Boosting vaccination: Accelerating vaccine uptake through communication science

Victoria Ledford, Xiaoli Nan


Effective public health messages about vaccination can bolster human vaccine uptake to prevent the spread of infectious diseases. Despite this potentiality, the One Health framework that values an interdependent approach to health has not fully considered the role of communication science in promoting public health. In this article, we offer evidence-based recommendations for health practitioners and researchers creating vaccine promotion messages. An interdisciplinary field, communication science suggests that vaccine messages can change beliefs, attitudes, and behaviors through a systematic understanding of one’s audience and targeted and tailored health messages that appeal to beliefs about the outcomes of a behavior and beliefs about an individual’s behavioral efficacy. Implications for and challenges to vaccine communication are discussed.


behavior change; COVID-19 vaccine; communication science; persuasion; public health

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Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211.

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215.

Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology and Health, 13(4), 623–649.

Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52(1), 1–26.

Fishbein, M. (1979). A theory of reasoned action: Some applications and implications. Nebraska Symposium on Motivation, 27, 65–116.

Fishbein, M., & Cappella, J. N. (2006). The role of theory in developing effective health communications. Journal of Communication, 56(s1), S1–S17.

Higgins, E., T. (2000). Making a good decision: Value from fit. American Psychologist, 55(11), 1217–1230.

Hornik, R. (2002). Public health communication: Evidence for behavior change. Routledge.

Hornsey, M. J., Oppes, T., & Svensson, A. (2002). «It’s OK if we say it, but you can’t»: Responses to intergroup and intragroup criticism. European Journal of Social Psychology, 32(3), 293–307.

Jackson, D. N., Peterson, E., Blake, K. D., & Coa, K. (2019). American’s trust in health information sources: Trends and sociodemographic factors. American Journal of Health Promotion, 33(8), 1187–1193.

Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1–47.

Lapinski, M. K., Funk, J. A., & Moccia, L. T. (2015). Recommendations for the role of social science research in One Health. Social Science & Medicine129, 51–60.

Lewandowsky, S., & Van Der Linden, S. (2021). Countering misinformation and fake news through inoculation and prebunking. European Review of Social Psychology, 32(2), 1–38.

McGuire, W. J. (1961). The effectiveness of supportive and refutational defenses in immunizing and restoring beliefs against persuasion. Sociometry, 24(2), 184–197.

McGuire, W. J. (1989). Theoretical foundations of campaigns. In R. E. Rice & C. K. Atkin (Eds.), Public communication campaigns (Vol. 2, pp. 43–65). Sage.

Nan, X., Iles, I. A., Yang, B., & Ma, Z. (2022). Public health messaging during the Covid-19 pandemic and beyond: Lessons from communication science. Health Communication, 37(1), 1–19.

O’Keefe, D. J. (2002). Persuasion: Theory and research. Sage.

Paul, E., Steptoe, A., & Fancourt, D. (2020). Attitudes towards vaccines and intention to vaccinate against Covid-19: Implications for public health communications. The Lancet, 1, 100012.

Sheeran, P., Maki, A., Montanaro, E., Avishai-Yitshak, A., Bryan, A., Klein, W. M., Miles, E., & Rothman, A. J. (2016). The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis. Health Psychology, 35(11), 1178–1188.


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