Theater for Vaccine Hesitancy—Setting the Stage for Difficult Conversations

Cullen, John P.; Russ, Savanah; Russell, Holly Ann

doi:10.1001/jama.2022.14864

Cited by 10 publications

(8 citation statements)

References 10 publications

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“…and reason for hesitancy (confusion, mis/distrust, etc.) was determined by the group based on the common misinformation and beliefs spreading at the time in the TMs' communities ( 9 ). TMs supported each other by providing feedback and advice on conversational cues.…”

Section: Results: Barriers and Solutions To Covid-19 Vaccination Effortsmentioning

confidence: 99%

“…Trusted messengers who engaged in both the TMF and the TVH workshop endorsed feeling more confident when discussing vaccines with their patients after engagement with the interventions. More specifically, TMs who participated in the TVH workshop and took the post-intervention survey reported an impact on patient decisions to get vaccinated: 45% of respondents judged that their patients were more likely to get vaccinated and 29% became vaccinated due to a change in conversational approach ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

“…In response, the FLRII team created a TM support program comprised of three interventions: a Theater for Vaccine Hesitancy (TVH) workshop, a TM toolkit, and a bi-weekly live Zoom stakeholder forum. The TVH workshop was informed by multiple disciplines and was created to train TMs to have persuasive and respectful conversations with COVID-19 vaccine-hesitant patients and clients ( 9 ). Toolkit materials were designed for TMs to rapidly answer frequently asked questions and de-bunk common myths about COVID-19 vaccines.…”

Section: Methods: Trusted Messenger-led Response To Vaccine Hesitancymentioning

confidence: 99%

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Addressing COVID-19 vaccine hesitancy in rural communities: A case study in engaging trusted messengers to pivot and plan

Reichelt

Cullen

Mayer-Fried

et al. 2023

Front. Public Health

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The pandemic declaration of COVID-19 in 2020 presented unique challenges, lessons, and opportunities for public health practice in the United States. Despite clear evidence of COVID-19 vaccine effectiveness, vaccine uptake and vaccine confidence remained low in many regions. Vaccine holdouts, or those who are vaccine hesitant, have been an increasingly difficult population to reach. Several factors influence vaccine hesitancy and behavior in rural areas, including health care access challenges, misinformation, political loyalties, and concerns regarding the perceived lack of trustworthy evidence and knowledge of long-term effects. In March 2021, the Finger Lakes Rural Immunization Initiative (FLRII) engaged stakeholders to address vaccine hesitancy in a nine-county region of rural New York known as the Finger Lakes. Driven by data collected from community partners, physicians, and local health departments regarding their biggest barriers and greatest needs, the FLRII team created an interactive program for trusted messengers (TMs) including a stakeholder panel, called the Trusted Messenger Forum (TMF). The TMF met every 2 weeks from August 2021- August 2022 to engage local TMs and disseminate up-to-date knowledge in real time. During forum sessions, TMs shared detailed accounts of their experiences combating vaccine hesitancy in their communities and supported one another in their efforts through positive interaction and reaffirming conversations. Collaborations between community stakeholders can form a scaffolding to support a rapid response to a variety of public health problems and result in impactful change. For researchers implementing community-based research projects, modeling stakeholder panels after trusted messenger forums can be effective for diversifying the scope of the project and reacting to emergent problems in real-time.

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Section: Results: Barriers and Solutions To Covid-19 Vaccination Effortsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methods: Trusted Messenger-led Response To Vaccine Hesitancymentioning

confidence: 99%

See 1 more Smart Citation

Addressing COVID-19 vaccine hesitancy in rural communities: A case study in engaging trusted messengers to pivot and plan

Reichelt

Cullen

Mayer-Fried

et al. 2023

Front. Public Health

Self Cite

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“…We started with a patient focus, believing these scenarios were psychologically safer than experiences with colleagues/faculty, and then moved to experiences with colleagues. Faculty trained in Theater of the Oppressed (TO), or Forum Theater techniques 7,8 led this workshop. The facilitators established an atmosphere of emotional safety to collaboratively develop and practice responses.…”

