Evidence map›Paper›PMID 41117750›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2025

Trust in Transition: Exploring Changing Trust in Vaccination in the Context of Long Covid in the United Kingdom.

Anna Dowrick, Alice MacLean, Sue Ziebland, Trish Greenhalgh

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 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. Trust in Transition: Exploring Changing Trust in Vaccination in the Context of Long Covid in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
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.

Anna DowrickUniversity of Oxford, Oxford, UK.
Alice MacLeanUniversity of Stirling, Stirling, UK.ORCID 0000-0002-9650-2376
Sue ZieblandUniversity of Oxford, Oxford, UK.
Trish GreenhalghUniversity of Oxford, Oxford, UK.ORCID 0000-0003-2369-8088

Funding

This work is based on independent research funded by the National Institute for Health and Care Research (NIHR) (COV-LT2-0005), the Scottish Government Chief Scientist Office (reference COV/LTE/20/04), and Balvi Philanthropic Fund.
6 · The paper itself

Abstract

backgroundNew drugs and vaccines usually come with the promise and hope of benefit. We explore stories about the variable and sometimes disappointing effects of Covid-19 vaccines in the context of post-Covid-19 syndrome ('long Covid'), aiming to understand how people with long Covid made sense of unexpected vaccine responses and how these experiences impacted their trust in vaccination.

methodsWe carried out 33 interviews with people who described both positive and negative unexpected vaccine experiences connected to long Covid.

resultsTrust and distrust in the multiple potential roles of Covid vaccines in relation to long Covid impacted perspectives on future vaccine uptake. Some participants feared being labelled as anti-vaxx if they discussed unexpected vaccine impacts. Disengagement by healthcare professionals in discussions about the possibility of individual vaccine harms had the inverse consequence of limiting uptake of further Covid vaccines. Distrust could also grow in relation to unrealised benefits of vaccination-in this case, the official role as protection from severe infection and the unofficial role of treatment. Participants who trusted vaccines as a form of treatment struggled to access them for this use.

conclusionThe gap between scientific discourse-which recognised potential benefits and potential harms of vaccines in relation to long Covid-and public health discourse, which tended to focus on protection from infection, contributed to difficulties in maintaining trust after unexpected vaccine experiences. Further research to better characterise who is likely to benefit from vaccination and who might be at risk of worsening long Covid symptoms would enable better conversations between patients and healthcare professionals when making decisions about further vaccination. PATIENT OR PUBLIC CONTRIBUTION: The study was guided by a patient and public involvement and engagement (PPIE) group from project development through to dissemination. People with long Covid supported recruitment strategies, informed the development of topic guides, reviewed findings and offered suggestions for dissemination. Study participants were also invited to review and feedback on findings.

Indexed as

COVID-19COVID-19 VaccinesTrustVaccinationAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedPost-Acute COVID-19 SyndromeQualitative ResearchSARS-CoV-2United KingdomCOVID-19 VaccinesCovid‐19futuresinnovationlong CovidnarrativestrustUKvaccines

Identifiers

PMID41117750
PMCPMC12539284

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.