A Scoping Review of Self-Report Measures Used to Assess Individual and Contextual Determinants of COVID-19 Vaccination in General Population Samples

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dc.contributor.advisorCampbell, Tavis
dc.contributor.authorMoran, Chelsea Véronique
dc.contributor.committeememberRonksley, Paul
dc.contributor.committeememberMcDonough, Meghan
dc.contributor.committeememberBoucher, Jean-Christophe
dc.contributor.committeememberKennedy, Eric
dc.date2023-11
dc.date.accessioned2023-09-01T16:10:08Z
dc.date.available2023-09-01T16:10:08Z
dc.date.issued2023-08-24
dc.description.abstractIntroduction: Understanding vaccine refusal is crucial for enhancing COVID-19 vaccination rates. There has been a surge in survey-based research using self-report measures to identify predictors of COVID-19 vaccination uptake. The validity of research findings greatly depends on the use of appropriate and rigorous measurement practices. This dissertation aims to describe constructs and evaluate measurement practices in peer-reviewed studies on determinants of COVID-19 uptake in general population samples. Methods: A scoping review adhering to PRISMA-ScR guidelines was conducted (Study 1, Chapter 2). This review focused on construct definition and theoretical representation, based on the Capability, Opportunity, Motivation, Behavior (COM-B) model, and examined the characteristics of self-report measures. A secondary analysis of data from this scoping review, supplemented by a targeted search strategy, identified validated self-report measures and critically appraised the quality of their measurement properties using the Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidance (Study 2, Chapter 3). Results: The comprehensive literature search identified 157 unique studies which reported on 425 constructs. Constructs representing the motivation dimension of the COM-B model were prominent, while capability and opportunity factors were often neglected. Frequently assessed constructs included positive and negative attitudes, intentions, beliefs, willingness, and hesitancy. The results revealed conceptual overlap in construct definitions and inconsistent use of construct labels. Most self-report measures were developed by study authors, used in only one study retrieved, and lacked reporting of psychometric properties. Study 2 identified ten validated self-report measures assessing COVID-19 vaccine attitudes, beliefs, hesitancy, and anxiety, with generally inadequate quality of psychometric evidence examined and limited reporting of methods used to ascertain content validity. Although the Vaccination Concerns in COVID-19 Scale (VaCCS) demonstrated the highest quality evidence for measurement properties, none of the measures retrieved in Study 2 could be recommended without further research to further quantify their measurement properties. Conclusion: This dissertation offers guidance on construct definition and measure selection for future research on COVID-19 vaccination determinants. Further research is needed to standardize construct definitions, confirm the measurement properties of existing measures, and develop measures to assess social and environmental factors. Recommendations for improving measurement practices are discussed.
dc.identifier.citationMoran, C. V. (2023). A scoping review of self-report measures used to assess individual and contextual determinants of COVID-19 vaccination in general population samples (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.
dc.identifier.urihttps://hdl.handle.net/1880/116949
dc.identifier.urihttps://dx.doi.org/10.11575/PRISM/41794
dc.language.isoen
dc.publisher.facultyGraduate Studies
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
dc.subjectvaccination
dc.subjectimmunization/immunisation
dc.subjectmeasurement
dc.subjectself-report measure
dc.subjectscoping review
dc.subjectassessment
dc.subjectreliability
dc.subjectvalidity
dc.subject.classificationPublic Health
dc.subject.classificationPsychology--Behavioral
dc.subject.classificationPsychometrics
dc.titleA Scoping Review of Self-Report Measures Used to Assess Individual and Contextual Determinants of COVID-19 Vaccination in General Population Samples
dc.typedoctoral thesis
thesis.degree.disciplinePsychology – Clinical
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameDoctor of Philosophy (PhD)
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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