From Information to Emotion: An Evaluation of Information Satisfaction and Behavioral Response in the Context of the COVID-19 Vaccination Campaign
Main Article Content
Abstract
Vaccine acceptance is a behavioral outcome shaped by a complex decision-making process influenced by multiple factors, chief among them being the information shared about the vaccine. This study therefore, examines the shift from information to emotion by evaluating information satisfaction and behavioral response in the context of the COVID-19 vaccination campaign. The Information-Motivation-Behavioral Skills model was used to guide the study. A cross-sectional, anonymous online survey design was employed, using a convenience sampling technique to recruit 162 individuals aged 18 and older who voluntarily participated in the survey. The online questionnaire comprised six sections aligned with the four main objectives of the study, and the Mean, Standard Deviation (SD), and Variance (Var.) scores were used for the analysis. The results indicate that “information was sufficient for understanding” (Mean = 3.70, SD = 1.79), “the most important information received” (Mean = 3.69, SD = 1.76), and “generally satisfied” (Mean = 3.53, SD = 1.57) with the information provided about the vaccines best represented overall respondents satisfaction. However, in considering respondents' emotional balance from the results, the negative emotional responses scored higher than the corresponding positive statements. For instance, “I am not pleased” (Mean = 2.86) > “I feel good” (Mean = 2.64), “I feel uneasy” (Mean = 2.98) > “I am happy” (Mean = 2.78), and “I have negative feelings” (Mean = 2.97) > “I am often very positive” (Mean = 2.79) about the vaccine information shared. The study concluded that while sufficient information was disseminated to support public understanding, individuals’ decisions to accept vaccination were significantly shaped by their emotional responses and that vaccine development cannot be considered complete until individuals are psychologically motivated to make vaccination decisions. The study recommended that public health communication strategies should adopt an “info-emotive” communication approach—integrating accurate, evidence-based information with psychological comfort and emotional reassurance. Suggestion for further studies was indicated in the study.
Article Details
Copyright (c) 2025 Keriafe, Daniel Ejiro , Okereafor, Stanley Ogunre (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Afolabi, A. A., & Ilesanmi, O. S. (2021). Dealing with vaccine hesitancy in Africa: The prospective COVID-19 vaccine context. Pan African Medical Journal, 38, 3. https://doi.org/10.11604/pamj.2021.38.3.27401
Agha, S., Nsofor, I., Bernard, D., Francis, S., & Rao, N. (2024). Behavioral Insights from Vaccine Adoption in Nigeria: Cross-Sectional Survey Findings. Interactive journal of medical research, 13, e47817. https://doi.org/10.2196/47817
Akyirem, S., Salifu, Y., Bayuo, J., Duodu, P. A., Bossman, I. F., & Abboah-Offei, M. (2022). An integrative review of the use of the concept of reassurance in clinical practice. Nursing open, 9(3), 1515–1535. https://doi.org/10.1002/nop2.1102
Ali, K., Li, C., Zain-Ul-Abdin, K., & Muqtadir, S. A. (2022). The effects of emotions, individual attitudes towards vaccination, and social endorsements on perceived fake news credibility and sharing motivations. Computers in Human Behavior, 134, 107307.
