tetano
Editor, Senior Moderator
Vaccines (Basel)
. 2022 Jan 19;10(2):143.
doi: 10.3390/vaccines10020143.
Training Physicians in Motivational Communication to Address Influenza Vaccine Hesitation: A Proof-of-Concept Study
Sara Labbé[SUP] 1 2 [/SUP], Inés Colmegna[SUP] 3 4 [/SUP], Valeria Valerio[SUP] 4 [/SUP], Vincent Gosselin Boucher[SUP] 1 5 [/SUP], Sandra Peláez[SUP] 6 7 [/SUP], Anda I Dragomir[SUP] 1 8 [/SUP], Catherine Laurin[SUP] 1 [/SUP], Elizabeth M Hazel[SUP] 3 [/SUP], Simon L Bacon[SUP] 1 8 [/SUP], Kim L Lavoie[SUP] 1 2 [/SUP]
Affiliations
Abstract
Background: Strategies to support health care professionals on how to address vaccine hesitancy are needed.
Methods: We developed a 4-h Motivational Communication (MC) training program tailored to help physicians address hesitancy related to influenza vaccination among patients living with rheumatoid arthritis. Five MC competencies were evaluated at baseline and post-training with a standardized patient using the Motivational Interviewing Treatment Integrity [MITI] scale. Adherence to MC during clinical consultations and changes in vaccine intentions was measured as secondary outcomes.
Results: Seven rheumatology physicians participated in the training. MITI scores increased in all participants, and 71% (n = 5) achieved thresholds of clinical competency (i.e., ≥3.5/5 at MITI global score and ≥3/5 on at least 3 individual competency score) post-training. Autonomy/support and empathy competencies reached competency thresholds (+2.4 ± 1.3 to +4.1 ± 0.7 and +2.1 ± 0.7 to +4.1 ± 0.7, respectively). Evocation and collaboration competencies improved but without reaching competency thresholds (+1.4 ± 0.8 to +3.1 ± 1.1; +1.4 ± 0.8 to +2.9 ± 1.1, respectively). Direction did not improve. Among 21 patient consultations post-training, 15 (71%) were MC-consistent. Of the 15 patients, 67% (10/15) intended to receive the influenza vaccine and 33% (5/15) received it.
Conclusion: A brief MC training program targeting vaccine hesitancy increased MC competency among rheumatology physicians and promoted behavioral change among patients.
Keywords: influenza; motivational communication; rheumatoid arthritis; vaccine hesitation; vaccines.
. 2022 Jan 19;10(2):143.
doi: 10.3390/vaccines10020143.
Training Physicians in Motivational Communication to Address Influenza Vaccine Hesitation: A Proof-of-Concept Study
Sara Labbé[SUP] 1 2 [/SUP], Inés Colmegna[SUP] 3 4 [/SUP], Valeria Valerio[SUP] 4 [/SUP], Vincent Gosselin Boucher[SUP] 1 5 [/SUP], Sandra Peláez[SUP] 6 7 [/SUP], Anda I Dragomir[SUP] 1 8 [/SUP], Catherine Laurin[SUP] 1 [/SUP], Elizabeth M Hazel[SUP] 3 [/SUP], Simon L Bacon[SUP] 1 8 [/SUP], Kim L Lavoie[SUP] 1 2 [/SUP]
Affiliations
- PMID: 35214603
- PMCID: PMC8875187
- DOI: 10.3390/vaccines10020143
Abstract
Background: Strategies to support health care professionals on how to address vaccine hesitancy are needed.
Methods: We developed a 4-h Motivational Communication (MC) training program tailored to help physicians address hesitancy related to influenza vaccination among patients living with rheumatoid arthritis. Five MC competencies were evaluated at baseline and post-training with a standardized patient using the Motivational Interviewing Treatment Integrity [MITI] scale. Adherence to MC during clinical consultations and changes in vaccine intentions was measured as secondary outcomes.
Results: Seven rheumatology physicians participated in the training. MITI scores increased in all participants, and 71% (n = 5) achieved thresholds of clinical competency (i.e., ≥3.5/5 at MITI global score and ≥3/5 on at least 3 individual competency score) post-training. Autonomy/support and empathy competencies reached competency thresholds (+2.4 ± 1.3 to +4.1 ± 0.7 and +2.1 ± 0.7 to +4.1 ± 0.7, respectively). Evocation and collaboration competencies improved but without reaching competency thresholds (+1.4 ± 0.8 to +3.1 ± 1.1; +1.4 ± 0.8 to +2.9 ± 1.1, respectively). Direction did not improve. Among 21 patient consultations post-training, 15 (71%) were MC-consistent. Of the 15 patients, 67% (10/15) intended to receive the influenza vaccine and 33% (5/15) received it.
Conclusion: A brief MC training program targeting vaccine hesitancy increased MC competency among rheumatology physicians and promoted behavioral change among patients.
Keywords: influenza; motivational communication; rheumatoid arthritis; vaccine hesitation; vaccines.