{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T07:18:23Z","timestamp":1787815103785,"version":"build-2784847793"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vaccines are one of the most effective interventions used by public health services to reduce infectious diseases. However, individuals' attitudes toward vaccines are also crucial to vaccine effectiveness. Experiences with vaccines and trust in healthcare services can guide future vaccination decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this study was to examine the relationship between COVID\u201019 vaccine regret, distrust of the healthcare system, and future vaccination intentions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this cross\u2010sectional study with a qualitative component, data were obtained through face\u2010to\u2010face interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009402). Data were collected using the Decision Regret Scale (DRS), the Health System Distrust Scale (HCSDS), and open\u2010ended questions regarding the reasons for COVID\u201019 vaccine regret. To ensure clarity of the findings, quantitative and qualitative data were integrated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the participants in the study, 87.1% did not experience any adverse effects from the COVID\u201019 vaccine. 56.2% of participants regretted getting the COVID\u201019 vaccine. Additionally, 35.8% reported being \u2018undecided\u2019 about accepting a new vaccine in the future. Among participants, it was found that experiencing a side effect after the COVID\u201019 vaccine increased distrust in the healthcare system (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). A weak positive correlation was found between participants' HCSDS and DRS scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.282,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Qualitative analyses showed that participants' regrets regarding the COVID\u201019 vaccine were mainly grouped around two themes: (1) \u2018Concern about long\u2010term effects\u2019, (2) \u2018Perception that the vaccine is unnecessary\u2019.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on these findings, it can be said that the phenomenon of COVID\u201019 vaccine regret and the level of distrust in the healthcare system will make it even more difficult to control future pandemics and infectious diseases. In addition, the findings highlight the need for communication strategies aimed at increasing trust in vaccines and the healthcare system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70532","type":"journal-article","created":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T14:34:37Z","timestamp":1784471677000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship Between COVID\u201019 Vaccine Regret, Distrust of the Healthcare System, and Future Vaccine Intentions"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4527-8714","authenticated-orcid":false,"given":"Ali","family":"Tayhan","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Manisa Celal Bayar University Manisa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilge","family":"Azakli","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Manisa Celal Bayar University Manisa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/bs.pmbts.2021.11.001"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-023-00987-w"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/54769"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines12091054"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11071191"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2025.2543167"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0306484"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines13040388"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232025301.08102023"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70039"},{"key":"e_1_2_11_12_1","volume-title":"Vaccine Hesitancy, Coercion and Regret: Post\u2010Pandemic Lessons on COVID\u201019 Vaccine Policies and Outreach Among Newcomer Communities in Alberta, Canada","author":"Antonio M.","year":"2025"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-072703"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-21988-x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0239035"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/14760584.2025.2527327"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X03256005"},{"issue":"4","key":"e_1_2_11_18_1","first-page":"25","article-title":"Turkish Version Methodological Validation Study of the Decision Regret Scale","volume":"35","author":"Telatar T. 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