Chen Aleda M H, Anthony Alea, Balogun Adeola, Pereira Ruth, Cole Justin W
School of Pharmacy, Cedarville University, 251 N. Main St., Cedarville, OH 45314, USA.
Pharmacy (Basel). 2024 Jul 24;12(4):114. doi: 10.3390/pharmacy12040114.
Vaccines have played a significant role in reducing infectious disease burden. However, vaccine hesitancy remains a persistent challenge in public health, including for pharmacists who often interact with patients regarding vaccines. Thus, this study assesses the impact of motivational interviewing (MI) training and the MI-based vaccine hesitancy discussion tools (MOTIVE) on pharmacists' management of vaccine hesitancy. Pharmacists in eight Midwestern pharmacy practices who completed MI and MOTIVE training and engaged with vaccine-hesitant patients participated in this study. The pharmacist participants completed post-encounter surveys identifying the vaccine discussed, the tool utilized, and the outcome of the conversation. Descriptive results from 362 encounters indicated that the primary reasons for hesitancy were safety (39%), care coordination (31.5%), and efficacy (30.4%). Post encounter, 35.4% of patients received vaccines, 26% planned to, 25.1% considered it, and 13.5% were uninterested. The findings highlight the importance of patient-centered communication, such as MI, between patients and pharmacists to identify and address reasons for vaccine hesitancy. Pharmacists, equipped with conversation tools such as the MOTIVE tools, may effectively influence vaccine acceptance. Future research should evaluate the utility of MI and the MOTIVE tools in other settings and regions.
疫苗在减轻传染病负担方面发挥了重要作用。然而，疫苗犹豫仍然是公共卫生领域持续存在的挑战，对于经常就疫苗问题与患者互动的药剂师来说也是如此。因此，本研究评估了动机性访谈（MI）培训以及基于MI的疫苗犹豫讨论工具（MOTIVE）对药剂师处理疫苗犹豫问题的影响。来自中西部八个药房的药剂师完成了MI和MOTIVE培训，并与对疫苗持犹豫态度的患者进行了接触，他们参与了本研究。药剂师参与者在每次接触后完成了调查，确定讨论的疫苗、使用的工具以及谈话的结果。362次接触的描述性结果表明，犹豫的主要原因是安全性（39%）、护理协调（31.5%）和有效性（30.4%）。接触后，35.4%的患者接种了疫苗，26%的患者计划接种，25.1%的患者考虑接种，13.5%的患者不感兴趣。研究结果强调了患者与药剂师之间以患者为中心的沟通（如MI）对于识别和解决疫苗犹豫原因的重要性。配备了诸如MOTIVE工具等沟通工具的药剂师可能会有效地影响疫苗接种率。未来的研究应评估MI和MOTIVE工具在其他环境和地区的效用。
