The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults

Christy, Shannon M.; Winger, Joseph G.; Raffanello, Elizabeth W.; Halpern, Leslie F.; Danoff–Burg, Sharon; Mosher, Catherine E.

doi:10.1007/s10865-016-9716-z

Cited by 38 publications

(35 citation statements)

References 43 publications

(95 reference statements)

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“…Anticipated emotions are an affective forecast about how would one feel in the future if certain events occur (eg, anticipating I would feel fear if I receive an abnormal result) . Research in cancer has mostly focused on anticipated emotions . Including anticipatory emotions is important, as they constitute independent predictors of health behaviors/intentions .…”

Section: Introductionmentioning

confidence: 99%

Applying the theory of planned behavior to examine adjuvant endocrine therapy adherence intentions

et al. 2018

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Objective Adherence to adjuvant endocrine therapy (AET) in breast cancer survivors is suboptimal. Using the theory of planned behavior (TPB), this study aimed to identify the strongest predictors from the TPB of AET intentions and past behavior and assessed whether ambivalence and anticipatory emotions increased the predictive capacity of TPB. Methods Two hundred eighty women diagnosed with hormone positive (HR+) breast cancer who filled at least one prescription of AET responded to a survey measuring TPB constructs, attitudinal ambivalence, and anticipatory emotions. The outcomes were intentions to adhere to AET and past medication adherence (previous 2 weeks). Results The TPB explained 66% of intentions to adhere to AET (P < 0.001). Ambivalence did not improve the TPB model's predictive value. When emotions were included with TPB, the model explained 70% of adherence intentions F11,226 = 52.84, P < 0.001 (R2c = .70). This increase of 4% in predictability was statistically significant (ΔR2 = 0.04), F6, 226 = 7.90, P < 0.001. Women who self‐reported nonadherence in the past 2 weeks differed significantly in the TPB variables, ambivalence, and anticipatory emotions from adherent women. Nonadherent participants reported lower‐future intentions to adhere F1, 236 = 5.63, P = 0.018. Conclusions Results suggest key concepts, such as anticipatory positive emotions that should be addressed in future interventions to enhance AET adherence and survivorship.

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Section: Introductionmentioning

confidence: 99%

Applying the theory of planned behavior to examine adjuvant endocrine therapy adherence intentions

et al. 2018

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“…Research to date has also investigated a limited range of cognitive and affective factors associated with HPV vaccination behaviours. From a cognitive perspective, knowledge about (Perez, Cruess, & Strauss, 2016;Vermandere et al, 2014), belief in the efficacy and safety of the HPV vaccine (Chan, Chan, Ng, & Wong, 2012;Fernández et al, 2014;Hutson, Dorgan, Duvall, & Garrett, 2011;Manhart et al, 2011;Marchand, Glenn, & Bastani, 2012;Taylor et al, 2012), greater perceived severity of HPV (Kahn et al, 2008), greater perceived social acceptability of receiving the vaccine (Jowkowski & Geshnizjani, 2016;Kahn et al, 2008), and greater anticipated regret if one was unvaccinated and later contracted HPV (Christy et al, 2016;McRee, Katz, Paskett, & Reiter, 2014) are associated with increased intentions and uptake. From an affective perspective, worry about developing cervical cancer (Krakow et al, 2015) is also associated with increased acceptance and uptake.…”

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confidence: 99%

The importance of coherently understanding cervical cancer vaccination: factors associated with young Australian women’s uptake of the HPV vaccine

