布病疫苗服务设计中干预疫苗犹豫的用户行为研究

胡柏; 韩海燕; 张晶晶; 李壮; 朱何润雪

doi:10.19554/j.cnki.1001-3563.2025.12.012

PDF(1673 KB)

包装工程（设计栏目） ›› 2025, Vol. 46 ›› Issue (12) : 131-143. DOI: 10.19554/j.cnki.1001-3563.2025.12.012

工业设计

布病疫苗服务设计中干预疫苗犹豫的用户行为研究

胡柏^1,2, 韩海燕^1,2*, 张晶晶^1,3, 李壮^1,2, 朱何润雪^1,2

作者信息 +

User Behavior of Vaccine Hesitancy Intervention in Brucellosis Vaccine Service Design

HU Bo^1,2, HAN Haiyan^1,2*, ZHANG Jingjing^1,3, LI Zhuang^1,2, ZHU Herunxue^1,2

Author information +

文章历史 +

摘要

目的针对内蒙古牧区布病疫苗接种过程中出现的疫苗犹豫问题,基于FBM行为理论对疫苗犹豫行为影响因素进行分析,构建疫苗犹豫行为干预的理论模型,对疫苗接种服务中用户行为进行设计。方法首先,利用扎根理论识别影响牧民疫苗犹豫行为的因素,结合FBM模型,构建干预疫苗犹豫行为的理论模型;其次,采用fsQCA分析得出疫苗犹豫行为的组态路径,揭示用户痛点,明晰用户需求;最后,针对用户需求提出劝导式干预策略,设计针对用户行为的干预措施。结果在用户行为需求方面,发现有三类触发高疫苗犹豫行为的条件组态,在疫苗服务相关因素中,除信任度、自满度、便利性、沟通和集体责任感外,语境也是牧民疫苗犹豫的重要因素之一。结论疫苗犹豫量表融入FBM模型,并对多变量间的复杂因果关系进行讨论,为客观评价用户疫苗犹豫行为提供了量化参考,能够有效地评估疫苗接种者的行为倾向程度,以便提出更具准确度的劝导策略。

Abstract

To address the problem of vaccine hesitancy in the course of brucellosis vaccination in the pastoral area of Inner Mongolia, the work aims to analyze the influencing factors of vaccination behavior based on behavioral theory, built a theoretical model of vaccination behavior intervention, and design the user behavior in vaccination service. Firstly, the factors influencing the vaccination behavior of herdsmen were identified by the grounded theory, and the theoretical model of vaccine hesitancy intervention was constructed. Secondly, fsQCA analysis was used to obtain the configuration path of vaccination behavior, reveal users' pain points and clarify users' needs. Finally, according to the needs of users, the persuasive intervention strategy was proposed, and the intervention of user behavior was designed. In terms of user behavioral needs, three types of conditions were found to trigger vaccination behavior. In addition to trust, complacency, convenience, communication and collective responsibility, context was also one of the important factors for vaccine hesitancy. The vaccine hesitancy scale is integrated into the FBM model, and the complex causal relationship between the variables is discussed, which provides a quantitative reference for objectively evaluating users' vaccination behavior and could effectively evaluate the behavior generation level of users, so as to propose more precise and accurate persuasion strategies.

导出引用

胡柏, 韩海燕, 张晶晶, 李壮, 朱何润雪. 布病疫苗服务设计中干预疫苗犹豫的用户行为研究[J]. 包装工程（设计栏目）. 2025, 46(12): 131-143 https://doi.org/10.19554/j.cnki.1001-3563.2025.12.012

HU Bo, HAN Haiyan, ZHANG Jingjing, LI Zhuang, ZHU Herunxue. User Behavior of Vaccine Hesitancy Intervention in Brucellosis Vaccine Service Design[J]. Packaging Engineering. 2025, 46(12): 131-143 https://doi.org/10.19554/j.cnki.1001-3563.2025.12.012

