Review
Version 1
Preserved in Portico This version is not peer-reviewed
Development of Tools to Assess Vaccine Literacy: A Scoping Review and Future Perspectives
Version 1
: Received: 17 February 2024 / Approved: 18 February 2024 / Online: 19 February 2024 (10:14:12 CET)
Version 2 : Received: 19 February 2024 / Approved: 20 February 2024 / Online: 21 February 2024 (03:47:29 CET)
Version 2 : Received: 19 February 2024 / Approved: 20 February 2024 / Online: 21 February 2024 (03:47:29 CET)
A peer-reviewed article of this Preprint also exists.
Biasio, L.R.; Zanobini, P.; Lorini, C.; Bonaccorsi, G. Perspectives in the Development of Tools to Assess Vaccine Literacy. Vaccines 2024, 12, 422. Biasio, L.R.; Zanobini, P.; Lorini, C.; Bonaccorsi, G. Perspectives in the Development of Tools to Assess Vaccine Literacy. Vaccines 2024, 12, 422.
Abstract
This research follows the publication of recent scoping and systematic reviews of existing literature on vaccine literacy (VL), its relationship to vaccine hesitancy (VH), and associated variables, such as vaccination beliefs, attitudes, and behaviors towards immunization. In this review, 17 articles were selected, published between December 2022 and November 2023, in which VL tools were used, most of which support the notion of a negative association between VL and VH, although not confirmed by others. Moreover, the definitions of the variables under consideration were not homogeneous between studies, some aimed to evaluate the association of VL with vaccine confidence, while others were more focused on outcomes such as willingness to be vaccinated or vaccine uptake. The complexity of the factors underlying VL, and the heterogeneity of the methods applied in the studies, in particular the limitations of cross-sectional surveys, still make it difficult to have a comprehensive understanding of the role of VL. Therefore, it is important to develop future assessment tools that consider not just the measurement of psychological factors connected to the motivational aspect of VL, but also those related to knowledge and competencies. For this purpose, a theoretical framework is proposed, where the positioning of VL at the intersection between antecedents and beliefs/attitudes leading to behaviors explains why and how VL serves as a tool and a critical, direct, or mediating driver of vaccination choices, overcoming VH and increasing vaccination rates, operating at personal, as well as at organizational and community level.
Keywords
vaccine literacy; health literacy; vaccine hesitancy; beliefs; attitudes; psychometric tools
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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