Attitude regulation of vaccination behavior of medical workers and students in the context of the COVID-19 pandemic. Part II. Results of the empirical study

 
Audio is AI-generated
1

Abstract

Context and relevance. The conceptual basis of the study is the 7C-model of attitudinal regulation of vaccination behavior. The theoretical substantiation of the study is presented in the first part of the article. The empirical study was conducted in the context of the COVID-19 pandemic and the anti-COVID vaccination campaign of the population of the Republic of Belarus. Objective. Cross-validation and assessment of the measurement invariance of the 7C-model of vaccination attitudes, as well as a comparative analysis of the attitudinal regulation of vaccination behavior in groups of people with different levels of health literacy. Hypothesis. The 7C-model has high validity and measurement invariance with respect to the content and structure of anti-vaccination attitudes of both medical specialists and non-specialists; the level of expression and regulatory strength of anti-vaccination attitudes differ significantly in people with and without special medical knowledge and experience in professional medical activity. Methods and materials. The empirical study was conducted on three samples: population (N = 736), academic (medical university students, N = 325), professional (healthcare workers, N = 391). Negative social attitudes regarding COVID-19 vaccination were measured using the «Multidimensional Anti-Vaccination Attitudes Scale» based on the 7C model. Results. The validity and measurement invariance of the 7C model with respect to attitudinal regulation of vaccination behavior in both medical specialists and non-specialists were confirmed. It was found that anti-vaccination attitudes are significantly more pronounced in the general population than among medical students and workers. Conclusions. Special knowledge and professional experience in the field of medicine correct negative misconceptions and prejudices, thereby contributing to increased commitment to vaccination.

General Information

Keywords: social attitude, vaccine behavior, 7C-model of the installation regulation of vaccine behavior, anti-vaccine attitudes, students, medical professionals

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2026340105

Supplemental data. Data sets can be requested from the author (K.V. Karpinski)

Received 26.02.2025

Revised 16.07.2025

Accepted

Published

For citation: Karpinskii, K.V., Boyko, S.L. (2026). Attitude regulation of vaccination behavior of medical workers and students in the context of the COVID-19 pandemic. Part II. Results of the empirical study. Counseling Psychology and Psychotherapy, 34(1), 91–112. (In Russ.). https://doi.org/10.17759/cpp.2026340105

