Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia

Older adults with dementia present an increased risk of mortality due to seasonal influenza. Despite concerning evidence, the influenza vaccination program has been unsuccessful, with low rates of uptake in Italian people ≥65 years. In addition, being vaccinated does not eliminate the risk of contra...

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Main Authors: Francesco Bruno, Paolo Abondio, Valentina Laganà, Rosanna Colao, Sabrina M. Curcio, Francesca Frangipane, Gianfranco Puccio, Raffaele Di Lorenzo, Amalia C. Bruni, Raffaele Maletta
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:International Journal of Translational Medicine
Subjects:
Online Access:https://www.mdpi.com/2673-8937/3/2/17
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author Francesco Bruno
Paolo Abondio
Valentina Laganà
Rosanna Colao
Sabrina M. Curcio
Francesca Frangipane
Gianfranco Puccio
Raffaele Di Lorenzo
Amalia C. Bruni
Raffaele Maletta
author_facet Francesco Bruno
Paolo Abondio
Valentina Laganà
Rosanna Colao
Sabrina M. Curcio
Francesca Frangipane
Gianfranco Puccio
Raffaele Di Lorenzo
Amalia C. Bruni
Raffaele Maletta
author_sort Francesco Bruno
collection DOAJ
description Older adults with dementia present an increased risk of mortality due to seasonal influenza. Despite concerning evidence, the influenza vaccination program has been unsuccessful, with low rates of uptake in Italian people ≥65 years. In addition, being vaccinated does not eliminate the risk of contracting a virus, especially by coming into close contact with other possibly unvaccinated people, such as family caregivers in the home environment. Therefore, the refusal of family caregivers to get vaccinated for seasonal influenza could have dire consequences for their relatives with dementia. The aims of this study were to investigate the predictive role of the Theory of Planned Behavior model (TPB) and past vaccination behavior on the intention to receive a seasonal influenza vaccine among family caregivers of people with dementia. Data were collected from seventy-one respondents during July–September 2021 using a cross-sectional web-based survey design. Results of hierarchical binary logistic regression showed that TPB (i.e., attitudes towards vaccination, subjective norms, and perceived behavioral control) explained 51.6% of the variance in intention to receive a seasonal influenza vaccine; past vaccination behavior increased this to 58.8%. In conclusion, past vaccination behavior and the theory of planned behavior variables effectively predict influenza vaccine willingness of family caregivers of people with dementia and should be targeted in vaccination campaigns.
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spelling doaj.art-4851c313e21a47d194dc9a947c5799702023-11-18T10:53:40ZengMDPI AGInternational Journal of Translational Medicine2673-89372023-05-013224625410.3390/ijtm3020017Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with DementiaFrancesco Bruno0Paolo Abondio1Valentina Laganà2Rosanna Colao3Sabrina M. Curcio4Francesca Frangipane5Gianfranco Puccio6Raffaele Di Lorenzo7Amalia C. Bruni8Raffaele Maletta9Association for Neurogenetic Research (ARN), 88046 Lamezia Terme, ItalyLaboratory of Ancient DNA, Department of Cultural Heritage, University of Bologna, 48121 Ravenna, ItalyAssociation for Neurogenetic Research (ARN), 88046 Lamezia Terme, ItalyRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, 88046 Lamezia Terme, ItalyRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, 88046 Lamezia Terme, ItalyRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, 88046 Lamezia Terme, ItalyRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, 88046 Lamezia Terme, ItalyAssociation for Neurogenetic Research (ARN), 88046 Lamezia Terme, ItalyRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, 88046 Lamezia Terme, ItalyRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, 88046 Lamezia Terme, ItalyOlder adults with dementia present an increased risk of mortality due to seasonal influenza. Despite concerning evidence, the influenza vaccination program has been unsuccessful, with low rates of uptake in Italian people ≥65 years. In addition, being vaccinated does not eliminate the risk of contracting a virus, especially by coming into close contact with other possibly unvaccinated people, such as family caregivers in the home environment. Therefore, the refusal of family caregivers to get vaccinated for seasonal influenza could have dire consequences for their relatives with dementia. The aims of this study were to investigate the predictive role of the Theory of Planned Behavior model (TPB) and past vaccination behavior on the intention to receive a seasonal influenza vaccine among family caregivers of people with dementia. Data were collected from seventy-one respondents during July–September 2021 using a cross-sectional web-based survey design. Results of hierarchical binary logistic regression showed that TPB (i.e., attitudes towards vaccination, subjective norms, and perceived behavioral control) explained 51.6% of the variance in intention to receive a seasonal influenza vaccine; past vaccination behavior increased this to 58.8%. In conclusion, past vaccination behavior and the theory of planned behavior variables effectively predict influenza vaccine willingness of family caregivers of people with dementia and should be targeted in vaccination campaigns.https://www.mdpi.com/2673-8937/3/2/17family caregiversdementiatheory of planned behaviorseasonal influenzavaccine hesitancyvaccination intentions
spellingShingle Francesco Bruno
Paolo Abondio
Valentina Laganà
Rosanna Colao
Sabrina M. Curcio
Francesca Frangipane
Gianfranco Puccio
Raffaele Di Lorenzo
Amalia C. Bruni
Raffaele Maletta
Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia
International Journal of Translational Medicine
family caregivers
dementia
theory of planned behavior
seasonal influenza
vaccine hesitancy
vaccination intentions
title Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia
title_full Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia
title_fullStr Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia
title_full_unstemmed Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia
title_short Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia
title_sort using the theory of planned behavior and past behavior to explain the intention to receive a seasonal influenza vaccine among family caregivers of people with dementia
topic family caregivers
dementia
theory of planned behavior
seasonal influenza
vaccine hesitancy
vaccination intentions
url https://www.mdpi.com/2673-8937/3/2/17
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