{"id":4677,"date":"2026-01-26T08:59:57","date_gmt":"2026-01-26T08:59:57","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=4677"},"modified":"2026-03-27T07:53:38","modified_gmt":"2026-03-27T07:53:38","slug":"supporting-health-workers-in-addressing-vaccine-hesitancy","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/lv\/2026\/01\/supporting-health-workers-in-addressing-vaccine-hesitancy\/","title":{"rendered":"Atbalsts vesel\u012bbas apr\u016bpes darbiniekiem saist\u012bb\u0101 ar cilv\u0113ku nev\u0113l\u0113\u0161anos vakcin\u0113ties\u00a0"},"content":{"rendered":"<p><strong>Davna Holforda (<i>Dawn Holford<\/i>), Bristoles Universit\u0101te, Apvienot\u0101 Karaliste, Linda Karlsone (<i>Linda Karlsson<\/i>), Turku Universit\u0101te, Somija, Frederike Tauberte (<i>Frederike Taubert<\/i>), Erfurtes Universit\u0101te, V\u0101cija, Emma C. Andersone (<i>Emma C. Anderson<\/i>), Bristoles Universit\u0101te, Apvienot\u0101 Karaliste, Vird\u017e\u012bnija C. Goulda (<i>Virginia C. Gould<\/i>), Bristoles Universit\u0101te, Apvienot\u0101 Karaliste\u00a0<\/strong><\/p>\n<p><strong>P\u0101rskat\u012bt mald\u012bgus priek\u0161status par vakcin\u0101ciju\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Vakcin\u0101cija ir viens no veiksm\u012bg\u0101kajiem sabiedr\u012bbas vesel\u012bbas instrumentiem \u2013 tiek l\u0113sts, ka t\u0101 <\/span><a href=\"https:\/\/www.who.int\/news\/item\/24-04-2024-global-immunization-efforts-have-saved-at-least-154-million-lives-over-the-past-50-years\"><span style=\"font-weight: 400;\">gl\u0101bj 6 dz\u012bv\u012bbas katru min\u016bti<\/span><\/a><span style=\"font-weight: 400;\">. Ta\u010du vakcin\u0101cija saskaras ar\u012b ar sabiedr\u012bbas pretest\u012bbu, un past\u0101v\u012bg\u0101 dezinform\u0101cija grauj sabiedr\u012bbas uztic\u0113\u0161anos vakcin\u0101cijai un rada izaicin\u0101jumus vesel\u012bbas apr\u016bpes darbiniekiem, kuri iesaist\u012bti vakcin\u0113\u0161an\u0101. K\u0101 vesel\u012bbas apr\u016bpes darbiniekiem sp\u0113t izsekot maldino\u0161u st\u0101stu pl\u016bdiem par vakc\u012bn\u0101m? Ko vi\u0146iem teikt pacientiem, kuri min \u0161os st\u0101stus k\u0101 iemeslus nevakcin\u0113ties vai nevakcin\u0113t savus b\u0113rnus?\u00a0<\/span><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400;\">Lai gan var\u0113tu b\u016bt k\u0101rdin\u0101jums argument\u0113t, atsaucoties uz faktiem, j\u0101\u0146em v\u0113r\u0101, ka kori\u0123\u0113t mald\u012bgos uzskatus par vakc\u012bn\u0101m, ko bie\u017ei vien veicina dezinform\u0101cija, <\/span><a href=\"https:\/\/www.climatechangecommunication.org\/wp-content\/uploads\/2023\/09\/DebunkingHandbook2020.pdf\"><span style=\"font-weight: 400;\">nevar tikai daloties ar faktos balst\u012btu inform\u0101ciju<\/span><\/a><span style=\"font-weight: 400;\">. \u0145emiet piem\u0113ru no <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5789217\/\"><span style=\"font-weight: 400;\">sen atsp\u0113kot\u0101 m\u012bta par vakc\u012bn\u0101m un autismu<\/span><\/a><span style=\"font-weight: 400;\">: neskatoties uz p\u0113t\u012bjumiem gadu desmitu garum\u0101 un pla\u0161iem pier\u0101d\u012bjumiem, ka starp to nav saist\u012bbas, vesel\u012bbas apr\u016bpes darbinieki joproj\u0101m saskaras ar \u0161\u012bm ba\u017e\u0101m vec\u0101ku vid\u016b. \u0160\u0101di m\u012bti ir \u201clip\u012bgi\u201d, jo <\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2023-92406-002.html\"><span style=\"font-weight: 400;\">tie sp\u0113l\u0113 uz visdzi\u013c\u0101k apsl\u0113pt\u0101m cilv\u0113ku bail\u0113m, izmantojot sp\u0113c\u012bgus st\u0101stus, kas no pirm\u0101 acu uzmetiena \u0161\u0137iet patiesi<\/span><\/a><span style=\"font-weight: 