© Karpinskii K.V., Boyko S.L., 2026

License: CC BY-NC 4.0

References

  1. Карпинский, К.В., Бойко, С.Л. (2025). Установочная регуляция вакцинального поведения медицинских работников и студентов в контексте пандемии COVID-19. Часть I. Теоретико-методологические основы исследования. Консультативная психология и психотерапия, 33(4), 96—111. https://doi.org/10.17759/cpp.2025330405
    Karpinski, K.V., Boyko, S.L. (2025). Attitude regulation of vaccination behavior of medical workers and students in the context of the COVID-19 pandemic. Part I: Theoretical and methodological foundations of the research. Counseling Psychology and Psychotherapy, 33(4), 96—111. (In Russ.). https://doi.org/10.17759/cpp.2025330405  
  2. Карпинский, К.В. (2022). Психологические факторы противопрививочного поведения белорусов в условиях пандемии COVID-19. Вестник Санкт-Петербургского университета. Психология, 12(3), 265— https://doi.org/10.21638/spbu16.2022.303
    Karpinski, К. (2022). Psychological factors of anti-vaccination behavior of Belarusians in the context of the COVID-19. Vestnik of Saint Petersburg University. Psychology, 12(3), 265—284. (In Russ.). https://doi.org/10.21638/spbu16.2022.303  
  3. Карпинский, К.В. (2023). Психология вакцинации: установки и поведение. Гродно. 315 с.
    Karpinski, K.V. The psychology of vaccination: attitudes and behavior. Grodno. 315 p. (In Russ.).  
  4. Одинцова, М.А., Радчикова, Н.П., Янчук, В.А. (2021). Оценка ситуации пандемии COVID-19 жителями России и Беларуси. Социальная психология и общество, 12(2), 56— https://doi. org/10.17759/sps.2021120204
    Odintsova, M.A., Radchikova, N.P., Yanchuk, V.A. (2021). Assessment of the COVID-19 pandemic situation by residents of Russia and Belarus. Social Psychology and Society, 12(2), 56—77. (In Russ.). https://doi. org/10.17759/sps.2021120204  
  5. Barello, S., Nania, T., Dellafiore, F., Graffigna, G., Caruso, R. (2022). Vaccine hesitancy among healthcare workers in the COVID-19 era: A systematic review. Vaccines, 10(3), article № https://doi.org/10.3390/vaccines10030359
  6. Brown, J. K., Smith, L.R. (2022). Vaccination attitudes among healthcare professionals: A systematic review. Journal of Health Psychology, 27(3), 456—478. https://doi.org/10.1177/13591053211012345
  7. Cheung, G.W., Rensvold, R.B. (2002). Evaluating goodness-of-ft indexes for testing measurement invariance. Structural equation modeling, 9(2), 233—255. https://doi.org/10.1207/S15328007SEM0902_5
  8. Geiger, M., Rees, F., Lilleholt, L., Santana, A.P., Zettler, I., Wilhelm, O., Betsch, C., Bohm, R. (2022). Measuring the 7Cs of Vaccination Readiness. European Journal of Psychological Assessment, 38(4), 261— https://doi.org/10.1027/1015-5759/a000663
  9. Johnson, M. A., Lee, T. H. (2021). The role of knowledge and beliefs in vaccination intentions among medical students. Medical Education, *55*(4), 345–357. https://doi.org/10.1111/medu.14356
  10. Kline, R. B. (2015). Principles and practice of structural equation modeling. The Guilford Press.
  11. Moirangthem, S., Olivier, C., Gagneux-Brunon, A., Péllissier, G., Abiteboul, D., Bonmarin, I., Rouveix, E., Botelho-Nevers, E., Mueller, J. E. (2022). Social conformism and confidence in systems as additional psychological antecedents of vaccination: a survey to explain intention for COVID-19 vaccination among healthcare and welfare sector workers, France, December 2020 to February 2021. European Communicable Disease Bulletin, *27*(17), Article 2100617. https://doi.org/10.2807/1560-7917.ES.2022.27.17.2100617
  12. Paterson, P., Meurice, F., Stanberry, L. R., Glismann, S., Rosenthal, S. L., Larson, H. J. (2021). Vaccine hesitancy and COVID-19: A comparative study of healthcare students and professionals. Vaccine, *39*(40), e5951–e5957. https://doi.org/10.1016/j.vaccine.2021.08.058
  13. Tabachnick, B. G., Fidell, L. S. (2013). Using multivariate statistics. Pearson Education.
  14. Zhang, Y., Chen, X. (2023). Understanding the psychological factors affecting vaccination behavior among healthcare workers.HealthPsychology Review, 17(1), 89—102. https://doi.org/10.1080/17437199.2022.2045678

Information About the Authors

Konstantin V. Karpinskii, Doctor of Psychology, Professor, Head of the Department of Experimental and Applied Psychology, Yanka Kupala State University of Grodno, Grodno, Belarus, ORCID: https://orcid.org/0000-0002-1820-4007, e-mail: karpkostia@tut.by

Svetlana L. Boyko, Candidate of Science (Medicine), Associate Professor, Dean of the Mental Health Faculty, Grodno State Medical University, Grodno, Belarus, ORCID: https://orcid.org/0000-0002-8767-6892, e-mail: sduduk@yandex.ru

Contribution of the authors

Konstantin V. Karpinski — the idea, planning and organization of research; statistical data processing; analysis of results; visualization of research results; writing a manuscript.

Svetlana L. Boiko — data analysis; discussion of results; preparation of the manuscript.

All authors participated in the discussion of the results and approved the final text of the manuscript.

Conflict of interest

The authors declare no conflict of interest.

Ethics statement

The publication was reviewed and approved by the expert commission of the educational institution Grodno State Medical University (decision of 02/26/2025).

Metrics

 Web Views

Whole time: 2
Previous month: 0
Current month: 2

 PDF Downloads

Whole time: 1
Previous month: 0
Current month: 1

 Total

Whole time: 3
Previous month: 0
Current month: 3