Research Brief

Vaccine Study 5

Augmenting vaccination data among priority populations

Impact Canada, Impact & Innovation Unit, Privy Council Office
man getting vaccinated

Summary

Survey data were collected in two phases: (1) respondents were sampled from the general population in Canada with proportional quotas for age/sex/region; and (2) respondents were oversampled from according to ethnic, racial or Indigenous identity-based quotas. Ethnic, racial or Indigenous identity information was collected (based on census variable categories from Statistics Canada) and used to over-sample respondents from among the following groups: Indigenous, Black, Arab/West Asian, South Asian, Southeast Asian and Latin American. Respondents answered a number of questions to assess several different attitudinal, cognitive and behavioural factors related to COVID-19 vaccination, as well as a number of different demographic factors.

Key Insights

Results indicated that there exists gaps in some racialized groups among key attitudinal and cognitive factors that are strongly associated with vaccination status and intentions. These include vaccine confidence, knowledge of COVID-19 vaccines, positive perceptions of COVID-19 vaccines and the ability to identify misinformation. Despite these differences, attitudinal and cognitive factors such as vaccine confidence and knowledge of COVID-19 vaccines are more strongly associated with vaccine intentions among unvaccinated respondents than most other demographic factors. Top reasons for vaccine hesitancy (among unvaccinated and partially vaccinated respondents) include concerns that not enough testing or research has been done and concerns about the safety and effectiveness of COVID-19 vaccines. Among unvaccinated respondents, initiatives that promote the accessibility of vaccination services were cited as most likely to increase the likelihood of vaccination.

Published: 2022-05-05
Last modified: 2025-05-25
Research Brief

Parent/Guardian vaccine intentions

Understanding Parent/Guardian intentions to have their child(ren) receive a COVID-19 vaccine

Impact Canada, Impact & Innovation Unit, Privy Council Office
family of four walking and holding hands

Summary

Data were collected between October 30 and November 15, 2021. This was just prior to Health Canada’s approval of COVID-19 vaccines for 5-11 year olds.

Key Insights

The study revealed several trends in vaccination intentions among Canadian parents and guardians. A variety of factors were uniquely associated with lower parental intentions to get their child(ren) vaccinated, including parents’/guardians’ own vaccination status (i.e., not vaccinated with at least one dose), younger child age, lower household income, indifference about COVID-19 infection, lower COVID-19 vaccine confidence, concerns of side-effects from routine childhood vaccinations, and children not receiving a seasonal flu vaccination. Top stated reasons for uncertainty or refusal of a COVID-19 vaccine for their child(ren) fell into two overarching categories (1) mistrust of vaccines & institutions and (2) accessibility concerns (e.g., transportation to appointments is difficult, no time off work, no childcare for other children).

Insights and recommendations generated will help inform outreach, communications and program development for continued vaccine roll out, aiming to further improve accessibility of childhood vaccination services and empower parents to perform quality risk assessments when making vaccination-related decisions for their children.

Published: 2022-02-10
Last modified: 2025-05-25
Report

COVID-19 Communications Rapid Review

Analyzing 125 sources of information to gain insights on what is working in COVID-19 communication campaigns and policy responses internationally

Impact Canada, Impact & Innovation Unit, Privy Council Office
coronavirus molecule on top of a map of the world

1. Summary

In support of federal response efforts, Impact Canada has analysed over 125 sources of information to gain insights on what is working in COVID-19 communication campaigns and policy responses internationally, as well as what has been effective during past epidemics. By applying a behavioural science lens to messaging and design components of COVID-19 communications materials, we can help maximize their accuracy and effectiveness in promoting the desired health and response behaviours (e.g., hand washing and physical distancing).

In a time where the individual and collective actions of Canadians is critically important to reducing the spread of the virus, communications materials need to reflect our best understanding of human behaviour.

2. About Impact Canada

Impact Canada is part of a comprehensive set of initiatives launched by the Government of Canada in 2017 aimed at solving complex policy challenges using challenge prizes, pay-for-success, and behaviourally based models. Impact Canada enables the use of challenge prizes through a set of flexible Terms and Conditions (Ts&Cs) for Grants and Contributions that allow funding to be linked to outcomes achieved as well as funding rigorous, research based evaluations.

The Impact and Innovation Unit at the Privy Council Office helps departments develop innovative funding opportunities that bring together the best ideas and brightest talent, and reward those organizations and individuals that deliver high impact results for Canadians.

