Motivational interview training improves self-efficacy of GP interns in vaccination consultations: A study using the Pro-VC-Be to measure vaccine confidence determinants

Garrison, Amanda; Fressard, Lisa; Mitilian, Eva; Gosselin, Virginie; Berthiaume, Patrick; Casanova, Ludovic; Gagneur, Arnaud; Verger, Pierre

doi:10.1080/21645515.2022.2163809

Cited by 8 publications

(3 citation statements)

References 41 publications

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“…available to NHS Wales staff (30)(31)(32), and may be an important component of any future implementation efforts. Building trust through an 'insider' perspective (33), for example through a personalised approach and involving a trusted health professional from a shared community, may also be more effective than approaches involving a person perceived as an 'outsider' by the patient.…”

Section: Discussionmentioning

confidence: 99%

Driving uptake of missed routine vaccines in adolescent and adult migrants: a prospective observational mixed-methods pilot study of catch-up vaccination in UK general practice

Crawshaw,

Goldsmith,

Deal

et al. 2023

Preprint

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Background Migrants in Europe may be vulnerable to vaccine preventable diseases (VPDs) because of missed routine vaccines in childhood in their country of origin and marginalisation from health and vaccine systems. To align with European schedules, migrants should be offered catch–up vaccinations, considering MMR, Td–IPV, and age–appropriate MenACWY and HPV. However, awareness and implementation of catch-up guidelines by primary care staff in the UK is considered to be poor, and there is a lack of research on effective approaches to strengthen the primary care pathway. Methods We conducted a prospective observational mixed methods pilot study ′Vacc on Track′ (May 2021-September 2022) to better understand and define new care pathways to increase catch –up vaccination for adolescent and adult migrants presenting to primary care (≥16 years, born outside Western Europe, North America, Australia, or New Zealand) in two London boroughs. We designed a standardised data collection tool to assess rates of under–vaccination in migrant populations and previous VPDs, which then prompted a referral to practice nurses to deliver catch–up vaccination for those with uncertain or incomplete immunisation status, following UK guidelines. We explored views of practice staff on delivering catch–up vaccination to migrant populations through focus group discussions and engaged migrants in in–depth interviews around approaches to catch–up vaccination. Data were analysed in STATA12 and Microsoft Excel. Results We recruited 57 migrant participants (mean age 41 [SD 7.2] years; 62% female; mean 11.3 [SD 9.1] years in UK) from 18 countries, with minimum 6 months follow–up. We did 3 focus groups with 30 practice staff and 39 qualitative in–depth interviews with migrants. Nearly all migrant participants required catch–up vaccination for MMR (86%) and Td/IPV (88%) and most reported not having been previously engaged in UK primary care around catch–up vaccination. 12 (55%) of 22 participants in Site 1 reported a past VPD, including measles and rubella. 53 (93%) of participants were referred for catch–up vaccination. However, although 43 (81%) had at least one dose (at follow–up) of a required vaccine, only 6 (12%) referred for Td–IPV and 33 (64%) of those referred for MMR had completed their required course and vaccination pathway at follow–up, suggesting there were a range of personal and environmental obstacles to migrants accessing vaccinations and all multiple doses of vaccines that need to be better considered. Staff identified seven barriers to delivering catch–up vaccines to migrants, including limited time for appointments and follow–up, language and literacy barriers when taking histories and to encourage vaccination, lack of staff knowledge of current guidelines, inadequate engagement routes, and the absence of primary care targets or incentives. Conclusions Our findings suggest adolescent and adult migrants are an under–vaccinated group and would benefit from being offered catch–up vaccination on arrival to the UK. Primary care is an important setting to deliver catch–up vaccination, but effective pathways are currently lacking, and improving vaccine coverage for key routine vaccines across a broader range of migrant groups will require designated staff champions, training, awareness–raising and financial incentives. Novel ways to deliver vaccinations in community settings should be explored, along with co–designing community-based interventions to raise awareness among these populations of the benefits of lifecourse immunisation.

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Section: Discussionmentioning

confidence: 99%

Driving uptake of missed routine vaccines in adolescent and adult migrants: a prospective observational mixed-methods pilot study of catch-up vaccination in UK general practice

Crawshaw,

Goldsmith,

Deal

et al. 2023

Preprint

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“…We adapted existing evidence-based behavior change and counseling techniques with proven efficacy in changing other behaviors (Very Brief Advice) and uncertainty or resistance about behavior change (motivational interviewing) to address COVID-19 vaccine hesitancy. Since the initiation of this project several groups have examined the role of MI in addressing (22)(23)(24)(25). This project adds to international work regarding the adaptation of MI counseling techniques for COVOD-19 vaccine hesitancy that has been tailored to the national context in Greece.…”

Section: Main Findingsmentioning

confidence: 99%

Development of an eLearning intervention for enhancing health professionals’ skills for addressing COVID-19 vaccine hesitancy

Papadakis,

Anastasaki,

Gamaletsou

et al. 2023

Front. Med.

