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Risk Communication, Values Clarification, and Vaccination Decisions

Author

Listed:
  • Holly O. Witteman
  • Selma Chipenda Dansokho
  • Nicole Exe
  • Audrey Dupuis
  • Thierry Provencher
  • Brian J. Zikmund‐Fisher

Abstract

Many health‐related decisions require choosing between two options, each with risks and benefits. When presented with such tradeoffs, people often make choices that fail to align with scientific evidence or with their own values. This study tested whether risk communication and values clarification methods could help parents and guardians make evidence‐based, values‐congruent decisions about children's influenza vaccinations. In 2013–2014 we conducted an online 2×2 factorial experiment in which a diverse sample of U.S. parents and guardians (n = 407) were randomly assigned to view either standard information about influenza vaccines or risk communication using absolute and incremental risk formats. Participants were then either presented or not presented with an interactive values clarification interface with constrained sliders and dynamic visual feedback. Participants randomized to the risk communication condition combined with the values clarification interface were more likely to indicate intentions to vaccinate (β = 2.10, t(399) = 2.63, p

Suggested Citation

  • Holly O. Witteman & Selma Chipenda Dansokho & Nicole Exe & Audrey Dupuis & Thierry Provencher & Brian J. Zikmund‐Fisher, 2015. "Risk Communication, Values Clarification, and Vaccination Decisions," Risk Analysis, John Wiley & Sons, vol. 35(10), pages 1801-1819, October.
    • Handle: RePEc:wly:riskan:v:35:y:2015:i:10:p:1801-1819
    DOI: 10.1111/risa.12418
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    References listed on IDEAS

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    1. Valerie F. Reyna, 2008. "A Theory of Medical Decision Making and Health: Fuzzy Trace Theory," Medical Decision Making, , vol. 28(6), pages 850-865, November.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    3. Pieterse, Arwen H. & de Vries, Marieke & Kunneman, Marleen & Stiggelbout, Anne M. & Feldman-Stewart, Deb, 2013. "Theory-informed design of values clarification methods: A cognitive psychological perspective on patient health-related decision making," Social Science & Medicine, Elsevier, vol. 77(C), pages 156-163.
    4. Jennifer Amsterlaw & Brian Zikmund-Fisher & Angela Fagerlin & Peter A. Ubel, 2006. "Can avoidance of complications lead to biased healthcare decisions?," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 1, pages 64-75, July.
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    Cited by:

    1. Kolotylo-Kulkarni, Malgorzata & Marakas, George M. & Xia, Weidong, 2024. "Understanding protective behavior and vaccination adoption among US individuals during the COVID-19 pandemic: A four-wave longitudinal study," Journal of Business Research, Elsevier, vol. 179(C).
    2. Rowan Terrell & Abdallah Alami & Daniel Krewski, 2023. "Interventions for COVID-19 Vaccine Hesitancy: A Systematic Review and Narrative Synthesis," IJERPH, MDPI, vol. 20(12), pages 1-17, June.
    3. Vicki S. Freimuth & Amelia Jamison & Gregory Hancock & Donald Musa & Karen Hilyard & Sandra Crouse Quinn, 2017. "The Role of Risk Perception in Flu Vaccine Behavior among African‐American and White Adults in the United States," Risk Analysis, John Wiley & Sons, vol. 37(11), pages 2150-2163, November.
    4. repec:plo:pone00:0156118 is not listed on IDEAS
    5. Holly O. Witteman & Ruth Ndjaboue & Gratianne Vaisson & Selma Chipenda Dansokho & Bob Arnold & John F. P. Bridges & Sandrine Comeau & Angela Fagerlin & Teresa Gavaruzzi & Melina Marcoux & Arwen Pieter, 2021. "Clarifying Values: An Updated and Expanded Systematic Review and Meta-Analysis," Medical Decision Making, , vol. 41(7), pages 801-820, October.
    6. Holly O. Witteman & Anne-Sophie Julien & Ruth Ndjaboue & Nicole L. Exe & Valerie C. Kahn & Angela (Angie) Fagerlin & Brian J. Zikmund-Fisher, 2020. "What Helps People Make Values-Congruent Medical Decisions? Eleven Strategies Tested across 6 Studies," Medical Decision Making, , vol. 40(3), pages 266-278, April.

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