3. About Behavioural Science

The Behavioural Science (BeSci) team was established in 2015, and has been growing the practive of BeSci across the Government of Canada. Today, the team is composed of a a central group of researchers housed in the Privy Council Office, and multiple BeSci Impact Canada Fellows who are embedded within various Government of Canada departments, supporting the integration of BeSci insights and methods into priority program and policy areas.

While our team members have diverse academic backgrounds and an array of methodological specialities, we all share a passion for understanding human behaviour and using that understanding to drive change. Combining our knowledge of the literature with cutting-edge research and experimentation practice is what we do best.

3.1 Our approach: The behavioural design process

We are data-driven and evidence-based. Testing is integral to how we work. We conduct high-quality research to understand behaviour, and use a variety of rigorous experimental and quasi-experimental approaches to test - and scale - effective solutions.

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    Our projects often follow a multi-stage process, which we tailor to fit the needs and contexts of each project and partner.

    1 Identify


    • Consult with departmental leadership to identify priority target outcomes of interest and key behaviours to target
    • Discuss current approaches and additional opportunities for innovation

    2 Understand


    • Conduct initial research (e.g. literature scans, stakeholder interviews) to inform hypotheses of drivers and barriers to behaviours
    • Conduct additional mixed-methods research (e.g. interviews, observations, surveys, and analysis of administrative data) to test hypotheses

    3 Design


    • Ideate solutions for confirmed hypotheses, referencing the behavioural science literature
    • Present prototypes of solutions to partners for feedback
    • Iterate to refine solutions and prepare priority solutions for testing

    4 Test


    • Prepare plans for experimental or quasi-experimental tests of solutions and analysis of results
    • Implement solutions in line with testing plan
    • Collect data
    • Analyse and present results

    5 Scale


    • Prepare plans for scaling (e.g. for broad dissemination of results, preparing policy memos, and supporting other key stakeholders to adapt and adopt provides solutions)
    • Support plan execution

4. Key insights

To help maximize the accuracy and effectiveness of communications materials in Canada, Impact Canada reviewed over 125 sources to rapidly garner insights on what is working in COVID-19 communications campaigns and policy responses internationally, as well as what has been effective during past epidemics more broadly.

The following key themes and additional considerations were identified:

4.1 Demonstrating Efficacy

Contextualized experimental evidence (i.e., tested as COVID response)

In crisis situations, people are more likely to engage in the desired behaviour if:

  1. they think the infection would cause severe illness for them,
  2. the behaviour is perceived as effective,
  3. the behaviour is perceived as having few costs/barriers,
  4. they believe they could perform the behaviour if they wanted to.

4.2 Evoking Emotional Responses

Contextualized experimental evidence (i.e., tested as COVID response)

Emotions are strong drivers of behaviour. Used with care and coupled with advice about protective actions, evoking an emotional response can amplify messaging efforts.

4.3 Emphasizing Collective Action, Altruism/Moral Responsibility and Civic Duty

Behavioural science literature on crisis communication

Emphasizing that self- isolating and physical distancing are altruistic choices in that they help keep each other safe - especially vulnerable populations - can drive compliance in times of public health pandemic, as can communicating gratitude for supporting greater social good.

4.4 Making Social Norms Salient

Behavioural science literature on crisis communication

We conform to normative information about other people’s current attitudes and behaviors. Ads should build strong norms around protective behaviours, making them seem normal and expected by making unseen behaviours more visible and leveraging dynamic norms (i.e., information about how other people’s behavior is changing over time).

4.5 Emphasizing Adaptiveness and Instilling a Sense of Control to Support Mental Health

Public health literature on strategic communication during pandemics/epidemics

Uncertainty and loss of control while in self-isolation have been suggested as possible drivers of negative mental health outcomes. Ads should provide support to the general public to effectively cope with quarantine and isolation, including practical advice on seeking help, maintaining a routine, exercising at home, combating boredom, and engaging with loved ones virtually.

4.6 Addressing pandemic fatigue

Public health literature on strategic communication during pandemics/epidemics

However unwarranted, perceived severity of the pandemic may decrease over time, leading willingness to perform protective behaviours or comply with other public health advice to also decrease among the general population. It is important for ads to acknowledge and reinforce long-term effort and temporal framing, as appropriate, to combat potential “pandemic fatigue”.

5. Sources

  1. Behavioural science literature on crisis communication, as well as public health literature on strategic communication during epidemics;
  2. Rigorous experimental data from international messaging trials (e.g., UK, Ireland) that tested public perceptions of COVID-19 communication materials, as well as the psychological mechanisms likely driving their efficacy; and,
  3. PCO’s internal behavioural science expertise, as well as insights from a global community of academics, practitioners, and experts actively applying a behavioural lens to the COVID-19 pandemic.