400;\">. Lai uztur\u0113tu \u0161os m\u012btus dz\u012bvus sabiedr\u012bb\u0101, tos var <\/span><a href=\"https:\/\/counterhate.com\/research\/the-anti-vaxx-industry\/\"><span style=\"font-weight: 400;\">izmantot ar\u012b\u00a0 politisku m\u0113r\u0137u sasnieg\u0161anai<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ko vesel\u012bbas apr\u016bpes darbinieki var teikt tiem, kuriem ir mald\u012bgi uzskati par vakc\u012bn\u0101m? Viss s\u0101kas ar izpratni par to, kas ietekm\u0113 cilv\u0113ka uzskatus. Iedom\u0101simies divus vec\u0101kus \u2013 T\u012bnu un Tomu. Abi ir noraiz\u0113ju\u0161ies, ka vi\u0146u b\u0113rnu im\u016bnsist\u0113ma netiks gal\u0101 ar vis\u0101m ieteicamaj\u0101m vakcin\u0101cij\u0101m. \u0160is ir v\u0113l viens izplat\u012bts mald\u012bgs uzskats: fakts ir t\u0101ds, ka vakc\u012bn\u0101s ir tikai niec\u012bga \u201cdeva\u201d v\u012brusa vai bakt\u0113rijas, sal\u012bdzinot ar re\u0101lu slim\u012bbu. Tomam ba\u017eas rada bailes no blakuspar\u0101d\u012bb\u0101m, ko var izrais\u012bt vakc\u012bnas. T\u012bnai ba\u017eas rada v\u0113lme, lai vi\u0146as b\u0113rnam b\u016btu sp\u0113c\u012bga \u201cdabiska\u201d notur\u012bba pret slim\u012bb\u0101m. Virspus\u0113jo ba\u017eu dzi\u013c\u0101kos virz\u012bt\u0101jsp\u0113kus psiholo\u0123ij\u0101 d\u0113v\u0113 par <\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2017-29745-009.html\"><span style=\"font-weight: 400;\">attieksmes sakn\u0113m<\/span><\/a><span style=\"font-weight: 400;\"> (dzi\u013c\u0101kajiem c\u0113lo\u0146iem), un t\u0101s var motiv\u0113t cilv\u0113kus pie\u0137erties saviem maldiem, saskaroties ar maldu atsp\u0113kojumiem k\u0101 faktiem.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bie\u017ei vien mums ir dabisks impulss labot mald\u012bgos uzskatus, ko dzirdam no citiem. Tom\u0113r p\u0113t\u012bjumi liecina \u2013 ja m\u0113s vispirms apstiprin\u0101m, ka izprotam cilv\u0113ku attieksmes saknes, tad varam sekm\u0113t to, ka vi\u0146i ir <\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2024-59360-001.html\"><span style=\"font-weight: 400;\">atv\u0113rt\u0101ki savu m\u012btu p\u0101rskat\u012b\u0161anai<\/span><\/a><span style=\"font-weight: 400;\">, un t\u0101d\u0113j\u0101di iesp\u0113jams palielin\u0101t vakc\u012bnu pie\u0146em\u0161anu. T\u0101tad, lai klied\u0113tu Toma ba\u017eas, m\u0113s var\u0113tu vispirms apliecin\u0101t vi\u0146am, ka ir norm\u0101li v\u0113l\u0113ties aizsarg\u0101t savu b\u0113rnu. Turpret\u012b, lai klied\u0113tu T\u012bnas ba\u017eas, pal\u012bdzo\u0161i var\u0113tu b\u016bt atz\u012bt, ka kopum\u0101 ir ieteicams izvair\u012bties no nevajadz\u012bgas medikamentu lieto\u0161anas. P\u0113c kontakta izveido\u0161anas un uztic\u0113\u0161an\u0101s pan\u0101k\u0161anas, m\u0113s varam turpin\u0101t vi\u0146u nepareizo uzskatu klied\u0113\u0161anu un dal\u012bties ar pla\u0161\u0101ku inform\u0101ciju par vakcin\u0101ciju.\u00a0<\/span><\/p>\n<p><strong>K\u0101 m\u0113s varam sagatavot vesel\u012bbas apr\u016bpes darbiniekus sarun\u0101m par vakc\u012bn\u0101m?\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Lab\u0101kais veids, k\u0101 klied\u0113t mald\u012bgus uzskatus par vakc\u012bn\u0101m, ir piel\u0101gotas, <\/span><a href=\"https:\/\/doi.org\/10.1136\/bmjgh-2024-017142\"><span style=\"font-weight: 400;\">uz dialogu v\u0113rstas pieejas<\/span><\/a><span style=\"font-weight: 400;\">. Ja cilv\u0113ki var run\u0101t ar vesel\u012bbas apr\u016bpes darbiniekiem, kuriem vi\u0146i uzticas attiec\u012bb\u0101 uz medic\u012bniskiem padomiem, tas var b\u016bt <\/span><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD010038.pub3\/full\"><span style=\"font-weight: 