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Like many countries, Greece has faced resistance to coronavirus disease 2019 (COVID-19) vaccination among residents for both the initial and booster doses. Supporting healthcare professionals with delivering brief advice on COVID-19 vaccination may assist with reaching national vaccination targets. We sought to rapidly develop, pilot test, and deploy an eLearning intervention on skills training on effective techniques for addressing COVID-19 vaccine hesitancy for primary health and social care professionals in Greece. A five-part, 1.5-h eLearning was produced in Greek which featured two behavior change techniques, Very Brief Advice (VBA) and Motivational Interviewing (MI) adapted for use in addressing COVID-19 vaccine hesitancy. Six-film-based case studies modeling the use of VBA and MI in the context of challenging scenarios typically seen in Greek health and social settings were produced for the eLearning. The CME was pilot tested using a pre-post design in a small convenience sample (n = 17) of health care professionals. Pilot study results found the training provided new knowledge (80%), improved provider skills (80%), and was useful to provider’s clinical practice (90%). There was a mixed effect in provider capability, motivation, and opportunity. Ninety percent of providers strongly agreed or agreed that they planned to use the information and skills provided by the training in their clinical practice. This project has resulted in new training assets for use by health and social professional tailored to the nationally context in Greece including supporting uptake of booster doses of the COVID-19 vaccine.

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“…Thus, it seems promising that HCPs in France mentioned the offer of motivational interviewing training for medical students and interns, though it was not universally available in medical schools across the country nor to nurses. Making this type of communication training speci c to vaccination would also be bene cial, as previous work has shown that training medical interns to apply motivational interviewing to vaccination conversations improved their self-e cacy(Garrison et al, 2023a), which can translate into more frequent vaccine recommendation behaviour among HCPs(Garrison et al, 2023b).HCPs' preferences for training delivery re ect a tension between convenience (online training was easily accessible amidst a busy schedule) and enjoyability (face-to-face training was perceived as more engaging and an opportunity to learn through interaction with colleagues). Recent innovations in training delivery-in part accelerated by the need for diverse training media during the COVID-19 pandemic-have provided a range of formats and resources that could be harnessed widely to balance HCPs' competing needs(Boutros et al, 2023).…”

mentioning

confidence: 99%

Healthcare professionals’ perceptions of challenges in vaccine communication and training needs: A qualitative study

Holford,

Anderson,

Biswas

et al. 2024

Preprint

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Background: Healthcare professionals (HCPs) can play an important role in encouraging patients and their caregivers to be vaccinated. The objective of this qualitative study was to investigate HCPs’ perspectives on challenges in vaccine communication and unmet training needs in this domain. Methods: Semi-structured interviews were conducted with 41 HCPs (mainly nurses and physicians) with vaccination roles (23 in England; 18 in France), gathering information on: (1) HCPs’ approach to vaccine conversations with patients; (2) Challenges of communicating about vaccines; (3) Vaccine-related training and learning resources available to HCPs, and ; (4) HCPs’ training needs around vaccine communication. Results: HCPs described a range of communication experiences that indicated insufficient time, information, and skills to confidently navigate difficult conversations with vaccine-hesitant patients. Communication skills were especially important to avoid conflict that could potentially damage the patient-provider relationship. Some HCPs interviewed had received communication training, but for most, this training was not specific to vaccination. Although general communication skills were transferable to vaccine conversations, most HCPs welcomed specific training and informational resources to support countering patients’ misconceptions or misinformation about vaccines. Conclusions: HCPs would benefit from training tailored to address vaccine communication with patients, and this should be part of a systemic approach that also provides time and space to have effective vaccine conversations.

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Motivational interview training improves self-efficacy of GP interns in vaccination consultations: A study using the Pro-VC-Be to measure vaccine confidence determinants

Cited by 8 publications

References 41 publications

Driving uptake of missed routine vaccines in adolescent and adult migrants: a prospective observational mixed-methods pilot study of catch-up vaccination in UK general practice

Driving uptake of missed routine vaccines in adolescent and adult migrants: a prospective observational mixed-methods pilot study of catch-up vaccination in UK general practice

Development of an eLearning intervention for enhancing health professionals’ skills for addressing COVID-19 vaccine hesitancy

Healthcare professionals’ perceptions of challenges in vaccine communication and training needs: A qualitative study

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