中图分类号： TB472 R186

参考文献

[1] POLTORAK M, LEACH M, FAIRHEAD J, et al.'MMR Talk' and Vaccination Choices: An Ethnographic Study in Brighton[J]. Social Science & Medicine, 2005, 61(3): 709-719.
[2] GLANZ K, BISHOP D B.The Role of Behavioral Science Theory in Development and Implementation of Public Health Interventions[J]. Annual Review of Public Health, 2010, 31: 399-418.
[3] SCHUSTER M, ESKOLA J, DUCLOS P, et al.Review of Vaccine Hesitancy: Rationale, Remit and Methods[J]. Vaccine, 2015, 33(34): 4157-4160.
[4] RAZAI M S, OAKESHOTT P, ESMAIL A, et al.COVID-19 Vaccine Hesitancy: The Five Cs to Tackle Behavioural and Sociodemographic Factors[J]. Journal of the Royal Society of Medicine, 2021, 114(6): 295-298.
[5] RICHARD B.Design as Inquiry: the Common, Future and Current Ground of Design[C]//In Future Ground Proceedings of the International Conference of the Design Research Society, Boston: Design Research Society, 2004: 75-78.
[6] 世界卫生组织发布2019年全球卫生面临的10项威胁[J]. 中国卫生政策研究, 2019, 12(1): 54.
The World Health OrganizationReleased 10 Threats to Global Health in 2019[J]. Chinese Journal of Health Policy, 2019, 12(1): 54.
[7] 毕圣贤, 别思羽, 张辉国, 等. 基于时空加权泊松回归模型的全国布鲁氏菌病分布特征与影响因素分析[J]. 中国卫生统计, 2022, 39(3): 405-408.
BI S X, BIE S Y, ZHANG H G, et al.Distribution Characteristics and Influencing Factors of Brucellosis in China Based on Time-Space Weighted Poisson Regression Model[J]. Chinese Journal of Health Statistics, 2022, 39(3): 405-408.
[8] MINOLETTI S, RAPISARDA R, GIRALDO L, et al.User-Centered Design of a Pediatric Vaccination Module for Patients[J]. Studies in Health Technology and Informatics, 2019, 264: 1096-1100.
[9] 刘继云, 孙绍荣. 行为科学理论研究综述[J]. 金融教学与研究, 2005(5): 36-37.
LIU J Y, SUN S R.Survey of the Behavior Science Theory[J]. Finance Teaching and Research, 2005(5): 36-37.
[10] 韩海燕, 方兴. 设计学用户研究的多学科知识系统综述[J]. 包装工程, 2022, 43(18): 216-231.
HAN H Y, FANG X.A Systematic Review of Multidisciplinary Knowledge for User Research in Design Science[J]. Packaging Engineering, 2022, 43(18): 216-231.
[11] 王样, 赵乘, 于东玖. 行为学视角下以人为中心的服务设计助推策略研究[J]. 设计艺术研究, 2020, 10(2): 65-71.
WANG Y, ZHAO C, YU D J.Boost Strategy of Human-Centered Service Design from the Perspective of Behavior[J]. Design Research, 2020, 10(2): 65-71.
[12] 蔡晓宁. 以人的行为方式为导向的产品设计研究[D]. 合肥: 合肥工业大学, 2009: 10-18.
CAI X N.Research on Human Behavior-oriented Product Design[D]. Hefei: Hefei University of Technology, 2009: 10-18.
[13] FOGG B J.Persuasive Computers: Perspectives and Research Directions[J]. Proceedings of the CHI, 1998, 18(23):225-230.
[14] FOGG B J.A Behavior Model for Persuasive Design[C]//Proceedings of the 4th International Conference on Persuasive Technology. New York: ACM, 2009: 1-7.
[15] FOGG B J.Tiny Habits: the Small Changes That Change Everything[M]. Boston: Houghton Mifflin Harcourt Publishing Company, 2019.
[16] 江湘芸. 关于行为方式与创新设计之间关系的探讨[J]. 北京理工大学学报(社会科学版), 2007, 9(2): 76-78.
JIANG X Y.Discussion on the Relationship Between Behavior Style and Innovative Design[J]. Journal of Beijing Institute of Technology (Social Sciences), 2007, 9(2): 76-78.
