Faculté des Sciences Médicales et Paramédicales, Observatoire Régional de la Santé (ORS) PACA, Marseille, France.
Faculté des Sciences Médicales et Paramédicales, Département Universitaire de Médecine Générale (DUMG), Aix Marseille Université, Marseille, France.
Hum Vaccin Immunother. 2023 Dec 31;19(1):2163809. doi: 10.1080/21645515.2022.2163809. Epub 2023 Jan 26.
Immunization-specific motivational interviewing (MI), a patient-centered communication style used to encourage internal motivation for attitudinal and behavioral change, can provide healthcare professionals (HCPs) with the skills and practice required to respond to patients' doubts and concerns related to vaccines. We sought to assess the impact of an MI-training of General Practitioner (GP) interns on the psychosocial determinants of their vaccine confidence and behaviors. French GP interns participated in a virtual three-day MI-workshop in southeastern France. We used the validated Pro-VC-Be questionnaire - before and after the MI-workshop spanning over three months - to measure the evolution of these determinants. Scores before and after workshop trainings were compared in pairs. Participants' scores for commitment to vaccination (+10.5 ± 20.5, = .001), perceived self-efficacy (+36.0 ± 25.8, < .0001), openness to patients (+18.7 ± 17.0, < .0001), and trust in authorities (+9.5 ± 17.2, = 0.01) significantly increased after the training sessions, but not the score for confidence in vaccines (+1.5 ± 11.9, = .14). The effect sizes of the four score improvements were moderate to large, with self-efficacy and openness to patients having the largest effect sizes ( = .83 and 0.78, respectively). This study provides evidence that certain determinants of overall vaccine confidence in HCPs, reflected respectively in the openness to patients and self-efficacy scores of the Pro-VC-Be, improve after immunization MI-training workshops. Incorporating immunization-specific MI-training in the curriculum for HCPs could improve several necessary skills to improve HCP-patient relationships and be useful for vaccination and other healthcare services.
免疫接种特异性动机访谈(MI)是一种以患者为中心的沟通方式,用于鼓励态度和行为改变的内在动机,它可以为医疗保健专业人员(HCP)提供应对患者对疫苗相关疑虑和担忧所需的技能和实践。我们旨在评估对全科医生(GP)实习医生进行 MI 培训对其疫苗信心和行为的社会心理决定因素的影响。法国的 GP 实习医生参加了法国东南部为期三天的虚拟 MI 研讨会。我们使用经过验证的 Pro-VC-Be 问卷 - 在 MI 研讨会前后跨越三个月 - 来衡量这些决定因素的演变。在配对比较了研讨会培训前后的分数。参与者对疫苗接种的承诺(+10.5 ± 20.5, = .001)、感知自我效能(+36.0 ± 25.8, < .0001)、对患者的开放程度(+18.7 ± 17.0, < .0001)和对权威的信任(+9.5 ± 17.2, = 0.01)在培训后显著增加,但疫苗信心得分没有增加(+1.5 ± 11.9, = .14)。四项评分提高的效应大小为中等至较大,自我效能和对患者的开放程度具有最大的效应大小( = .83 和 0.78,分别)。这项研究提供了证据,表明 HCP 对整体疫苗信心的某些决定因素,分别反映在 Pro-VC-Be 的对患者的开放程度和自我效能评分中,在免疫接种 MI 培训研讨会后会有所改善。在 HCP 课程中纳入免疫接种特异性 MI 培训可以提高改善 HCP-患者关系所需的多项技能,并有助于疫苗接种和其他医疗保健服务。