Fasce Angelo, Mustață Mirela, Deliu Alexandra, Holford Dawn, Karlsson Linda, Gould Virginia, Dumitra Gheorghe Gindrovel, Farcasanu Dana, Vișinescu Iulia, Verger Pierre, Lewandowsky Stephan
University of Erfurt, Erfurt, Germany.
Southeastern Health Regional Observatory, Marseille, France.
NPJ Vaccines. 2025 Jul 3;10(1):142. doi: 10.1038/s41541-025-01197-8.
Vaccine hesitancy is among the most concerning public health issues due to declining immunization rates worldwide. We report a mixed-methods field test of two conversational techniques that allow for an empathetic dialogue on vaccination between health care professionals and patients: Empathetic-refutational interviewing (ERI) and motivational interviewing (MI). Thirty Romanian general practitioners were assigned to an untrained control group and to two experimental groups in which they were trained in ERI or MI. After training, physicians had conversations on HPV and influenza vaccines with 334 patients who were hesitant to receive a vaccination. Patients of physicians in the ERI group demonstrated larger increases in positive attitudes toward vaccines and willingness to get vaccinated, while a greater proportion of patients in the MI group scheduled vaccination appointments. Interviews with participating physicians revealed overall satisfaction with the conversational techniques. Empathetic interpersonal communication can have a substantial positive impact on vaccination rates, especially for vaccines subject to mass misinformation campaigns.
由于全球免疫接种率下降，疫苗犹豫是最令人担忧的公共卫生问题之一。我们报告了两种对话技术的混合方法现场测试，这两种技术允许医护人员与患者就疫苗接种进行共情对话：共情反驳式访谈（ERI）和动机性访谈（MI）。30名罗马尼亚全科医生被分配到一个未经培训的对照组和两个实验组，在实验组中他们接受了ERI或MI培训。培训后，医生与334名对接种疫苗犹豫不决的患者就HPV疫苗和流感疫苗进行了交谈。ERI组医生的患者对疫苗的积极态度和接种意愿有更大幅度的提高，而MI组中有更大比例的患者预约了疫苗接种。对参与医生的访谈显示，他们对这些对话技术总体满意。共情的人际沟通可以对疫苗接种率产生重大的积极影响，特别是对于那些受到大量错误信息影响的疫苗。