400;\">\u013coti efekt\u012bvi vakcin\u0113\u0161an\u0101s pie\u0146em\u0161anai<\/span><\/a><span style=\"font-weight: 400;\">. \u0160\u0101das pieejas piem\u0113rs ir <\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2024-59360-001.html\"><span style=\"font-weight: 400;\">emp\u0101tisk\u0101 atsp\u0113ko\u0161anas intervija<\/span><\/a><span style=\"font-weight: 400;\"> \u2013 \u010detru so\u013cu sist\u0113ma, kas struktur\u0113 sarunas par vakc\u012bn\u0101m, izmantojot iepriek\u0161 aprakst\u012btas uz pier\u0101d\u012bjumiem balst\u012btas metodes uztic\u0113\u0161an\u0101s veicin\u0101\u0161anai un klied\u0113 mald\u012bgus uzskatus, vienlaikus respekt\u0113jot cilv\u0113ku attieksmes saknes. \u0160\u0101da intervija tika izveidota <\/span><a href=\"https:\/\/jitsuvax.info\"><span style=\"font-weight: 400;\">JITSUVAX projekta<\/span><\/a><span style=\"font-weight: 400;\"> ietvaros un t\u0101 balst\u0101s uz cit\u0101m pieej\u0101m, kas ietver dialogu, piem\u0113ram, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32281992\/\"><span style=\"font-weight: 400;\">motiv\u0113jo\u0161o interviju<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tom\u0113r ne vienm\u0113r ir viegli iesaist\u012bties cie\u0146piln\u0101 dialog\u0101 ar pacientiem par vakcin\u0101ciju. Vesel\u012bbas apr\u016bpes darbinieki <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/10497323251320921\"><span style=\"font-weight: 400;\">var uztraukties par konflikta izrais\u012b\u0161anos<\/span><\/a><span style=\"font-weight: 400;\"> diskusijas laik\u0101. Daudzi vesel\u012bbas apr\u016bpes darbinieki <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11265004\/\"><span style=\"font-weight: 400;\">nav apm\u0101c\u012bti<\/span><\/a><span style=\"font-weight: 400;\">, lai b\u016btu gatavi \u0161\u0101d\u0101m sarun\u0101m. Paties\u012bb\u0101, ja vesel\u012bbas apr\u016bpes darbinieki sa\u0146em apm\u0101c\u012bbu vai nor\u0101d\u012bjumus, tie parasti <\/span><a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/21645515.2024.2397875\"><span style=\"font-weight: 400;\">balst\u0101s uz inform\u0101cij\u0101 b\u0101z\u0113tu pieeju<\/span><\/a><span style=\"font-weight: 400;\">, faktu snieg\u0161anu, kas var b\u016bt neprodukt\u012bvi. JITSUVAX projekt\u0101 interv\u0113ja vesel\u012bbas apr\u016bpes darbiniekus, kuri raksturoja savu vajadz\u012bbu p\u0113c \u012bpa\u0161a atbalsta un strat\u0113\u0123ij\u0101m, ko vi\u0146i var\u0113tu izmantot, klied\u0113jot pacientu mald\u012bgos uzskatus par vakc\u012bn\u0101m.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/jitsuvax.info\"><span style=\"font-weight: 400;\">JITSUVAX projekta<\/span><\/a><span style=\"font-weight: 400;\"> ietvaros tika izstr\u0101d\u0101ti r\u012bki, lai pal\u012bdz\u0113tu vesel\u012bbas apr\u016bpes darbiniekiem izmantot emp\u0101tisko atsp\u0113kojo\u0161o interviju sarun\u0101s par vakc\u012bn\u0101m:\u00a0<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/jitsuvax.info\/welcome\/\"><span style=\"font-weight: 400;\">T\u012bmek\u013ca resursi<\/span><\/a><span style=\"font-weight: 400;\">, kas vesel\u012bbas apr\u016bpes darbiniekiem pal\u012bdz izprast 11 attieksmes saknes, kas ir pamat\u0101 mald\u012bgiem uzskatiem par vakc\u012bn\u0101m.\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/jitsuvax.info\/wp-content\/uploads\/2025\/04\/Jitsuvax-prospectus_english_digital_PDF-03-04-25.pdf\"><span style=\"font-weight: 400;\">Nor\u0101d\u012bjumi<\/span><\/a><span style=\"font-weight: 400;\"> par emp\u0101tisk\u0101s atsp\u0113kojo\u0161\u0101s intervijas izmanto\u0161anu, lai uzlabotu sarunas par vakc\u012bn\u0101m.