The COVID-19 vaccine concerns scale: Development and validation of a new measure

Reasons for COVID-19 hesitancy are multi-faceted and tend to differ from those for general vaccine hesitancy. We developed the COVID-19 Vaccine Concerns Scale (CVCS), a self-report measure intended to better understand individuals’ concerns about COVID-19 vaccines. We validated the scale using data...

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Main Authors: Megan E. Gregory, Sarah R. MacEwan, Jonathan R. Powell, Jaclyn Volney, Jordan D. Kurth, Eben Kenah, Ashish R. Panchal, Ann Scheck McAlearney
Format: Article
Language:English
Published: Taylor & Francis Group 2022-11-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2022.2050105
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author Megan E. Gregory
Sarah R. MacEwan
Jonathan R. Powell
Jaclyn Volney
Jordan D. Kurth
Eben Kenah
Ashish R. Panchal
Ann Scheck McAlearney
author_facet Megan E. Gregory
Sarah R. MacEwan
Jonathan R. Powell
Jaclyn Volney
Jordan D. Kurth
Eben Kenah
Ashish R. Panchal
Ann Scheck McAlearney
author_sort Megan E. Gregory
collection DOAJ
description Reasons for COVID-19 hesitancy are multi-faceted and tend to differ from those for general vaccine hesitancy. We developed the COVID-19 Vaccine Concerns Scale (CVCS), a self-report measure intended to better understand individuals’ concerns about COVID-19 vaccines. We validated the scale using data from a convenience sample of 2,281 emergency medical services providers, a group of professionals with high occupational COVID-19 risk. Measures included the CVCS items, an adapted Oxford COVID-19 vaccine hesitancy scale, a general vaccine hesitancy scale, demographics, and self-reported COVID-19 vaccination status. The CVCS had high internal consistency reliability (α = .89). A one-factor structure was determined by exploratory and confirmatory factor analyses (EFA and CFA), resulting in a seven-item scale. The model had good fit (X2[14] = 189.26, p < .001; CFI = .95, RMSEA = .11 [.09, .12], NNFI = .93, SRMR = .03). Moderate Pearson correlations with validated scales of general vaccine hesitancy (r = .71 , p < .001; n = 2144) and COVID-19 vaccine hesitancy (r = .82; p < .001; n = 2279) indicated construct validity. The CVCS predicted COVID-19 vaccination status (B =  −2.21, Exp(B) = .11 [95% CI = .09, .13], Nagelkerke R2 = .55), indicating criterion-related validity. In sum, the 7-item CVCS is a reliable and valid self-report measure to examine fears and concerns about COVID-19 vaccines. The scale predicts COVID-19 vaccination status and can be used to inform efforts to reduce COVID-19 vaccine hesitancy.
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spelling doaj.art-a299527706b1474fbf5ad430210d7a7d2023-09-26T13:19:05ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-11-0118510.1080/21645515.2022.20501052050105The COVID-19 vaccine concerns scale: Development and validation of a new measureMegan E. Gregory0Sarah R. MacEwan1Jonathan R. Powell2Jaclyn Volney3Jordan D. Kurth4Eben Kenah5Ashish R. Panchal6Ann Scheck McAlearney7The Ohio State UniversityThe Ohio State UniversityNational Registry of Emergency Medical TechniciansThe Ohio State UniversityNational Registry of Emergency Medical TechniciansThe Ohio State University College of Public HealthThe Ohio State UniversityThe Ohio State UniversityReasons for COVID-19 hesitancy are multi-faceted and tend to differ from those for general vaccine hesitancy. We developed the COVID-19 Vaccine Concerns Scale (CVCS), a self-report measure intended to better understand individuals’ concerns about COVID-19 vaccines. We validated the scale using data from a convenience sample of 2,281 emergency medical services providers, a group of professionals with high occupational COVID-19 risk. Measures included the CVCS items, an adapted Oxford COVID-19 vaccine hesitancy scale, a general vaccine hesitancy scale, demographics, and self-reported COVID-19 vaccination status. The CVCS had high internal consistency reliability (α = .89). A one-factor structure was determined by exploratory and confirmatory factor analyses (EFA and CFA), resulting in a seven-item scale. The model had good fit (X2[14] = 189.26, p < .001; CFI = .95, RMSEA = .11 [.09, .12], NNFI = .93, SRMR = .03). Moderate Pearson correlations with validated scales of general vaccine hesitancy (r = .71 , p < .001; n = 2144) and COVID-19 vaccine hesitancy (r = .82; p < .001; n = 2279) indicated construct validity. The CVCS predicted COVID-19 vaccination status (B =  −2.21, Exp(B) = .11 [95% CI = .09, .13], Nagelkerke R2 = .55), indicating criterion-related validity. In sum, the 7-item CVCS is a reliable and valid self-report measure to examine fears and concerns about COVID-19 vaccines. The scale predicts COVID-19 vaccination status and can be used to inform efforts to reduce COVID-19 vaccine hesitancy.http://dx.doi.org/10.1080/21645515.2022.2050105vaccine hesitancycovid-19scale developmentscale validationsurvey
spellingShingle Megan E. Gregory
Sarah R. MacEwan
Jonathan R. Powell
Jaclyn Volney
Jordan D. Kurth
Eben Kenah
Ashish R. Panchal
Ann Scheck McAlearney
The COVID-19 vaccine concerns scale: Development and validation of a new measure
Human Vaccines & Immunotherapeutics
vaccine hesitancy
covid-19
scale development
scale validation
survey
title The COVID-19 vaccine concerns scale: Development and validation of a new measure
title_full The COVID-19 vaccine concerns scale: Development and validation of a new measure
title_fullStr The COVID-19 vaccine concerns scale: Development and validation of a new measure
title_full_unstemmed The COVID-19 vaccine concerns scale: Development and validation of a new measure
title_short The COVID-19 vaccine concerns scale: Development and validation of a new measure
title_sort covid 19 vaccine concerns scale development and validation of a new measure
topic vaccine hesitancy
covid-19
scale development
scale validation
survey
url http://dx.doi.org/10.1080/21645515.2022.2050105
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