Behaviorally Informed Messages Increase COVID-19 Vaccination Intentions
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Washington, DC: World Bank
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During the COVID-19 pandemic, low-
and middle-income countries struggled with lower vaccination
rates compared to wealthier countries, posing challenges to
reducing virus transmission, mitigating healthcare system
pressures, and promoting economic recovery. Communications
campaigns offer low-cost opportunities to overcome such
challenges by strengthening vaccine confidence and
intentions to get vaccinated, but empirical testing is
needed to identify which messages will be most effective in
different contexts. To support policy-making efforts to
design effective communication rapidly during the pandemic,
a global research program of 28 online experiments was
conducted by recruiting respondents (123,270 individuals)
through social media between January 2021 and June 2022
across 23 mostly low- and middle-income countries and
territories. An individual participant data (IPD)
meta-analysis of these data summarizes the results of this
research program testing the impact of behaviorally informed
messaging on vaccine intentions. Results from the
meta-analysis show that among unvaccinated survey
respondents, behaviorally informed messages significantly
increased the odds of vaccination intention by 1.28 times
overall and up to 1.93 times in individual studies (safety
messages in Papua New Guinea). Significant pooled effects of
specific framings ranged from increasing the odds of
vaccination intention by 1.16 times (variant framing) to
1.45 times (experts and religious leaders framing). This
research underscores the importance of communication
tailored to address different drivers of vaccine hesitancy
and offers insights for handling future health crises with
behavioral communication strategies leveraging rapid
insights afforded by social media.
Palabras clave
INFECTIOUS DISEASE, CORONAVIRUS, IMMUNIZATION, MESSAGE FRAMING