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Vesel\u012bbas apr\u016bpes darbinieku <\/span><a href=\"https:\/\/jitsuvax.info\/wp-content\/uploads\/2025\/04\/Jitsuvax-prospectus_english_digital_PDF-03-04-25.pdf\"><span style=\"font-weight: 400;\">apm\u0101c\u012bba<\/span><\/a><span style=\"font-weight: 400;\"> emp\u0101tisk\u0101s atsp\u0113kojo\u0161aj\u0101s intervijas pielieto\u0161an\u0101.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Esam vad\u012bju\u0161i semin\u0101rus vesel\u012bbas apr\u016bpes darbiniekiem vis\u0101 Eirop\u0101, kuri zi\u0146oja par sp\u0113c\u012bgiem un ilgsto\u0161iem uzlabojumiem p\u0113c apm\u0101c\u012bbu apmekl\u0113\u0161anas, kas pal\u012bdz\u0113ju\u0161as uzlabot prasmes un palielin\u0101t p\u0101rliec\u012bbu par sevi sarun\u0101s par vakc\u012bn\u0101m. Rum\u0101nij\u0101 vesel\u012bbas apr\u016bpes darbinieki, kuri apm\u0101c\u012bti emp\u0101tisk\u0101s atsp\u0113kojo\u0161\u0101s intervijas un motiv\u0113jo\u0161\u0101s intervijas izmanto\u0161an\u0101, p\u0113c pacientu konsult\u0113\u0161anas nov\u0113roja pierakstu skaita pieaugumu uz vakcin\u0113\u0161anos sal\u012bdzin\u0101jum\u0101 ar vesel\u012bbas apr\u016bpes darbiniekiem, kuri nebija izg\u0101ju\u0161i \u0161\u012bs apm\u0101c\u012bbas.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u016bsu pieredze atspogu\u013co <\/span><a href=\"https:\/\/www.who.int\/europe\/news\/item\/24-05-2023-new-who-study-shows-health-workers-feel-more-confident-to-recommend-covid-19-vaccination-following-a-training-on-patient-communication\"><span style=\"font-weight: 400;\">Pasaules Vesel\u012bbas organiz\u0101cijas<\/span><\/a><span style=\"font-weight: 400;\"> atzinumus, ka komunik\u0101cijas prasmju apm\u0101c\u012bba vesel\u012bbas apr\u016bpes darbiniekiem pal\u012bdz veidot vi\u0146u p\u0101rliec\u012bbu sarun\u0101s par vakc\u012bn\u0101m un ir <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9444894\/\"><span style=\"font-weight: 400;\">v\u0113rt\u012bgs ieguld\u012bjums<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><strong>Praktiski ieteikumi\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Prakti\u0137iem:\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> K\u0101 vesel\u012bbas apr\u016bpes darbiniekam jums ir unik\u0101la uzticamas personas loma attiec\u012bb\u0101 uz medic\u012bniskiem padomiem. Ir j\u0101atz\u012bst, ka saruna ar jums var b\u016btiski ietekm\u0113t pacientu l\u0113mumus par vakcin\u0101ciju.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Izpratne par pacientu attieksmes sakn\u0113m var b\u016bt pal\u012bdzo\u0161a sarun\u0101. Dom\u0101jiet par to k\u0101 par situ\u0101cijas diagnostiku, lai zin\u0101tu, k\u0101dai j\u0101b\u016bt pieejai pacienta ba\u017e\u0101m. Metodes, kas pal\u012bdz \u0161aj\u0101 diagnostikas posm\u0101, ietver atv\u0113rtos jaut\u0101jumus (piem\u0113ram, &#8220;K\u0101da inform\u0101cija pamatotu j\u016bsu l\u0113mumu?&#8221;), nevis sl\u0113gtos jaut\u0101jumus (piem\u0113ram, &#8220;Vai varu jums sniegt k\u0101du inform\u0101ciju?&#8221;), un akt\u012bvas klaus\u012b\u0161an\u0101s praktiz\u0113\u0161anu, p\u0101rdom\u0101jot pacienta teikto.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Ir efekt\u012bvi, uz pier\u0101d\u012bjumiem balst\u012bti veidi, k\u0101 klied\u0113t m\u012btus par vakcin\u0101ciju, vienlaikus saglab\u0101jot savstarp\u0113ju sapratni. Mekl\u0113jiet apm\u0101c\u012bbas \u0161aj\u0101s metod\u0113s, lai stiprin\u0101tu savu p\u0101rliec\u012bbu un prasmes risin\u0101t sarunas par vakcin\u0101ciju.