Al-Marshoudi, S., Al-Balushi, H., Al-Wahaibi, A., Al-Khalili, S., Al-Maani, A., Al-Farsi, N., Al-Jahwari, A., Al-Habsi, Z., Al-Shaibi, M., Al-Msharfi, M., Al-Ismaili, A., Al-Buloshi, H., Al-Rawahi, B., Al-Barwani, K., & Al-Abri, S. (2021). Knowledge, Attitudes, and Practices (KAP) toward the COVID-19 Vaccine in Oman: A Pre-Campaign Cross-Sectional Study. Vaccines, 9(6), 602. https://doi.org/10.3390/vaccines9060602
AlShurman, B. A., Khan, A. F., Mac, C., Majeed, M., & Butt, Z. A. (2021). What Demographic, Social, and Contextual Factors Influence the Intention to Use COVID-19 Vaccines: A Scoping Review. International journal of environmental research and public health, 18(17), 9342. https://doi.org/10.3390/ijerph18179342
Alyafei A, & Easton-Carr R. (2025). The Health Belief Model of Behavior Change. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK606120/
Anderson, R. M. (2016). The impact of vaccination on the epidemiology of infectious diseases. In Elsevier eBooks (pp. 3–31). https://doi.org/10.1016/b978-0-12-802174-3.00001-1
Ayling, K., Jackson, H., Jia, R., Royal, S., Fairclough, L., & Vedhara, K. (2025). Psychological correlates of antibody response to mRNA SARS-CoV-2 vaccination: A prospective observational cohort study. Brain, behavior, and immunity, 127, 103–109. https://doi.org/10.1016/j.bbi.2025.03.011
Bettelheim, A. (2023). Public trusts childhood vaccines but support for school mandates wanes. https://www.axios.com/2023/05/16/public-trust-childhood-vaccines
Breyton, M., Schultz, É., Smith, A., Rouquette, A., & Mancini, J. (2023). Information overload in the context of COVID-19 pandemic: A repeated cross-sectional study. Patient education and counseling, 110, 107672. https://doi.org/10.1016/j.pec.2023.107672
Buchanan, T. (2020). Why do people spread false information online? The effects of message and viewer characteristics on self-reported likelihood of sharing social media disinformation. PLOS ONE, 15(10), Article e0239666. https://doi.org/10.1371/journal.pone.0239666
Butler, R., & MacDonald, N. E. (2015). Diagnosing the determinants of vaccine hesitancy in specific subgroups: The Guide to Tailoring Immunization Programmes (TIP). Vaccine, 33(34), 4176–4179. https://doi.org/10.1016/j.vaccine.2015.04.038
Charron, J., Gautier, A., & Jestin, C. (2020). Influence of information sources on vaccine hesitancy and practices. Medecine et maladies infectieuses, 50(8), 727–733. https://doi.org/10.1016/j.medmal.2020.01.010
Costa M. F. (2020). Health belief model for coronavirus infection risk determinants. Revista de saude publica, 54, 47. https://doi.org/10.11606/s1518-8787.2020054002494
Elgendy, M. O., & Abdelrahim, M. E. A. (2021). Public awareness about coronavirus vaccine, vaccine acceptance, and hesitancy. Journal of Medical Virology, 93, 6535–6543. https://doi.org/10.1002/jmv.27199.
Ezekiel, M. S., & Bassey Uche, O. (2025). Distribution Strategies and Consumption of Vaccines in Calabar Metropolis, Cross River State, Nigeria. African Journal of Advances in Science and Technology Research, 19(1), 22 41. https://doi.org/10.62154/ajastr.2025.019.01012
Faragó, L., Kende, A., & Krekó, P. (2020). We only believe in news that we doctored ourselves: The connection between partisanship and political fake news. Social Psychology, 51(2), 77–90. https://doi.org/10.1027/1864-9335/a000391
Fisher, J.D. & Fisher, W.A. (2023). An Information-Motivation-Behavioral Skills (IMB) Model of Pandemic Risk and Prevention. advances.in/psychology, 1(1), 1-26. https://doi.org/10.56296/aip00004
Fisher, J. D., & Fisher, W. A. (2000). Theoretical approaches to individual-level change in HIV risk behavior. In J. L. Peterson & R. J. DiClemente (Eds.), Handbook of HIV prevention: AIDS prevention and mental health (pp. 3–55). Springer. https://doi.org/10.1007/978-1-4615-4137-0_1
Fisher, J. D., Fisher, W. A., & Shuper, P. A. (2009). The information-motivation-behavioral skills model of HIV preventive behavior. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research (2nd ed., pp. 21–63). Jossey-Bass/Wiley.
