Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-Analysis

This study systematically analyzed the literature using the theory of planned behavior (TPB) as a theoretical framework to examine the influence of its constructs on vaccination intention against COVID-19. Quantitative studies were searched in PubMed, CINAHL, Web of Science, and Google Scholar follo...

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Main Authors: Yam B. Limbu, Rajesh K. Gautam, Wencang Zhou
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/12/2026
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author Yam B. Limbu
Rajesh K. Gautam
Wencang Zhou
author_facet Yam B. Limbu
Rajesh K. Gautam
Wencang Zhou
author_sort Yam B. Limbu
collection DOAJ
description This study systematically analyzed the literature using the theory of planned behavior (TPB) as a theoretical framework to examine the influence of its constructs on vaccination intention against COVID-19. Quantitative studies were searched in PubMed, CINAHL, Web of Science, and Google Scholar following the PRISMA guidelines. The average rate of COVID-19 vaccination intention was 73.19%, ranging from 31% to 88.86%. Attitude had the strongest association with vaccination intention (<i>r<sub>+</sub></i> = 0.487, 95% CI: 0.368–0.590), followed by subjective norms (<i>r<sub>+</sub></i> = 0.409, 95% CI: 0.300–0.507), and perceived behavioral control (<i>r<sub>+</sub></i> = 0.286, 95% CI: 0.198–0.369). Subgroup analyses showed that the pooled effect sizes of TPB constructs on vaccination intention varied across geographic regions and study populations. Attitude had large effect sizes in Asia, Europe, and Oceania, especially among the adult general population, parents, and patients. Subjective norms had large effect sizes in Asia and Oceania, especially among parents and patients. Perceived behavioral control was the most dominant predictor of vaccination acceptance in Africa among patients. These findings suggest that TPB provides a useful framework for predicting intention to receive a COVID-19 vaccine. Hence, public awareness and educational programs aimed at promoting COVID-19 vaccination intention should consider using TPB as a framework to achieve the goal.
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spelling doaj.art-0c00f9a1bc2747a294a82a96d6f7e97a2023-11-24T18:31:23ZengMDPI AGVaccines2076-393X2022-11-011012202610.3390/vaccines10122026Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-AnalysisYam B. Limbu0Rajesh K. Gautam1Wencang Zhou2Feliciano School of Business, Montclair State University, 1 Normal Ave., Montclair, NJ 07043, USADepartment of Anthropology, Dr. Harisingh Gour Central University, University Road, Sagar 470003, MP, IndiaFeliciano School of Business, Montclair State University, 1 Normal Ave., Montclair, NJ 07043, USAThis study systematically analyzed the literature using the theory of planned behavior (TPB) as a theoretical framework to examine the influence of its constructs on vaccination intention against COVID-19. Quantitative studies were searched in PubMed, CINAHL, Web of Science, and Google Scholar following the PRISMA guidelines. The average rate of COVID-19 vaccination intention was 73.19%, ranging from 31% to 88.86%. Attitude had the strongest association with vaccination intention (<i>r<sub>+</sub></i> = 0.487, 95% CI: 0.368–0.590), followed by subjective norms (<i>r<sub>+</sub></i> = 0.409, 95% CI: 0.300–0.507), and perceived behavioral control (<i>r<sub>+</sub></i> = 0.286, 95% CI: 0.198–0.369). Subgroup analyses showed that the pooled effect sizes of TPB constructs on vaccination intention varied across geographic regions and study populations. Attitude had large effect sizes in Asia, Europe, and Oceania, especially among the adult general population, parents, and patients. Subjective norms had large effect sizes in Asia and Oceania, especially among parents and patients. Perceived behavioral control was the most dominant predictor of vaccination acceptance in Africa among patients. These findings suggest that TPB provides a useful framework for predicting intention to receive a COVID-19 vaccine. Hence, public awareness and educational programs aimed at promoting COVID-19 vaccination intention should consider using TPB as a framework to achieve the goal.https://www.mdpi.com/2076-393X/10/12/2026vaccination intentionCOVID-19theory of planned behaviorattitudesubjective normsperceived behavioral control
spellingShingle Yam B. Limbu
Rajesh K. Gautam
Wencang Zhou
Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-Analysis
Vaccines
vaccination intention
COVID-19
theory of planned behavior
attitude
subjective norms
perceived behavioral control
title Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-Analysis
title_full Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-Analysis
title_fullStr Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-Analysis
title_full_unstemmed Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-Analysis
title_short Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta-Analysis
title_sort predicting vaccination intention against covid 19 using theory of planned behavior a systematic review and meta analysis
topic vaccination intention
COVID-19
theory of planned behavior
attitude
subjective norms
perceived behavioral control
url https://www.mdpi.com/2076-393X/10/12/2026
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AT rajeshkgautam predictingvaccinationintentionagainstcovid19usingtheoryofplannedbehaviorasystematicreviewandmetaanalysis
AT wencangzhou predictingvaccinationintentionagainstcovid19usingtheoryofplannedbehaviorasystematicreviewandmetaanalysis