different message framing on Chinese parental intentions to vaccinate their daughters against HPV.

Methods: A 2 (appeal framing: gain vs. loss) × 2 (cultural value: individualism vs. collectivism) × 2 (evidence type: narrative vs. non-narrative) factorial design was used in an online experiment. Parents of unvaccinated junior high school girls were recruited and included in the experiment. The primary outcome assessed was the reduction in HPV vaccine hesitancy (VH). The analysis of variance tests (ANOVAs) and hierarchical regression analyses were conducted to test the hypotheses.

Results: Of 4012 participants, the majority were women with low VH. Only loss-framing exerted a direct effect on advocacy (p = .036). Initial VH negatively moderated this effect (p = .027). Except for narrative evidence (p = .068), message framings showed significant small effects in low-hesitant participants (p = .032). An incentive policy negatively moderated the initial VH's effect on advocacy (p = .042). Persuasion was evident only among low-hesitant participants not receiving incentives (p = .002). In contrast, for highly hesitant individuals without incentive policies, loss-framing (p = .024) and collectivism perspective (p = .033) produced counterintuitive effects.

Conclusions: Message framing is effective among low-hesitant parents of female adolescents in improving HPV vaccination decisions without economic incentives. Non-narrative evidence and loss-framing messages should be prioritized over narrative evidence and gain-framing messages. Nonetheless, caution is warranted when engaging with highly hesitant parents.

信息框架在消除父母对女性青少年接种人类乳头瘤病毒疫苗的犹豫不决方面效果有限:一项随机试验的启示。
背景:家长对HPV疫苗接种的接受程度仍然很低。本研究探讨了不同信息框架对中国父母为女儿接种人乳头瘤病毒疫苗意向的影响:方法:采用 2(诉求框架:收益与损失)×2(文化价值:个人主义与集体主义)×2(证据类型:叙述与非叙述)因子设计进行在线实验。实验招募了未接种疫苗的初中女生的家长。评估的主要结果是 HPV 疫苗犹豫不决(VH)的减少。实验采用方差分析(ANOVA)和分层回归分析来检验假设:在 4012 名参与者中,大多数是 VH 值低的女性。只有损失框架对倡导有直接影响(p = .036)。初始 VH 对这一影响有负面调节作用 (p = .027)。除了叙事证据(p = .068)外,信息框架对低恐惧参与者的影响很小(p = .032)。激励政策对初始 VH 对倡导的影响有负向调节作用(p = .042)。只有在未接受激励的低犹豫参与者中,劝说效果才明显(p = .002)。相反,对于没有激励政策的高度犹豫者,损失框架(p = .024)和集体主义观点(p = .033)产生了反直觉效果:结论:在没有经济激励措施的情况下,信息框架对低犹豫度的女性青少年家长来说,能有效改善他们的 HPV 疫苗接种决定。非叙述性证据和损失框架信息应优先于叙述性证据和收益框架信息。尽管如此,在与犹豫不决的家长接触时仍需谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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