Evidence map›Paper›PMID 41102703›Full record

ArticleBMC public health2025

Adolescent literacy, trust, and acceptance of vaccines before and after educational intervention: protocol for a mixed methods research.

Bruna Hinnah Borges Martins de Freitas, Jaqueline Costa Lima, Ana Lucia Sartori, Rafael Haeffner, Camila Rodrigues Barbosa Nemer, Ana Roberta Vilarouca da Silva, Carolina Maia Martins Sales, Erica Marvila Garcia, Juliano Bortolini, Scott C Ratzan

Erratum issuedAbstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Bruna Hinnah Borges Martins de FreitasFederal University of Mato Grosso (UFMT), Campus Cuiabá, Fernando Corrêa da Costa Avenue, 2367 - Boa Esperança, Cuiabá, Mato Grosso, Brazil. bruna.freitas@ufmt.br.ORCID http://orcid.org/0000-0002-6652-593X
Jaqueline Costa LimaFederal University of Mato Grosso (UFMT), Campus Cuiabá, Fernando Corrêa da Costa Avenue, 2367 - Boa Esperança, Cuiabá, Mato Grosso, Brazil.ORCID http://orcid.org/0000-0002-2264-3301
Ana Lucia SartoriFederal University of Mato Grosso (UFMT), Campus Sinop, Sinop, Mato Grosso, Brazil.ORCID http://orcid.org/0000-0003-3832-031X
Rafael HaeffnerFederal Institute of Paraná (IFPR), Campus Palmas, Palmas, Paraná, Brazil.ORCID http://orcid.org/0000-0001-8848-6460
Camila Rodrigues Barbosa NemerFederal University of Amapá (UNIFAP), Campus Macapá, Macapá, Amapá, Brazil.ORCID http://orcid.org/0000-0003-1252-3709
Ana Roberta Vilarouca da SilvaFederal University of Piauí (UFPI), Campus Teresina, Teresina, Piauí, Brazil.ORCID http://orcid.org/0000-0001-5087-4310
Carolina Maia Martins SalesFederal University of Espírito Santo (UFES), Campus Vitória, Vitoria, Espírito Santo, Brazil.ORCID http://orcid.org/0000-0002-2879-5621
Erica Marvila Garcia, Municipality of Marataízes, Espírito Santo, Brazil.ORCID http://orcid.org/0000-0001-9477-2383
Juliano BortoliniFederal University of Mato Grosso (UFMT), Campus Cuiabá, Fernando Corrêa da Costa Avenue, 2367 - Boa Esperança, Cuiabá, Mato Grosso, Brazil.ORCID http://orcid.org/0000-0003-0126-3040
Scott C RatzanCity University of New York (CUNY), New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth literacy is essential for understanding and using health information, influencing both individual and collective decision-making. In the context of vaccination, vaccine literacy helps individuals comprehend the risks and benefits, combating vaccine hesitancy. Adolescents, in particular, face challenges related to misinformation and negative perceptions about vaccines. This study aims to describe the protocol of a mixed-methods study designed to analyze vaccine literacy, trust, and acceptance among adolescents before and after an educational intervention, considering their sociodemographic, economic, and health characteristics.

methodsThe quasi-experimental mixed-methods research will be structured into five phases: (1) Pre-intervention quantitative phase; (2) Pre-intervention qualitative phase; (3) Development, validation, and application of Care-Educational Technologies (CET); (4) Post-intervention quantitative phase; (5) Post-intervention qualitative phase. Adolescents aged 10 to 19 years, from public and private schools in five Brazilian capitals, will participate in the study. Data collection will include the Health Literacy Vaccinale (HLV), Vaccine Trust Gauge (VTG), Vaccine Acceptance Instrument (VAI-SV), and a sociodemographic questionnaire. Qualitative interviews will explore adolescents' perceptions of literacy, trust, and vaccine acceptance. The CET will be validated in another municipality before its implementation. The intervention will focus on adolescents with varying levels of literacy, trust, and vaccine acceptance, assessing the implementation's impact using the same instruments. The post-intervention qualitative phase will include participants intentionally selected to represent improvements, stability, or reductions in these levels. DISCUSSION: The educational intervention is expected to increase vaccine literacy, trust, and acceptance among adolescents. The results may provide valuable insights into the factors influencing these aspects, contributing to more effective public vaccination policies. The validated CET could become a crucial tool for improving vaccine adherence, promoting a positive impact on public health.

Indexed as

Health EducationHealth LiteracyPatient Acceptance of Health CareTrustVaccinationVaccination HesitancyAdolescentBrazilChildFemaleHumansMaleQualitative ResearchResearch DesignSurveys and QuestionnairesYoung AdultAcceptanceAdolescentHealth literacyMixed methodsTrustVaccines

Identifiers

PMID41102703
PMCPMC12532933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.