[17] EVANS W D, BINGENHEIMER J B, LONG M, et al.Development and Evaluation of an Index to Measure the Ability to Get Vaccinated for COVID-19[J]. Vaccines, 2023, 11(13): 342-357.
[18] SEBASTIAN T, YAMMIYAVAR P, JONES S.Translating Purchase Behavior to Design Strategies: A Theoretical Mode[J]. International Journal of Engineering Science and Technology, 2017, 9(9): 40-44.
[19] 于孟轲, 吴疆, 吕敏, 等. 影响疫苗接种的社会因素综述[J]. 中国疫苗和免疫, 2019, 25(3): 340-344.
YU M K, WU J, LYU M, et al.Social Factors Influencing Vaccination[J]. China Vaccines and Immunization, 2019, 25(3): 340-344.
[20] 吴国伟, 邓霆, 张曼琪, 等. 新冠疫苗接种态度及其社会心理影响因素的调查[J].中国临床心理学杂志, 2021, 31(29): 622-625.
WU G W, DENG T, ZHANG M Q, et al.A Survey on Covid-19 Vaccination Attitude and its Psycho Social Influencing Factors[J]. Chinese Journal of Clinical Psychology, 2021, 31(29): 622-625.
[21] ISAO W, NAGATO K, KOTARO O, et al.Factors Associated with Influenza Vaccination Status of Residents of a Rural Community in Japan[J]. Public Health, 2011, 11(1): 1-9.
[22] COSTAPINTO J C, WILLABY H B, LEASK J, et al.Parental Immunization Needs and Attitudes Survey in Pediatric Hospital Clinics and Community Maternal and Child Health Centers in Melbourne, Australia[J]. Pediatric Child Health, 2018, 54(5): 522-529.
[23] LENG A, MAITLAND E, Wang S, et al.Individual Preferences for Covid-19 Vaccination in China[J]. Vaccine, 2021, 39(2): 247-254.
[24] 郑灿杰, 徐文杰, 龚晓英, 等. 衢州市4~8岁留守儿童水痘疫苗接种现状及影响因素[J]. 中国学校卫生, 2023, 44(7): 1068-1071.
ZHENG C J, XU W J, GONG X Y, et al.Status and Influencing Factors of Chickenpox Vaccination for Left- Behind Children Aged 4-8 Years in Qu'Zhou City[J]. Chinese Journal of School Health, 2023, 44(7): 1068-1071.
[25] YOKUM D, LAUFFENBURGER J C, GHAZINOURI R, et al.Letters Designed with Behavioural Science Increase Influenza Vaccination in Medicare Beneficiaries[J]. Nat Hum Behave, 2018, 2(10): 743-749.
[26] KAPLAN S, BISGARD S, TRUESDELL D, et al.Design for Six Sigma in Healthcare: Developing an Employee Influenza Vaccination Process[J]. Journal for Healthcare Quality, 2010, 31(3): 36-43.
[27] 张仪, 韩海燕, 张晶晶, 等. 基于ERP实验的蒙、汉用户界面图标色彩隐喻机制比较研究[J]. 包装工程, 1-13.
ZHANG Y, HAN H Y, ZHANG J J, et al.A Comparative Study of Inner Mongolian and Chinese User Interface Icon Color Metaphor Mechanism Based on ERP Experiment[J]. Packaging Engineering, 1-13.
[28] 王坤, 毛阿燕, 孟月莉, 等. 我国公共卫生体系建设发展历程、现状、问题与策略[J]. 中国公共卫生, 2019, 35(7): 801-805.
WANG K, MAO A Y, MENG Y L, et al.Development History, Current Situation, Problems and Strategies of Public Health System Construction in China[J]. Chinese Journal of Public Health, 2019, 35(7): 801-805.
[29] 梁燕, 顾卓, 孙馨. 作为符号系统的中小学校服设计动因与机制[J].工业工程设计,2023,5(5): 101-111.
LIANG Y, GU Z, SUN X.Motivation and Mechanism of School Uniform Design as a Symbol System[J]. Industrial Engineering Design, 2023, 5(5): 101-111.
[30] SNIDER J G, OSGOOD C E.Semantic Differential Technique: a Sourcebook[M]. New York: Al-dine publishing company, 1969: 7-11.
