Suboptimal vaccine uptake in both childhood and adult immunisation programs limits their full potential impact on global health. A recent progress review of the Global Vaccine Action Plan stated that "countries should urgently identify barriers and bottlenecks and implement targeted approaches to increase and sustain coverage". However, vaccination coverage may be determined by a complex mix of demographic, structural, social and behavioral factors. To develop a practical taxonomy to organise the myriad possible root causes of a gap in vaccination coverage rates, we performed a narrative review of the literature and tested whether all non-socio-demographic determinants of coverage could be organised into 4 dimensions: Access, Affordability, Awareness and Acceptance. Forty-three studies were reviewed, from which we identified 23 primary determinants of vaccination uptake. We identified a fifth domain, Activation, which captured interventions such as SMS reminders which effectively nudge people towards getting vaccinated. The 5As taxonomy captured all identified determinants of vaccine uptake. This intuitive taxonomy has already facilitated mutual understanding of the primary determinants of suboptimal coverage within inter-sectorial working groups, a first step towards them developing targeted and effective solutions.
Outside the cognitive psychologist's laboratory, problem-solving is an activity that takes place in a rich web of interactions involving people and artefacts. This interactivity is constituted by fine-grained action–perception cycles, and it allows a reasoner's comprehension of the problem to emerge from a coalition of internal and external resources. Taking an ecological approach to problem-solving, this paper introduces a qualitative method, Cognitive Event Analysis, for studying the fine-grained interactivity between a problem-solving agent and his/her environment. To demonstrate the potential of this method, it is used to study a single subject solving the so-called 17 Animals problem using a material model. The fine-grained procedure allows tracking the solution to a serendipity that was brought about because of the participant's aesthetic considerations and a change in her perceptual figure-ground configuration. While a qualitative single-case method cannot prove specific models of problem-solving, it questions prevalent mentalist models, and it generates new hypotheses on insight problem-solving, because it allows the researcher to attend to outliers and to variability on a fast and fine-grained between-measurement timescale.
This research focuses on what determines speakers' choice of positive and negative probability phrases (e.g., "a chance" vs. "not certain") in a legal context. We argue that choice of phrase to describe an event's probability of occurrence can be determined by the contrast between its current p value and an earlier p value, and not by that current value alone. Three experiments were conducted describing scenarios where profilers communicated a suspect's probability of guilt to the police. In the first study, a probability estimate is revised upwards or downwards. In the second one, the probability estimate of a speaker is higher or lower than that given by a previous speaker. In both cases, participants expected upward trends to lead to positive phrases, whereas downward trends were associated with negative phrases. In a third study, participants had to select probability phrases to characterize two different suspects. No contrast effects were found. We conclude that verbal probability directionality has primarily an argumentative function, where positive phrases are selected when probabilities are contrasted with smaller p values, and negative when contrasted with higher p values.