Sherman

Kilby

Moore

et al. 2017

Health Psychology and Behavioral Medicine

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Background: Cervical cancer vaccination is efficacious and widely available, yet uptake is less than optimal, even in countries such as Australia that provide government-funded vaccination programmes. Effective communication strategies are needed for presenting Human Papillomavirus (HPV) vaccine-related information in a format that enhances understanding about the vaccine, and ultimately, uptake of the vaccine. Using the Common Sense Model framework, we aimed to assess the role of illness coherence in women's decisions to undergo the vaccine. As a secondary aim, we piloted a communication strategy entailing the provision of Disease RiskAction Link information about the links between HPV, cervical cancer, and vaccination on women's cervical cancer illness coherence. Methods: In total, 132 young Australian women (18-26 years old) completed online surveys measuring illness coherence, vaccine status, intentions to undergo vaccination, and medical/demographic variables. Women who had not undergone vaccination were then randomised to receive either a brief or detailed information message about cervical cancer. Messages varied by the extent of detail (brief vs. detailed) providing Disease Risk-Action Link information about the link between the action of the vaccine, the HPV, and cervical cancer. Next, illness coherence was re-assessed. Results: ANOVA results suggested that women who were vaccinated reported higher levels of illness coherence. Linear regression analyses indicated that, in non-vaccinated women, illness coherence was significantly associated with intentions to vaccinate. ANCOVA analysis indicated that non-vaccinated women assigned to the detailed message condition reported greater increases in illness coherence compared to those assigned to the brief message condition. Conclusion: Illness coherence appears to be an important factor in actual vaccination uptake and intentions to vaccinate. The experimental informational message manipulation further demonstrated that the provision of detailed messages highlighting

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“…In addition, it has been shown that anticipated regret plays a more important role than risk perception [47]. For example, Christy et al [48] found among unvaccinated undergraduate men, that anticipatory emotions (i.e. anticipated regret) played a more central role in decision-making regarding HPV vaccination than cognition related to vaccination.…”

Section: Discussionmentioning

confidence: 99%

“…This approach of integrating attitudes to vaccination, regret, anticipated regret, coping strategies and altruism can perhaps be applied to examine vaccination programs less consensual than routine childhood vaccination. For example, HPV vaccination among adolescents [48] or flu vaccination [44]. …”

Section: Discussionmentioning

confidence: 99%

Parental regret regarding children’s vaccines—The correlation between anticipated regret, altruism, coping strategies and attitudes toward vaccines

Hamama‐Raz

Ginossar-David

Ben–Ezra

2016

Isr J Health Policy Res

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BackgroundParental hesitancy for recommended childhood vaccines is a growing public health concern influenced by various factors. This study aimed to explore regret regarding parental decisions to vaccinate their children via possible correlations between anticipated regret, altruism, coping strategies, and parents’ attitudes toward the vaccination of their children.MethodsThe study was conducted during 2014 in Israel. Data were collected via snowballing methodology (i.e., Internet forums, Facebook and e- mails). 314 parents of children ages 0–6 years participated in the study. Questionnaires were distributed and completed on-line including attitudes toward vaccines, altruism, coping strategies, regret and anticipated regret.ResultsPearson analysis revealed a moderate negative association between attitudes toward vaccinations and regret. In addition, weak but significant positive associations emerged between anticipated regret and regret as well as between gender and regret.Performing hierarchical regression analysis revealed contribution of 35.9 % to the explained variance of regret suggesting that coping strategy of instrumental support, attitudes toward vaccinations and anticipated regret are linked significantly to regret.ConclusionParental attitudes toward vaccines and anticipated regret have a salient role when deciding whether or not to vaccinate children and contribute to the prediction of regret regarding vaccination. In order to increase parental consent to vaccination of their children, it is important to minimize possible regret through the strength of the recommendation and/or knowledge base about risk/benefit (perceived, heuristic) of vaccines that might influence parental attitudes and lessen their anticipated regret.Trial registrationN/A. This is not a clinical trial and thus does not require registration. Ethics approval was received from Ariel University School of Social Work Ethics committee (18/02/14). This was an attitude survey.The Ariel University School of Social Work Ethics committee approved performance of this attitude survey (18/02/14).

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The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults

Cited by 38 publications

References 43 publications

Applying the theory of planned behavior to examine adjuvant endocrine therapy adherence intentions

Applying the theory of planned behavior to examine adjuvant endocrine therapy adherence intentions

The importance of coherently understanding cervical cancer vaccination: factors associated with young Australian women’s uptake of the HPV vaccine

Parental regret regarding children’s vaccines—The correlation between anticipated regret, altruism, coping strategies and attitudes toward vaccines

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