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Jums var\u0113tu b\u016bt ba\u017eas, ka sarunas ar pacientiem aiz\u0146em vair\u0101k laika nek\u0101 parasti ilgst konsult\u0101cija. Komunik\u0101cijas pieejas, piem\u0113ram, emp\u0101tiska atsp\u0113kojo\u0161a intervija, nodro\u0161ina metodes, lai maksim\u0101li palielin\u0101tu sarunas efektivit\u0101ti pat tad, ja jums ir tikai da\u017eas min\u016btes. B\u016btisk\u0101k ir veidot uztic\u0113\u0161anos un likt pamatu turpm\u0101k\u0101m diskusij\u0101m, nek\u0101 sniegt inform\u0101ciju, kas netiks uztverta pozit\u012bvi.\u00a0\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Turpiniet praktiz\u0113t apg\u016bt\u0101s komunik\u0101cijas prasmes un pa\u0146\u0113mienus \u2013 prasmes parasti uzlabojas, pielietojot t\u0101s praks\u0113.\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Tulkojumsi: Ieva \u0112rgle, Gunta Freimane, Zane Gulbe<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Dawn Holford, University of Bristol, UK, Linda Karlsson, University of Turku, Finland, Frederike Taubert, Erfurt University, Germany, Emma C. Anderson, University of Bristol, UK, Virginia C. Gould, University of Bristol, UK Correcting misconceptions about vaccination Vaccination is one of [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":4686,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"<strong>By Dawn Holford, University of Bristol, UK, Linda Karlsson, University of Turku, Finland, Frederike Taubert, Erfurt University, Germany, Emma C. Anderson, University of Bristol, UK, Virginia C. Gould, University of Bristol, UK<\/strong>\n\n<strong>Correcting misconceptions about vaccination<\/strong>\n\n<span style=\"font-weight: 400;\">Vaccination is one of the most successful tools of public health\u2014they have been estimated to <\/span><a href=\"https:\/\/www.who.int\/news\/item\/24-04-2024-global-immunization-efforts-have-saved-at-least-154-million-lives-over-the-past-50-years\"><span style=\"font-weight: 400;\">save 6 lives every minute<\/span><\/a><span style=\"font-weight: 400;\">. But vaccines have also faced public resistance, with persistent disinformation undermining public trust in vaccination, and posing a challenge for health workers with vaccination roles. How do health workers keep up with the flood of false narratives about vaccines? What can they say to patients who cite these narratives as reasons not to vaccinate themselves or their children?\u00a0<\/span>\n\n<!--more-->\n\n<span style=\"font-weight: 400;\">While it can be tempting to respond by citing the facts, correcting misconceptions about vaccines\u2014which are often fuelled by disinformation\u2014is <\/span><a href=\"https:\/\/www.climatechangecommunication.org\/wp-content\/uploads\/2023\/09\/DebunkingHandbook2020.pdf\"><span style=\"font-weight: 400;\">not as simple as sharing more factual information<\/span><\/a><span style=\"font-weight: 400;\">. Take the example of a <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5789217\/\"><span style=\"font-weight: 400;\">long-debunked myth about vaccines and autism<\/span><\/a><span style=\"font-weight: 400;\">: despite decades of research and extensive evidence that there is no link between the two, health workers continue to encounter this concern among parents. Myths like this are \u201csticky\u201d because <\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2023-92406-002.html\"><span style=\"font-weight: 400;\">they play on people\u2019s underlying fears, using strong narratives that appear intuitive at first glance<\/span><\/a><span style=\"font-weight: 400;\">. They can also be <\/span><a href=\"https:\/\/counterhate.com\/research\/the-anti-vaxx-industry\/\"><span style=\"font-weight: 400;\">weaponised by those with political agendas<\/span><\/a><span style=\"font-weight: 400;\"> to keep these myths circulating in public.