[31] MISANGYI, V F, GRECKHAMER T, FURNARI S, et al.Embracing Causal Complexity: The Emergence of a Neo-configurational Perspective[J]. Journal of Management, 2017, 43(1): 255-282
[32] 王宛秋, 王雪晴, 刘晓燕,等. 基于TOE框架的企业跨界技术并购绩效的提升策略研究——一项模糊集的定性比较分析[J]. 南开管理评论, 2022, 25(2): 136-146.
WANG W Q, WANG X Q, LIU X Y, et al.Study on the Performance Improvement Strategy of Enterprise Cross-Border Technology M&A Based on Toe Framework: a Qualitative Comparative Analysis of Fuzzy Sets[J]. Nan'kai Management Review, 2022, 25(2): 136-146.
[33] 蒋敏, 周炜, 史济川, 等. 基于fsQCA的上市企业债券违约影响因素研究[J].管理学报, 2021, 18(7): 1076-1085.
JIANG M, ZHOU W, SHI J C, et al.Research on Influencing Factors of Bond Default of Listed Companies Based on fsQCA[J]. Journal of Management, 2021, 18(7): 1076-1085.
[34] 李蔚, 何海兵. 定性比较分析方法的研究逻辑及其应用[J]. 上海行政学院学报, 2015, 16(5): 92-100.
LI W, HE H B.Research Logic and Application of Qualitative Comparative Analysis Method[J]. Journal of Shanghai Administration Institute, 2015, 16(5): 92-100.
[35] 何文涛, 李梦晴, 周睿, 等. 协作学习异常行为对知识点学习效果影响的组态研究——基于模糊集定性比较分析(fsQCA)[J]. 远程教育杂志, 2022, 40(6): 34-42.
HE W T, LI M Q, ZHOU R, et al.A Configuration Study on the Influence of Abnormal Behavior in Collaborative Learning on Knowledge Point Learning: Based on Fuzzy Set Qualitative Comparative Analysis (fsQCA)[J]. Journal of Distance Education, 2002, 40(6): 34-42.
[36] CANGIALOSI N.Fuzzy-Set Qualitative Comparative Analysis (fsQCA) in Organizational Psychology: Theoretical Overview, Research Guidelines, and A Step-By- Step Tutorial Using R Software[J]. The Spanish Journal of Psychology, 2023, 40(26): 21.
[37] 刘翰谕, 赵天朔, 韩冰峰, 等. 全球疫苗犹豫现状及影响因素研究进展[J]. 中国预防医学杂志, 2021, 22(3): 233-237.
LIU H X, ZHAO T S, HAN B F, et al.Research Progress of Global Vaccine Hesitancy and its Influencing Factors[J]. Chinese Journal of Preventive Medicine, 2021, 22(3): 233-237.
[38] MCINTOSH M J, Morse J M.Situating and Constructing Diversity in Semi-Structured Interviews[J]. Global Qualitative Nursing Research, 2015, 4(2): 2.
[39] Betsch C, Schmid P, Heinemeier D, et al.Beyond Confidence: Development of A Measure Assessing the 5C Psychological Antecedents of Vaccination[J]. PLOS One, 2018, 13(12): 208-216.
[40] SCHWARZINGER M, WATSON V, ARWIDSON P, et al.COVID-19 Vaccine Hesitancy in a Representative Working-age Population in France: a Survey Experiment Based on Vaccine Characteristics[J]. The Lancet Public Health, 2021, 6(4): 20-21.
[41] 秦梓韬, 马卫华, 许治, 等. 人力资本和社会资本对学者科研绩效的影响路径——基于模糊集定性比较分析[J]. 科技管理研究, 2020, 40(24): 159-167.
QIN Z T, MA W H, XU Z, et al.The Influence of Human Capital and Social Capital on Scholars' Research Performance: a Qualitative Comparative Analysis Based on Fuzzy Sets[J]. Science and Technology Management Research, 2020, 40(24): 159-167.
[42] 罗文剑, 夏幼根. 腐败治理绩效公众感知的影响因素及组态路径——基于模糊集定性比较的实证分析[J]. 广州大学学报(社会科学版), 2024, 23(2): 81-95.
