Effectiveness of stage-of-change (SOC)-tailored interventions in increasing uptake of any type of vaccination: A systematic review and meta-analysis

IF 3.8 2区心理学 Q1 PSYCHOLOGY, APPLIED

Applied psychology. Health and well-being Pub Date : 2025-04-14 DOI:10.1111/aphw.70022

Siyu Chen, Shuyi Wang, Doug H. Cheung, Yuan Fang, Fenghua Sun, Phoenix K. H. Mo, Zixin Wang

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Abstract

Vaccine hesitancy remains a significant public health challenge globally, requiring innovative, evidence-based approaches to improve uptake. This systematic review and meta-analysis evaluated the effectiveness of stage-of-change (SOC)-tailored interventions, the customized strategies based on an individual's readiness for behavioral changes, in promoting vaccination uptake. Data were synthesized from randomized controlled trials (RCTs), quasi-experimental, and non-experimental studies identified through MEDLINE, PubMed, Web of Science, Embase, Global Health, and APA PsycInfo databases. Five eligible studies published between 2004 and 2023 were included, with three RCTs and one quasi-experimental study contributing to the meta-analysis. The pooled standard mean difference (SMD) for vaccination uptake was 0.54 (95% confidence interval [CI]: 0.49, 0.59, p < .001), indicating a significant medium effect size with no heterogeneity (I² = 0%, p = .88). Subgroup analyses showed SOC-tailored interventions were particularly effective for older adults (SMD = 0.57, 95% CI: 0.22 to 0.92, p = .03) and for parents or caregivers to increase children's vaccination uptake (SMD = 0.53, 95% CI: 0.32 to 0.74, p = .02). These findings provided preliminary evidence on the effectiveness of SOC-tailored interventions in addressing vaccine hesitancy. Future research should explore geographically diverse settings and cost-effective delivery methods to maximize the impact.

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变化阶段（SOC）量身定制的干预措施在增加任何类型疫苗接种方面的有效性：系统回顾和荟萃分析

疫苗犹豫仍然是全球公共卫生面临的一项重大挑战，需要采用创新的、基于证据的方法来提高接种率。本系统综述和荟萃分析评估了改变阶段（SOC）量身定制的干预措施，即基于个人对行为改变的准备程度的定制策略，在促进疫苗接种方面的有效性。数据来自随机对照试验（rct）、准实验研究和非实验研究，这些研究来自MEDLINE、PubMed、Web of Science、Embase、Global Health和APA PsycInfo数据库。2004年至2023年间发表的5项符合条件的研究被纳入meta分析，其中包括3项随机对照试验和1项准实验研究。疫苗接种率的合并标准均差（SMD）为0.54(95%可信区间[CI]: 0.49, 0.59, p < .001)，表明具有显著的中等效应大小，无异质性（I2 = 0%, p = .88）。亚组分析显示，针对soc的干预措施对老年人特别有效（SMD = 0.57, 95% CI: 0.22至0.92,p = 0.03），对父母或照顾者提高儿童疫苗接种率特别有效（SMD = 0.53, 95% CI: 0.32至0.74,p = 0.02）。这些发现为针对soc的干预措施在解决疫苗犹豫问题方面的有效性提供了初步证据。未来的研究应该探索地理上不同的环境和具有成本效益的交付方法，以最大限度地发挥影响。

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来源期刊

Applied psychology. Health and well-being PSYCHOLOGY, APPLIED-

CiteScore

12.10

自引率

2.90%

发文量

期刊介绍： Applied Psychology: Health and Well-Being is a triannual peer-reviewed academic journal published by Wiley-Blackwell on behalf of the International Association of Applied Psychology. It was established in 2009 and covers applied psychology topics such as clinical psychology, counseling, cross-cultural psychology, and environmental psychology.