\u00a0\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">So, what can health workers say to someone who holds a misconception about vaccines? It starts with understanding what motivates someone\u2019s beliefs. Let\u2019s imagine two parents, Tina and Tom. Both share a concern that their children\u2019s immune system will not cope with all the recommended vaccinations. This is another common misconception: the fact is that vaccines are only a tiny dose compared to the real disease. For Tom, the concern is motivated by his fear of adverse effects each vaccine might trigger. For Tina, the concern is motivated by her preference for her child to have strong \u201cnatural\u201d resistance to disease. These deeper drivers of the surface concern are known in psychology as \u201c<\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2017-29745-009.html\"><span style=\"font-weight: 400;\">attitude roots<\/span><\/a><span style=\"font-weight: 400;\">\u201d, and they can motivate people to cling to their misconceptions in the face of factual correction.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Often, we have a natural impulse to directly correct misconceptions we hear from others. However, research shows that when we first validate people\u2019s attitude roots, they are more <\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2024-59360-001.html\"><span style=\"font-weight: 400;\">receptive to corrections of vaccine myths<\/span><\/a><span style=\"font-weight: 400;\">, which can increase their acceptance of vaccines. So, to address Tom\u2019s concern, we might want to first reassure him that it\u2019s normal to want to protect his child. In contrast, to address Tina\u2019s concern, it could be better to begin by acknowledging that it is generally good to avoid unnecessary medication. After connecting with them and building trust, we can continue with addressing their misconceptions and sharing more information about vaccination.\u00a0<\/span>\n\n<strong>How can we prepare health workers for vaccine conversations?<\/strong>\n\n<span style=\"font-weight: 400;\">The best way to address vaccine misconceptions is through tailored, <\/span><a href=\"https:\/\/doi.org\/10.1136\/bmjgh-2024-017142\"><span style=\"font-weight: 400;\">dialogue-based approaches<\/span><\/a><span style=\"font-weight: 400;\">. When people are able to speak to health workers whom they trust for medical advice, this can be <\/span><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD010038.pub3\/full\"><span style=\"font-weight: 400;\">highly effective at raising vaccine uptake<\/span><\/a><span style=\"font-weight: 400;\">. An example of such an approach is the <\/span><a href=\"https:\/\/psycnet.apa.org\/fulltext\/2024-59360-001.html\"><span style=\"font-weight: 400;\">Empathetic Refutational Interview<\/span><\/a><span style=\"font-weight: 400;\">, a four-step framework to structure vaccine conversations using evidence-based techniques described above to build trust and address misconceptions while respecting people\u2019s attitude roots. It was created by the <\/span><a href=\"https:\/\/jitsuvax.info\"><span style=\"font-weight: 400;\">JITSUVAX project<\/span><\/a><span style=\"font-weight: 400;\"> and builds on other dialogue-based approaches, such as <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32281992\/\"><span style=\"font-weight: 400;\">Motivational Interviewing<\/span><\/a><span style=\"font-weight: 400;\">.