Predicting vaccine uptake during COVID-19 crisis: A motivational approach

•Infection-related risk perception predicts vaccination intention and uptake.•Autonomous motivation positively contributes to vaccination intention and uptake.•The contribution of infection-related risk perception on vaccination is fully mediated by motivations to get vaccinated.•Distrust in the vac...

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Bibliographic Details
Published in:Vaccine 2022-01, Vol.40 (2), p.288-297
Main Authors: Schmitz, Mathias, Luminet, Olivier, Klein, Olivier, Morbée, Sofie, Van den Bergh, Omer, Van Oost, Pascaline, Waterschoot, Joachim, Yzerbyt, Vincent, Vansteenkiste, Maarten
Format: Article
Language:English
Subjects:
Behavior
Coronaviruses
COVID-19
COVID-19 Vaccines
Cross-Sectional Studies
Humans
Hypotheses
Immunization
Infections
Intention
Motivation
Pandemic concerns
Pandemics
Perceptions
Risk perception
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Structural equation modeling
Vaccination
Vaccination hesitancy
Vaccines
Viral diseases
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Summary:•Infection-related risk perception predicts vaccination intention and uptake.•Autonomous motivation positively contributes to vaccination intention and uptake.•The contribution of infection-related risk perception on vaccination is fully mediated by motivations to get vaccinated.•Distrust in the vaccine undermines vaccination intention and uptake.•We discuss implications in terms of communication strategies. The present research examined which motivational factors contribute to individuals’ intention to take a vaccine that protects against SARS-CoV-2-virus and their self-reported vaccine uptake several months later. The role of different types of motivation was investigated (i.e., autonomous and controlled regulation) as well as vaccine distrust and effort to obtain a vaccine. Across two large-scale cross-sectional (N = 8887) and longitudinal (N = 6996) studies and controlling for various covariates, autonomous motivation and distrust-based amotivation contributed positively and negatively, respectively, to a) concurrent vaccination intentions, b) self-reported vaccination and c) subsequent subscription to a waitlist to obtain a vaccine. Participants’ infection-related risk perception predicted more positive vaccination outcomes through fostering greater autonomous motivation for vaccination and lower distrust, whereas pandemic-related health concerns failed to yield such adaptive effects. The results emphasize the importance of fostering autonomous motivation for vaccination and handling distrust.
ISSN:0264-410X
1873-2518
DOI:10.1016/j.vaccine.2021.11.068