Galagali, P. M., Kinikar, A. A., & Kumar, V. S. (2022). Vaccine Hesitancy: Obstacles and Challenges. Current pediatrics reports, 10(4), 241–248. https://doi.org/10.1007/s40124-022-00278-9
Goje, O., & Kapoor, A. (2024). Meeting the challenge of vaccine hesitancy. Cleveland Clinic journal of medicine, 91(9 suppl 1), S50–S56. https://doi.org/10.3949/ccjm.91.s1.08
Helmus, T. C., Marrone, J. V., Posard, M. N., & Schlang, D. (2020). Russian propaganda hits its mark: Experimentally testing the impact of Russian propaganda and counter-interventions. RAND Corporation. https://doi.org/10.7249/rra704-3
Honora, A., Wang, K.-Y., & Chih, W.-H. (2022). How does information overload about COVID-19 vaccines influence individuals’ vaccination intentions? The roles of cyberchondria, perceived risk, and vaccine skepticism. Computers in Human Behavior, 130, 1–12. https://doi.org/10.1016/j.chb.2021.107176
Ibekwe, J. L., Femi-Lawal, V. O., Thomas, J. A., & others. (2024). Nigerians’ attitudes and perceptions towards vaccine acceptance during and after the COVID-19 pandemic. Journal of Medicine, Surgery, and Public Health, 2, 100066. https://doi.org/10.1016/j.glmedi.2024.100066
Josiah, B. O., & Kantaris, M. (2021). Perception of COVID-19 and acceptance of vaccination in Delta State Nigeria. The Nigerian Health Journal, 21(2), 60–86. http://tnhjph.com/index.php/tnhj/article/view/510
Joyner L, Buchanan T, Yetkili O (2023) Moral leniency towards belief-consistent disinformation may help explain its spread on social media. PLoS ONE 18(3): e0281777. https:// doi.org/10.1371/journal.pone.0281777
Juin, J. C. Y., Ern, S. L. S., Min, C. E. H. S., Jing, N. K., Qi, M. N. M., Hoe, R. C. C., Ling, T. C. X., Yi, F. F. J., Germain, G. S. L., Venkatesh, K. N. S., Ying, S. Z., Shen, Z. C. Y., Shayne, P., Wei, L. X., Cherie, O. Y. Q., Wu, B., Xuan, L. Y. Y., Rong, T. N., Hui, C. N. Z., Wen, S. W., Junxiong, P. (2022). Knowledge, Attitudes, and Practices of COVID-19 Vaccination among Adults in Singapore: A Cross-Sectional Study. The American journal of tropical medicine and hygiene, 107(3), 540–550. Advance online publication. https://doi.org/10.4269/ajtmh.21-1259
Lamarche, L., Tejpal, A., & Mangin, D. (2018). Self-efficacy for medication management: A systematic review of instruments. Patient Preference and Adherence, 12, 1279–1287. https://doi.org/10.2147/ppa.s165749
Lee, M. H., & Park, Y. H. (2021). The effectiveness of the information-motivation-behavioral skills model-based intervention on preventive behaviors against respiratory infection among community-dwelling older adults. Patient education and counseling, 104(8), 2028–2036. https://doi.org/10.1016/j.pec.2021.01.016
MacDonald, N. E., & SAGE Working Group on Vaccine Hesitancy. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161–4164. https://doi.org/10.1016/j.vaccine.2015.04.036
Madison, A. A., Shrout, M. R., Renna, M. E., & Kiecolt-Glaser, J. K. (2021). Psychological and Behavioral Predictors of Vaccine Efficacy: Considerations for COVID-19. Perspectives on psychological science : a journal of the Association for Psychological Science, 16(2), 191–203. https://doi.org/10.1177/1745691621989243
Mills, M. C., Rahal, C., Brazel, D., et al. (2020, October 21). COVID-19 vaccine deployment: Behaviour, ethics, misinformation and policy strategies (DES7210). The Royal Society & The British Academy. https://royalsociety.org/-/media/policy/projects/set-c/set-c-vaccine-deployment.pdf?la=en-GB&hash=43073E5429C87FD2674201CA
Montero DA, Vidal RM, Velasco J, Carre˜no LJ, Torres JP, Benachi O. MA, Tovar-Rosero Y Y, O˜nate AA and O’Ryan M (2024) Two centuries of vaccination: historical and conceptual approach and future perspectives. Front. Public Health 11:1326154. https://doi.org/10.3389/fpubh.2023.1326154
Nelson, T., Kagan, N., Critchlow, C., Hillard, A., & Hsu, A. (2020). The danger of misinformation in the COVID-19 crisis. Missouri Medicine, 117(6), 510–512.
