Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation

Abstract Vaccine misinformation endangers public health by contributing to reduced vaccine uptake. We developed a short online game to reduce people’s susceptibility to vaccine misinformation. Building on inoculation theory, the Bad Vaxx game exposes people to weakened doses of manipulation techniqu...

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Main Authors: Ruth E. Appel, Jon Roozenbeek, Rebecca Rayburn-Reeves, Melisa Basol, Jonathan Corbin, Josh Compton, Sander van der Linden
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-09462-5
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author Ruth E. Appel
Jon Roozenbeek
Rebecca Rayburn-Reeves
Melisa Basol
Jonathan Corbin
Josh Compton
Sander van der Linden
author_facet Ruth E. Appel
Jon Roozenbeek
Rebecca Rayburn-Reeves
Melisa Basol
Jonathan Corbin
Josh Compton
Sander van der Linden
author_sort Ruth E. Appel
collection DOAJ
description Abstract Vaccine misinformation endangers public health by contributing to reduced vaccine uptake. We developed a short online game to reduce people’s susceptibility to vaccine misinformation. Building on inoculation theory, the Bad Vaxx game exposes people to weakened doses of manipulation techniques commonly used in vaccine misinformation and to strategies to identify these techniques. Across three preregistered randomized controlled trials (N = 2,326), we find that the game significantly improves participants’ ability to discern vaccine misinformation from non-misinformation, their confidence in their ability to do so, and the quality of their sharing decisions. Further, taking the perspective of a character fighting as opposed to spreading misinformation is more effective on some outcome measures. In line with the learning goals of the intervention, we show that participants improve their ability to correctly identify the use of specific misinformation techniques. This insight is important because teaching manipulation technique recognition is not only effective to help evaluate information about vaccines, but also more viable than trying to debunk myriads of constantly-evolving myths. Our findings suggest that a short, low-cost, gamified intervention can increase resilience to vaccine misinformation.
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spelling doaj-art-a9eb0f0f26284e77951248ec2ed819722025-08-20T03:07:27ZengNature PortfolioScientific Reports2045-23222025-08-0115111510.1038/s41598-025-09462-5Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformationRuth E. Appel0Jon Roozenbeek1Rebecca Rayburn-Reeves2Melisa Basol3Jonathan Corbin4Josh Compton5Sander van der Linden6Department of Communication, Stanford UniversityDepartment of War Studies, King’s College LondonCenter for Advanced Hindsight, Duke UniversityDepartment of Psychology, University of CambridgeCenter for Advanced Hindsight, Duke UniversitySpeech at Dartmouth, Dartmouth CollegeDepartment of Psychology, University of CambridgeAbstract Vaccine misinformation endangers public health by contributing to reduced vaccine uptake. We developed a short online game to reduce people’s susceptibility to vaccine misinformation. Building on inoculation theory, the Bad Vaxx game exposes people to weakened doses of manipulation techniques commonly used in vaccine misinformation and to strategies to identify these techniques. Across three preregistered randomized controlled trials (N = 2,326), we find that the game significantly improves participants’ ability to discern vaccine misinformation from non-misinformation, their confidence in their ability to do so, and the quality of their sharing decisions. Further, taking the perspective of a character fighting as opposed to spreading misinformation is more effective on some outcome measures. In line with the learning goals of the intervention, we show that participants improve their ability to correctly identify the use of specific misinformation techniques. This insight is important because teaching manipulation technique recognition is not only effective to help evaluate information about vaccines, but also more viable than trying to debunk myriads of constantly-evolving myths. Our findings suggest that a short, low-cost, gamified intervention can increase resilience to vaccine misinformation.https://doi.org/10.1038/s41598-025-09462-5MisinformationVaccineGamificationInoculation theoryTechnique recognition
spellingShingle Ruth E. Appel
Jon Roozenbeek
Rebecca Rayburn-Reeves
Melisa Basol
Jonathan Corbin
Josh Compton
Sander van der Linden
Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation
Scientific Reports
Misinformation
Vaccine
Gamification
Inoculation theory
Technique recognition
title Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation
title_full Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation
title_fullStr Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation
title_full_unstemmed Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation
title_short Psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation
title_sort psychological inoculation improves resilience to and reduces willingness to share vaccine misinformation
topic Misinformation
Vaccine
Gamification
Inoculation theory
Technique recognition
url https://doi.org/10.1038/s41598-025-09462-5
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