LUO W J, XIA Y G.Influencing Factors and Configuration Paths of Public Perception of Corruption Governance Performance: An Empirical Analysis Based on Qualitative Comparison of Fuzzy Sets[J]. Journal of Guangzhou University (Social Sciences Edition), 2024, 23(2): 81-95.
[43] 郭彦丽, 付旭, 陈建斌. 人机交互场景下用户知识吸收能力影响因素的组态分析[J]. 经济问题, 2024(6): 51-57.
GUO Y L, FU X, CHEN J B.Configuration Analysis of Influencing Factors of User Knowledge Absorption Capacity in Human-computer Interaction Scenario[J]. Economic Problems, 2024(6): 51-57.
[44] FISS P C.Building Better Causal Theories: a Fuzzy Set Approach to Typologies in Organization Research[J]. Academy of Management Journal, 2011, 54(2): 393-420.
[45] OINAS K H, HARJUMAA M.Persuasive Systems Design: Key Issues, Process Model and System Features[J]. Commun. Assoc. 2009, 24(3): 486-501.
[46] 郭肖倩, 陈绘. 基于无意识行为的老年娱乐产品设计[J]. 工业工程设计, 2020, 2(3): 113-118.
GUO X Q, CHEN H.Design of Entertainment Products for the Aged Based on Unconscious Behavior[J]. Industrial Engineering Design, 2020, 2(3): 113-118.
[47] 张海旭, 王军锋, 王文军, 等. 基于FBM理论的中药材种植辅助APP设计[J]. 包装工程, 2023, 44(4): 115-122.
ZHANG H X, WANG J F, WANG W J, et al.Chinese Herbal Medicine Planting Aid App Design Based on FBM Theory[J]. Packaging Engineering, 2023, 44(4): 115-122.
[48] SHI L X, ZHENG Y C.Selecting Persuasive Strategies and Game Design Elements for Encouraging Energy Saving Behavior[J]. Sustainability. 2017, 9(7):1-18.
[49] NAWYN J, INTILLE S S, LARSON K.Embedding Behavior Modification Strategies into a Consumer Electronic Device: A Case Study. Proceedings of the Eight International[C]//Conference on Ubiquitous Computing, Berlin: Springer, 2006: 297-314.
[50] 杨菲, 曹雪梅, 张雪莲, 等. 基于能力、机会、动机-行为模型的健康教育在农牧区代谢综合征患者中的应用[J]. 护理管理杂志, 2022, 22(10): 702-706.
YANG F, CAO X M, ZHANG X L, et al.Application of Health Education Based on Ability, Opportunity and Motivation-Behavior Model in Patients With Metabolic Syndrome in Agricultural and Pastoral Areas[J]. Journal of Nursing Administration, 2022, 22(10): 702-706.
[51] ORJI R.Exploring the Persuasiveness of Behavior Change Support Strategies and Possible Gender Differences[J]. PERSUASIVE, 2014, 11(53): 41-57.
[52] 赖铭, 萧嘉欣,罗名君.行为干预视角下的可持续行为设计模式研究——以垃圾分类回收为例[J]. 工业工程设计, 2024, 6(3): 1-8.
LAI M, XIAO J X, LUO M J.Research on Sustainable Behavior Design Model from the Perspective of Behavioral Intervention: A Case Study of Garbage Classification and Recycling[J]. Industrial Engineering Design, 2024, 6(3): 1-8.
[53] WUNSH, M, STIBE A, MILLONIG A, et al.What Makes You Bike? Exploring Persuasive Strategies to Encourage Low-Energy Mobility[C]//In Persuasive Technology, Proceedings of the 10th International Conference on Persuasive, Chicago: Springer, 2015, 53-64.
[54] 赵菁菁. 行为设计在移动端效率类软件中的应用分析[J]. 工业设计, 2018, 14(1): 43-44.
ZHAO J J.Application Analysis of Behavioral Design in Mobile Terminal Efficiency Software[J]. Industrial Design, 2018, 14(1): 43-44.
[55] ACKERMAN L, MUGGE R, SCHOORMANS J.Consumers'perspective on Product Care: An Exploratory Study of Motivators, Ability Factors, And Triggers[J]. Journal of cleaner production, 2018, 183(10): 380-391.