Evidence map›Paper›PMID 37322477›Full record

Trial reportBMC public health2023

Say it right: measuring the impact of different communication strategies on the decision to get vaccinated.

Vivian I Avelino-Silva, Sofia Natalia Ferreira-Silva, Maria Eduarda Muniz Soares, Ricardo Vasconcelos, Luiz Fujita, Tainah Medeiros, Carolina Luisa Alves Barbieri, Marcia Thereza Couto

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Vivian I Avelino-SilvaDepartment of Infectious and Parasitic Diseases, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Av. Dr. Arnaldo, 455, Cerqueira Cesar, Sao Paulo - SP, 01246-903, Brazil. viviansilva87@gmail.com.
Sofia Natalia Ferreira-SilvaFaculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, Rua Comendador Elias Jafet, 755, Morumbi, Sao Paulo - SP, 05653-000, Brazil.
Maria Eduarda Muniz SoaresFaculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, Rua Comendador Elias Jafet, 755, Morumbi, Sao Paulo - SP, 05653-000, Brazil.
Ricardo VasconcelosCentro de Pesquisas Clínicas, Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, R. Dr. Ovídio Pires de Campos, 225, Cerqueira Cesar, Sao Paulo - SP, 05403-010, Brazil.
Luiz FujitaBaioque, R. Augusta, 101 - Sala 109 - Consolacao, Sao Paulo - SP, 01305-000, Brazil.
Tainah MedeirosBaioque, R. Augusta, 101 - Sala 109 - Consolacao, Sao Paulo - SP, 01305-000, Brazil.
Carolina Luisa Alves BarbieriInstituto Butantan, Av. Vital Brasil, 1500, Butanta, Sao Paulo - SP, 05503-900, Brazil.
Marcia Thereza CoutoDepartamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Av. Dr. Arnaldo, 455, Cerqueira Cesar, Sao Paulo - SP, 01246-903, Brazil.
Universidade de São Paulo · BRHospital Israelita Albert Einstein · BRHospital de Clínicas de Porto Alegre · BRInstituto Butantan · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaccine hesitancy is a concerning menace to the control of vaccine-preventable diseases. Effective health communication could promote an overall understanding of the importance, risks, and benefits of vaccination and reduce vaccine hesitancy.

methodsIn this survey, four fictitious newspaper articles addressing an emerging bogus disease and its vaccine were randomly assigned to participants. The first version focused on information about the disease; the second was akin to the first, including a case description and image. The third version focused on vaccine safety/efficacy; the fourth version was like the third, including a case description and image. After reading a single version of the article, participants responded if they would take the vaccine and if they would vaccinate their children. We used chi-squared tests for comparisons and investigated interactions with vaccine-hesitant attitudes.

resultsWe included 5233 participants between August/2021 and January/2022; 790 were caregivers of a child ≤ 5 years old, and 15% had prior vaccine hesitancy. Although most declared intention to take the vaccine, the percentage was highest among those exposed to the newspaper article focusing on the vaccine safety/efficacy with the case description and picture (91%; 95% confidence interval 89-92%), and lowest among participants exposed to the article focusing on the disease with no case description (84%; 95% confidence interval 82-86%). Similar trends were observed in the intention of offspring vaccination. We found evidence of effect modification by vaccine-hesitant attitudes, with a higher impact of communication focusing on vaccine safety/efficacy compared to that focusing on disease characteristics among hesitant participants.

conclusionCommunication strategies focusing on different aspects of the disease-vaccine duet may impact vaccine hesitancy, and storytelling/emotive imagery descriptions may improve risk perception and vaccine uptake. Moreover, the effect of message framing strategies may differ according to previous vaccine hesitant attitudes.

Indexed as

Health CommunicationVaccinesChildChild, PreschoolHealth Knowledge, Attitudes, PracticeHumansParentsVaccinationVaccinesHealth communicationRandom allocationSurveys and questionnairesVaccination hesitancyVaccines

Identifiers

PMID37322477
PMCPMC10273550
OpenAlexW4380853108

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.