The health belief model predicts vaccination intentions against COVID-19: A survey experiment approach

With the COVID-19 pandemic recognized as a major threat to human health is of paramount importance to improve the vaccination uptake of the future COVID-19 vaccine. The study extended the health belief model (HBM) using insights from trait theory and events systems theory, to examine the role of beliefs in predicting intentions to be vaccinated against COVID-19, when a vaccine becomes available. Employees from Greece (N = 1006) participated from October 1 to November 5, 2020, in an anonymous online factorial survey experiment. Measures of dispositional optimism, faith in intuition, risk-taking propensity, and acquiring resources mindset were included as individual difference variables. Multilevel modeling techniques were used for data analyses. Components of HBM had significant effects on intentions to vaccinate. Two-way interactions between severity and susceptibility beliefs and three-way interaction among perceived severity, susceptibility, and perceived benefits were detected. In line with the events systems theory, a critical event moderated beliefs' effects on intention to vaccinate. Acquiring resources mindset emerged as important individual difference that positively related to intentions. The model explained 59 per cent of the variance in vaccination intentions. The study highlighted interaction effects among the HBM components and how critical events may moderate belief effects.