Comics as a Medium for Providing Information on Adult Immunizations

J Health Commun. 2017 Oct;22(10):783-791. doi: 10.1080/10810730.2017.1355418. Epub 2017 Sep 13.


This study compared the following effects of two vaccine information flyers-one developed by the Centers for Disease Control and Prevention (CDC) versus one adapted from this information to a comic medium (comic)-on adults: (a) attitude toward the flyer; (b) perceived informativeness of the flyer; (c) intention to seek more information about adult immunizations after viewing the flyer; and (d) intention to get immunized after viewing the flyer. A between-group, randomized trial was used to randomly assign adults (age 18 years or older) at an ambulatory care center to review the CDC or comic flyer. Participants were asked to complete a survey to measure several outcome variables. Items were measured using a 7-point semantic differential scale. Independent-samples t-test was used for comparisons. A total of 265 surveys (CDC n = 132 vs comic n = 133) were analyzed. The comic flyer had a statistically significant effect on participants' attitudes and their perception of the flyer's informativeness compared to the CDC flyer. Flyer type did not have a statistically significant effect on intention-related variables. The study findings showed that the comic flyer was positively evaluated compared to the CDC flyer. These findings could provide a new direction for developing adult educational materials.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cartoons as Topic*
  • Centers for Disease Control and Prevention, U.S.
  • Female
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Immunization* / psychology
  • Intention
  • Male
  • United States