Nnaemeka, V. C., Onwe, R. O., Ekwedike, A. L., & others. (2022). Predictors of COVID-19 vaccine acceptance among healthcare workers in Nigeria. Vaccines, 10(10), 1645. https://doi.org/10.3390/vaccines10101645
Ogundele, O., Ogundele, T., & Beloved, O. (2020). Vaccine hesitancy in Nigeria: Contributing factors – way forward. Nigerian Journal of General Practice, 18(1), 1. https://doi.org/10.4103/njgp.njgp_28_19
Orenstein, W. A., & Ahmed, R. (2017). Simply put: Vaccination saves lives. Proceedings of the National Academy of Sciences, 114(16), 4031–4033. https://doi.org/10.1073/pnas.1704507114
Phillips, G., II, Xu, J., Curtis, M. G., Ruprecht, M. M., Davoudpour, S., Choi, J., Quiballo, K., Huang, S., & Macapagal, K. (2023). Adaptation of the Information, Motivation, and Behavioral Skills Framework for Understanding COVID-19 Prevention Behaviors among Youth and Young Adults by Sexual Identity, Gender Identity and Race/Ethnicity. Sexes, 4(4), 656-676. https://doi.org/10.3390/sexes4040042
Recio-Román, A., Recio-Menéndez, M., & Román-González, M. V. (2023). Influence of Media Information Sources on Vaccine Uptake: The Full and Inconsistent Mediating Role of Vaccine Hesitancy. Computation, 11(10), 208. https://doi.org/10.3390/computation11100208
Rodrigues, F., Ziade, N., Jatuworapruk, K., Caballero-Uribe, C. V., Khursheed, T., & Gupta, L. (2023). The Impact of Social Media on Vaccination: A Narrative Review. Journal of Korean medical science, 38(40), e326. https://doi.org/10.3346/jkms.2023.38.e326
Sáfadi M. A. P. (2023). The importance of immunization as a public health instrument. Jornal de pediatria, 99 Suppl 1(Suppl 1), S1–S3. https://doi.org/10.1016/j.jped.2022.12.003
Shattock, A. J., Johnson, H. C., Sim, S. Y., Carter, A., Lambach, P., Hutubessy, R. C. W., Thompson, K. M., Badizadegan, K., Lambert, B., Ferrari, M. J., Jit, M., Fu, H., Silal, S. P., Hounsell, R. A., White, R. G., Mosser, J. F., Gaythorpe, K. A. M., Trotter, C. L., Lindstrand, A., O'Brien, K. L., Bar-Zeev, N. (2024). Contribution of vaccination to improved survival and health: modelling 50 years of the Expanded Programme on Immunization. Lancet (London, England), 403(10441), 2307–2316. https://doi.org/10.1016/S0140-6736(24)00850-X
Svensson, R., Malon, M., Stensballe, L. G., Thorsen, S. U., & Svensson, J. (2024). The effect of stress on the antibody response after vaccination in children aged 0-18 years: A systematic review. Scandinavian journal of immunology, 100(2), e13394. https://doi.org/10.1111/sji.13394
Tsamlag, L., Wang, H., Shen, Q., & others. (2020). Applying the information–motivation behavioral model to explore the influencing factors of self-management behavior among osteoporosis patients. BMC Public Health, 20, 198. https://doi.org/10.1186/s12889-020-8292-x
Tuckerman, J., Kaufman, J., & Danchin, M. (2022). Effective Approaches to Combat Vaccine Hesitancy. The Pediatric infectious disease journal, 41(5), e243–e245. https://doi.org/10.1097/INF.0000000000003499
Vemprala, N., Bhatt, P., Valecha, R., & Rao, H. R. (2021). Emotions during the COVID-19 crisis: A health versus economy analysis of public responses. American Behavioral Scientist, 65(8), 1972–1989. https://doi.org/10.1177/0002764221992827
