Evidence map›Paper›PMID 40462413›Full record

Trial reportBritish journal of health psychology2025

Using positive imagination to reduce negativity in information processing and hesitant attitudes towards childhood COVID-19 vaccinations in parents: A randomized controlled trial.

Jiehu Yuan, Meihong Dong, Wendy Wing Tak Lam, Qiuyan Liao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of health psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

4 authors.

Jiehu YuanSchool of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.ORCID 0000-0003-3429-8514
Meihong DongHospital-Acquired Infection Control Department, Affiliated Foshan Hospital of Southern Medical University, Foshan, Guangdong, China.
Wendy Wing Tak LamSchool of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Qiuyan LiaoSchool of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

Funding

Li Ka Shing Faculty of Medicine, University of Hong Kong
6 · The paper itself

Abstract

objectivesWe aim to investigate the impact of negative information processing on parental vaccine hesitancy in Hong Kong and design an intervention to reduce negativity in pandemic and vaccine-related information processing.

designSix hundred and forty-seven parents were recruited for baseline assessment. One week later, participants were randomly assigned to either the positive imagination simulation (PIS) intervention group or the neutral recall simulation (NRS) control group. Participants completed outcome assessments immediately and 2 weeks after the intervention.

methodsWe first examined whether affective response to pandemic and vaccine-related news mediated the association between parents' distress and acceptance of childhood COVID-19 vaccination using baseline data. The PIS intervention leveraged positive psychology and personalized imagery techniques to enhance positive affect. To test intervention effectiveness, ANCOVAs were conducted to examine whether PIS versus NRS could reduce negative affective response to pandemic and vaccine-related news (immediate effect) and COVID-19 vaccine-hesitant attitudes (effect at the 2-week post-intervention point).

resultsThe baseline assessment showed that greater distress was linked to a more negative affective response to pandemic and vaccine-related news, which was associated with lower acceptance for childhood COVID-19 vaccination. The intervention positively impacted valence rating (F(1, 627) = 8.46, p = .004) and affective state rating (F(1, 627) = 4.88, p = .028) on pandemic and vaccine-related news. This improved positivity spilled over to significantly enhance parents' trust in COVID-19 vaccine-related information and alleviate their vaccine safety concerns 2 weeks post-intervention.

conclusionsOur study highlights the promising impact of positive affect priming in increasing positivity in information processing and, consequently, reducing vaccine-hesitant attitudes that are modifiable through positive information processing.

Indexed as

COVID-19COVID-19 VaccinesImagery, PsychotherapyImaginationParentsVaccinationVaccination HesitancyAdultChildFemaleHong KongHumansMaleMiddle AgedCOVID-19 Vaccineschildhood vaccinationinformation processingpositive imaginationpsychological distressvaccine‐hesitant attitudes

Identifiers

PMID40462413
PMCPMC12134526

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Registered trials

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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.