Rationale: Seasonal influenza vaccination rates are below the recommended targets, contributing to significant preventable harms. Protection Motivation Theory (PMT), a widely applied model of motivation to respond to threats, may provide some insights into strategies to increase the rate of vaccine uptake. However, previous research has omitted some of the proposed predictors of intention when applying this model to vaccination. Objective: The aim of the study is to assess the utility of the PMT in predicting intention to obtain the seasonal influenza vaccine. This study will be the first to examine the role of all six PMT constructs in predicting intention to receive the seasonal influenza vaccine. Method: A cross-sectional study of 547 US residents was conducted using Amazon MTurk. Results: All constructs show significant bivariate correlations in the direction expected from the prior literature. However, examination of the theory within a linear regression model found that perceived costs of vaccinating (response costs) did not uniquely account for variance in intention. All other components, perceived severity of and susceptibility to influenza, the perceived benefits of not vaccinating (maladaptive response rewards), the self-efficacy to vaccinate, and the perceived efficacy of vaccinating in preventing influenza (response efficacy) were unique predictors of intention. Overall, the PMT accounted for 62% of the variance in intention to vaccinate. Conclusions: The study is the first to investigate influenza vaccination using all six theorised predictors of intention from the PMT. The findings highlight the importance of the simultaneous inclusion of all components of the model in assessing their potential utility as targets for intervention. Importantly, the results identify under-utilised constructs in the promotion of vaccine uptake, such as maladaptive response rewards, which should be considered targets for future intervention.
Objective: Climate change and related issues associated with the interaction of humans with the environment are of great importance in today's context. More and more research is focusing on understanding what can be done to prevent and reverse the effects of environmental problems through individual behaviours. Within psychology, there is a lack of synthesis of what drives pro-environmental behaviours in various paradigms and how they can be changed. The current study focuses on the application of protection motivation theory to predicting and changing pro-environmental behaviours using a systematic mapping approach. Methods: A systematic screening of 132 databases was performed, resulting in the identification of 22 relevant studies with the total N = 12,827. Results: Investigation of the included research revealed a number of gaps in knowledge including: lack of experimental evidence with successful manipulations of protection motivation theory constructs; non-inclusion of all the aspects of the theory into studies; the absence of examination of the intention-behaviour relationship; the lack of consistency in operationalisation of protection motivation theory constructs; a focus on predominantly western high income societies, and the lack of uniformity in the definition of pro-environmental behaviours. Conclusion: Future research should consider employing experimental designs with proper manipulation checks and longitudinal focus, as well as consistent definitions and operationalisations of relevant concepts, and exploring these constructs across different countries. K E Y W O R D S conservation psychology, environmental psychology, pro-environmental behaviour, protection motivation theory, systematic mapping review
Research consistently shows that right‐wing ideological adherents are more likely to deny climate change. However, less is known about how right‐wing ideological subtypes are uniquely related to climate change denial, as well as what explains these relationships. This study examines whether threat to the socioeconomic system in the form of climate change mitigation policies, referred to as Climate Change Mitigation Threat (CCMT), mediates the relationships between Right‐Wing Authoritarianism (RWA) and Social Dominance Orientation (SDO) subtypes and four forms of climate change denial (existence denial, human cause denial, impact denial and climate science denial). U.S. participants (N = 334; Mage = 34.70, SD = 5.98) were recruited via Amazon MTurk. When shared variance in the predictors was accounted for, we found that: (a) Conventionalism (RWA‐C) positively predicted all forms of climate change denial; (b) Dominance (SDO‐D) positively predicted existence denial; (c) Anti‐Egalitarianism (SDO‐E) positively predicted both human cause and impact denial; and (d) Aggression (RWA‐A) negatively predicted existence denial. All significant direct relationships were partially mediated by CCMT, except for the direct paths between SDO‐D and existence denial, and RWA‐A and existence denial. These findings suggest that right‐wing adherents who conform to societal norms and prefer unequal social systems may deny climate change partly due to a perception that mitigation strategies proposed to combat climate change threaten the existing socioeconomic system.
Meditation-based interventions such as mindfulness and yoga are commonly practiced in the general community to improve mental and physical health. Parents, teachers and healthcare providers are also increasingly using such interventions with children. This review examines the use of meditation-based interventions in the treatment of children with Attention-Deficit Hyperactivity Disorder (ADHD). Electronic databases searched included PsycINFO, Medline, CINAHL, and AMED. Inclusion criteria involved children (aged to 18 years) diagnosed with ADHD, delivery of a meditation-based intervention to children and/or parents, and publication in a peer-reviewed journal. Studies were identified and coded using standard criteria, risk of bias was assessed using Risk of Bias in Non-randomised Studies- of interventions (ROBINS-I), and effect sizes were calculated. A total of 16 studies were identified (8 that included children in treatment, and 8 that included combined parent-child treatment). Results indicated that risk of bias was high across studies. At this stage, no definitive conclusions can be offered regarding the utility of meditation-based interventions for children with ADHD and/or their parents, since the methodological quality of the studies reviewed is low. Future well designed research is needed to establish the efficacy of meditation-based interventions, including commonly used practices such as mindfulness, before recommendations can be made for children with ADHD and their families.
Objective The success of COVID-19 vaccination programs relies on community attitudes, yet little is known about parents' views. We aimed to explore the reasons behind Australian parents' vaccine intentions for themselves and for their children. Method This mixed methods study relates to Wave 13 (January 2021) of a longitudinal study of Australian parents' experiences during COVID-19 and contained 1094 participants (83% mothers). We used multinomial logistic regression to understand demographic predictors of vaccine intention, and a descriptive template thematic analysis to analyse open-ended questions about parents' reasons for vaccine intentions for themselves and their children. Results 64% of Australian parents intend on vaccination, 26% are unsure and 9% intend to decline; 48% intend to vaccinate their children, 38% are unsure, and 14% intend to decline. Relative to those intending to vaccinate, parents unsure (OR = -0.63, 95% CI: 0.46, −0.84, p = .002) or not intending (OR = -0.41, 95% CI: 0.24, 0.67 p < .001) to vaccinate were more likely to have lower trust in doctors. Similar predictors emerged for parents who did not intend to vaccinate their children (OR = 0.47, 95% CI: 0.31, 0.70, p < .001). Qualitative data indicated that many parents had not made a firm decision, including a lack of alignment between intentions and reasons. For example, parents who said ‘yes’ to vaccination, often then expressed hesitance and a focus on risks in their written response. Reasons for hesitancy for themselves included concerns about testing, side effects, and long-term outcomes. Similar themes were present for children, but parents expressed a strong desire to protect their children, and an eagerness for health information. Conclusion Based on prior research and the themes identified here, a multipronged campaign that includes education/promotion, good access to vaccines and role models, is likely to support parents to make informed decisions regarding COVID-19 vaccination.
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