Section: Methodsmentioning

confidence: 99%

Addressing Sexual Harassment and Gender Bias: Mandatory Modules Are Not Enough

Russell

Sanders

Nofziger

et al. 2023

Fam Med

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Background and Objectives: Despite decades of new policy guidelines and mandatory training modules, sexual harassment (SH) and gender bias (GB) continue in academic medicine. The hierarchical structure of medical training makes it challenging to act when one experiences or witnesses SH or GB. Most trainings designed to address SH and GB are driven by external mandates and do not utilize current educational techniques. Our goal was to design training that is in-person, active, and directed toward skills development. Methods: Our academic family medicine (FM) department began by surveying our faculty and residents about their lived experiences of SH and GB. We used these data, incorporating principles of adult learning, to deliver voluntary, experiential, interactive workshops throughout 2019. The workshops took place during faculty development meetings and an annual retreat. We used interactive techniques that included case-based and Theater of the Oppressed formats. Outcomes: Eighty percent of faculty and residents participated in at least one of our voluntary training sessions. In April of 2020, we administered a retrospective, pre/postsurvey on confidence in recognizing, responding to, and reporting SH and GB. We found significant improvements in all domains surveyed; many participants reported using the skills in the 6 months prior to completing the surveys. Conclusion: We demonstrated that voluntary, interactive training sessions using the recommendations of the National Academies of Science Engineering and Medicine Report on the Sexual Harassment of Women improve participants’ reported confidence in recognizing, responding to, and reporting SH and GB in one academic FM department. This training intervention is practical and can be disseminated and implemented in many settings.

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“…This situation may not be helpful to bolster herd immunity in order to prevent the further spread of COVID-19 and its variations. According to the WHO, "Vaccine hesitancy" has been considered as one of the top 10 public health problems across the world [13][14][15]. It refers to the delay or refusal to receive safe vaccination services, which can accompany the use of vaccines [3,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Dynamic Trends and Underlying Factors of COVID-19 Vaccine Booster Hesitancy in Adults: Cross-Sectional Observational Study

Wu,

Ma,

et al. 2023

JMIR Public Health Surveill

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Background COVID-19 vaccine hesitancy reduces vaccination rates, which is detrimental to building herd immunity and halting the spread of COVID-19 and its variations. Most researches have simply identified the reasons affecting COVID-19 vaccination reluctance without delving into its dynamics, which makes forecasting future trends difficult. Objective This study aimed to examine the current COVID-19 vaccine booster hesitancy rate in Chinese adults as well as the dynamics of vaccine hesitancy and its influencing factors. The results of this study will have practical implications for policy responses in mainland China, and effective COVID-19 booster vaccination in specific populations. Methods The web-based survey was completed by creating questionnaires and using a stratified random sampling method to collect information from adults (≥18 years old) among 2556 households in 4 geographical regions of China. We collected sociodemographic information, health status, awareness of COVID-19 and its vaccine, self-perceptions, trust in medical staff and vaccine developers, and so on. The odds ratios and 95% CI for the statistical associations were estimated using logistic regression models. Results Overall, 6659 participants (females: n=3540, 53.2%; males: n=3119, 46.8%) responded. In total, 533 (8%; 95% CI 7.4%-8.7%) participants presented a clear hesitancy in receiving the COVID-19 booster vaccination, while 736 (11.1%; 95% CI 10.3%-11.8%) expressed hesitancy in regular booster vaccination. A higher prevalence of vaccine hesitancy in both booster vaccination and regular booster vaccination was observed among participants with a history of allergies, experiencing chronic disease, lower levels of public health prevention measures or susceptibility or benefits or self-efficiency, higher levels of severity or barriers, and lower trust in both medical staff and vaccine developers (P<.05). The females and participants with higher education levels, higher levels of barriers, lower levels of susceptibility, and lower trust in vaccine developers preferred to have attitudinal changes from acceptance to hesitancy, while people with higher education levels, lower self-report health conditions, experiencing chronic disease, history of allergies, and lower trust in medical staff and developers were all positively associated with constant COVID-19 booster hesitancy. Conclusions The prevalence of COVID-19 vaccine booster hesitancy is not high in mainland China. However, there is a slight increment in hesitancy on regular booster vaccination. Conducting targeted information guidance for people with higher education levels and chronic diseases, as well as improving accessibility to booster vaccination and increasing trust in medical staff and vaccine producers may be highly effective in reducing vaccine hesitancy.

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Theater for Vaccine Hesitancy—Setting the Stage for Difficult Conversations

Abstract: This Arts and Medicine feature describes use of improvisational theater techniques to train health care workers to have persuasive and respectful conversations with vaccine-hesitant patients about accepting COVID-19 vaccination.

Cited by 10 publications

References 10 publications

Addressing COVID-19 vaccine hesitancy in rural communities: A case study in engaging trusted messengers to pivot and plan

Addressing COVID-19 vaccine hesitancy in rural communities: A case study in engaging trusted messengers to pivot and plan

Addressing Sexual Harassment and Gender Bias: Mandatory Modules Are Not Enough

Dynamic Trends and Underlying Factors of COVID-19 Vaccine Booster Hesitancy in Adults: Cross-Sectional Observational Study

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