Vosoughi, S., Roy, D., & Aral, S. (2018). The spread of true and false news online. Science, 359(6380), 1146–1151. https://doi.org/10.1126/science.aap9559
Wake, A. D. (2021). The willingness to receive COVID-19 vaccine and its associated factors: “Vaccination refusal could prolong the war of this pandemic” – A systematic review. Risk Management and Healthcare Policy, 14, 2609–2623. https://doi.org/10.2147/rmhp.s311074
Wang X, Zheng Q, Wang J, Gu Y and Li J (2020) Effects of Regulatory Focus and Emotions on Information Preferences: The Affect-as-Information Perspective. Front. Psychol. 11:1397. https://doi.org/10.3389/fpsyg.2020.01397
Wells, A., Allen-Brown, V., Alam, N., Skulski, C., Jackson, A. L., & Herzog, T. J. (2021). The importance of information, motivation, and behavioral skills (IMB): Healthcare provider perspectives on improving adherence to cervical cancer screening among at-risk women. Public health in practice (Oxford, England), 2, 100079. https://doi.org/10.1016/j.puhip.2021.100079
Wonodi, C., Obi-Jeff, C., Adewumi, F., Keluo-Udeke, S. C., Gur-Arie, R., Krubiner, C., Jaffe, E. F., Bamiduro, T., Karron, R., & Faden, R. (2022). Conspiracy theories and misinformation about COVID-19 in Nigeria: Implications for vaccine demand generation communications. Vaccine, 40(13), 2114–2121. https://doi.org/10.1016/j.vaccine.2022.02.005
World Health Organization. (2015). Vaccine hesitancy: A growing challenge for immunization programmes. https://www.who.int/news/item/18-08-2015-vaccine-hesitancy-a-growing-challenge-for-immunization-programmes#:~:text=Vaccine%20hesitancy%20refers%20to%20delay,%2C%20complacency%2C%20convenience%20and%20confidence.
World Health Organization. (2024). Global immunization efforts have saved at least 154 million lives over the past 50 years. https://www.who.int/news/item/24-04-2024-global-immunization-efforts-have-saved-at-least-154-million-lives-over-the-past-50-years
Yang, C., Hui, Z., Zeng, D., Liu, L., & Lee, D. T. F. (2020). Examining and adapting the information-motivation-behavioural skills model of medication adherence among community dwelling older patients with multimorbidity: protocol for a cross-sectional study. BMJ open, 10(3), e033431. https://doi.org/10.1136/bmjopen-2019-033431
Yang, C., Hui, Z., Zeng, D., Liu, L., & Lee, D. T. F. (2020). Examining and adapting the information–motivation–behavioural skills model of medication adherence among community-dwelling older patients with multimorbidity: Protocol for a cross-sectional study. BMJ Open, 10(3), e033431. https://doi.org/10.1136/bmjopen-2019-033431
Zhunis, A., Lima, G., Song, H., Han, J., & Cha, M. (2022). Emotion bubbles: Emotional composition of online discourse before and after the COVID-19 outbreak. Proceedings of the ACM Web Conference 2022, 2603–2613. https://doi.org/10.1145/3485447.3512265
Zimmermann, P., & Curtis, N. (2019). Factors That Influence the Immune Response to Vaccination. Clinical microbiology reviews, 32(2), e00084-18. https://doi.org/10.1128/CMR.00084-18