The refinement of an online, theory-based intervention to decrease COVID-19 vaccination hesitancy in Canadian adults: Phase I of the iPROTECT Study

dc.contributor.advisorCampbell, Tavis
dc.contributor.authorSeidel, Sydney
dc.contributor.committeememberCampbell, David
dc.contributor.committeememberCallahan, Brandy
dc.contributor.committeememberGodley, Jenny
dc.date2024-11
dc.date.accessioned2023-09-22T14:40:29Z
dc.date.available2023-09-22T14:40:29Z
dc.date.issued2023-08-24
dc.description.abstractBackground: Approximately 6.9 million deaths due to the coronavirus disease of 2019 (COVID-19) have occurred worldwide. While around 86% of Canadians are fully vaccinated against COVID-19, only 55% have received a booster dose. Current public health strategies to address COVID-19 vaccine hesitancy are inconsistent with health behaviour change theory. Self- determination theory (SDT) is an evidence-based framework which seeks to enhance individual motivation for behaviour change. The purpose of the present study is to refine and evaluate the preliminary effects of an online intervention grounded in SDT to address COVID-19 vaccination hesitancy in Canadian adults, using multi-phasic, pilot mixed methods studies. The present study is divided into two phases (Phases I a and b). Methods: Phase Ia: A purposive sample of 19 Canadian adults (18+) were recruited to participate in a one-on-one- semi-structured interview guided by the Think Aloud method to provide their perspectives on the intervention. Qualitative data was analyzed using Thematic Analysis. Phase Ib: A purposive sample of 70 Canadian adults completed the intervention to assess whether it produced indications of a preliminary clinical signal (i.e., defined by at least 40% of participants increasing their likelihood of receiving an additional COVID-19 vaccine one-week post-intervention). Acceptability and usability measures were collected as secondary outcomes. Results: Phase Ia revealed 4 overarching themes: (1) Normalization video is neutral and emphasizes agency, (2) Intervention language is impartial and accessible, (3) User experiences with the intervention are acceptable, and (4) Feedback for intervention refinement. Phase Ib demonstrated that a preliminary clinical signal was not achieved (20% of participants increased the likelihood at one-week follow-up). However, acceptability (uMARS Total App Quality = 4.38 out of 5) and usability (Total SUS = 80.72 out of 100) measures revealed high participant ratings. Conclusion: This preliminary work provides support for high levels of intervention usability and acceptability. Additional testing to assess for a clinical signal threshold should be conducted prior to progression toward proof-of-concept pilot testing.
dc.identifier.citationSeidel, S. (2023). The refinement of an online, theory-based intervention to decrease COVID-19 vaccination hesitancy in Canadian adults: phase I of the iPROTECT study (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.
dc.identifier.urihttps://hdl.handle.net/1880/117159
dc.identifier.urihttps://doi.org/10.11575/PRISM/42001
dc.language.isoen
dc.publisher.facultyArts
dc.publisher.institutionUniversity of Calgary
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectCOVID-19 vaccination
dc.subjectvaccination hesitancy
dc.subject.classificationPsychology--Clinical
dc.titleThe refinement of an online, theory-based intervention to decrease COVID-19 vaccination hesitancy in Canadian adults: Phase I of the iPROTECT Study
dc.typemaster thesis
thesis.degree.disciplinePsychology – Clinical
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Science (MSc)
ucalgary.thesis.accesssetbystudentI do not require a thesis withhold – my thesis will have open access and can be viewed and downloaded publicly as soon as possible.
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