<\/span>\n\n<span style=\"font-weight: 400;\">However, engaging in respectful dialogue with patients about vaccination is not always easy. Health workers may <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/10497323251320921\"><span style=\"font-weight: 400;\">worry about provoking conflict<\/span><\/a><span style=\"font-weight: 400;\"> during the discussion. Many health workers <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11265004\/\"><span style=\"font-weight: 400;\">do not receive training<\/span><\/a><span style=\"font-weight: 400;\"> to prepare them for such conversations. In fact, where health workers receive training or guidance for this important role, it tends to <\/span><a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/21645515.2024.2397875\"><span style=\"font-weight: 400;\">rely on an information-based approach<\/span><\/a><span style=\"font-weight: 400;\"> of providing facts to patients\u2014which can actually be counterproductive. The JITSUVAX project interviewed health workers who described their need for specific support and strategies they can use to deal with patients\u2019 vaccine misconceptions.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/jitsuvax.info\"><span style=\"font-weight: 400;\">JITSUVAX project<\/span><\/a><span style=\"font-weight: 400;\"> developed tools to support health workers to use the Empathetic Refutational Interview for vaccine conversations:<\/span>\n<ul>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/jitsuvax.info\/welcome\/\"><span style=\"font-weight: 400;\">Web resources<\/span><\/a><span style=\"font-weight: 400;\"> to help health workers understand 11 attitude roots that underlie vaccine misconceptions.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/jitsuvax.info\/wp-content\/uploads\/2025\/04\/Jitsuvax-prospectus_english_digital_PDF-03-04-25.pdf\"><span style=\"font-weight: 400;\">Guidance<\/span><\/a><span style=\"font-weight: 400;\"> on using the Empathetic Refutational Interview to improve vaccine conversations.<\/span><\/li>\n \t<li><a href=\"https:\/\/jitsuvax.info\"><span style=\"font-weight: 400;\">Training<\/span><\/a><span style=\"font-weight: 400;\"> for health workers in the Empathetic Refutational Interview.<\/span><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">We have run workshops with health workers in countries across Europe, who reported strong and lasting improvements after attending training in their skills and confidence for vaccine conversations. In Romania, health workers trained in the Empathetic Refutational Interview and Motivational Interviewing saw a larger increase in the number of vaccination appointments booked after their consultations, compared to untrained health workers.\u00a0\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Our experience mirrors findings from the <\/span><a href=\"https:\/\/www.who.int\/europe\/news\/item\/24-05-2023-new-who-study-shows-health-workers-feel-more-confident-to-recommend-covid-19-vaccination-following-a-training-on-patient-communication\"><span style=\"font-weight: 400;\">World Health Organization<\/span><\/a><span style=\"font-weight: 400;\"> that communication skills training for health workers helps build their confidence in having vaccine conversations and is a <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9444894\/\"><span style=\"font-weight: 400;\">worthwhile investment<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span>\n\n<strong>Practical recommendations<\/strong>\n\n<span style=\"font-weight: 400;\">For practitioners:<\/span>\n<ul>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">As a health worker, you hold a unique position of trust when it comes to medical advice. Recognise that your conversations can make the key difference in patients\u2019 vaccine decisions.\u00a0<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Understanding your patients\u2019 attitude roots can help you in the conversation. You might think of this as diagnosing the situation to know how to approach the patient\u2019s concerns. Techniques to help with this diagnostic step include asking questions that are open (e.g., \u201cWhat information would support your decision?\u201d) instead of closed (\u201cCan I give you some information?\u201d) and practising active listening by reflecting what the patient says.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There are effective, evidence-based ways to correct vaccination myths while maintaining rapport. Seek out training in these techniques to support your confidence and skills to approach vaccine conversations.\u00a0<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You may be concerned that dialogue with patients takes more time than you have in a consultation. Communication approaches like the Empathetic Refutational Interview, provide techniques to maximise the conversation even if you only have a few minutes. It is better to build trust and lay the groundwork for future discussions than deliver information that will not be well-received.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keep practising the communication skills and techniques you learn \u2013 these tend to improve the more you use them.<\/span><\/li>\n<\/ul>","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[22,28,13,56],"tags":[],"class_list":["post-4677","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-behavioural-theory","category-communication","category-interventions","category-public-health"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"lv","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","sr","fi","sv","tr","uk"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":false,"content":false,"excerpt":false},"my":{"title":true,"content":true,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":false,"content":false,"excerpt":false},"hr":{"title":true,"content":true,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":true,"content":true,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":false,"content":false,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":false,"content":false,"excerpt":false},"he":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":true,"content":true,"excerpt":false},"kr":{"title":false,"content":false,"excerpt":false},"lv":{"title":true,"content":true,"excerpt":false},"lt":{"title":false,"content":false,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":true,"content":true,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":false,"content":false,"excerpt":false},"ro":{"title":false,"content":false,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"sr":{"title":false,"content":false,"excerpt":false},"fi":{"title":true,"content":true,"excerpt":false},"sv":{"title":false,"content":false,"excerpt":false},"tr":{"title":false,"content":false,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/posts\/4677","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/comments?post=4677"}],"version-history":[{"count":27,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/posts\/4677\/revisions"}],"predecessor-version":[{"id":4792,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/posts\/4677\/revisions\/4792"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/media\/4686"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/media?parent=4677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/categories?post=4677"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/lv\/wp-json\/wp\/v2\/tags?post=4677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}