How to Discuss Vaccination with Vaccine-Hesitant Patients and Parents The CASE Model www.immunizeUSA.org
Objectives • Describe factors contributing the growing anti-vaccine movement. • Identify key issues in pro-vaccine messaging. • Use the CASE model to discuss vaccination with vaccine-hesitant individuals. www.immunizeUSA.org
Vaccine Hesitancy Anti-Vaccine Unsure Pro-Vaccine www.immunizeUSA.org
Why are we still talking about this? • Distrust of the “establishment” • Media love a controversy • Celebrity spokespeople • “University of Google” • Perception of legitimacy: – National Vaccine Information Center • Word of mouth www.immunizeUSA.org
Why are we still talking about this? • But also … – “Science” speak – Lack of emotional appeal when talking about vaccines – Dismissal of vaccine-refusers www.immunizeUSA.org
CASE Model • C orroborate Acknowledge the parents’ concern and find some point Source: Allison Singer, http://www.aapnj.org/uploadfiles/documents/f73.pdf on which you can agree. Set the tone for a respectful, successful talk. • A bout Me Describe what you have done to build your knowledge base and expertise. • S cience Describe what the science says. • E xplain/Advise Give your advice, based on the science. www.immunizeUSA.org
Corroborate “I don’t think all the vaccines are necessary. I Source: Allison Singer, http://www.aapnj.org/uploadfiles/documents/f73.pdf mean, why do we even vaccinate against polio anymore?” • What do you have in common? – “I understand why you feel that way. It wasn’t until last summer that I saw a case of measles for the very first time.” www.immunizeUSA.org
About Me “I don’t think all the vaccines are necessary. I mean, Source: Allison Singer, http://www.aapnj.org/uploadfiles/documents/f73.pdf why do we even vaccinate against polio anymore?” • What have you done to educate yourself on the topic? – “In my work, I spend a lot of time researching the latest information on diseases like polio, chickenpox and measles. In fact, I recently attended a conference on vaccine-preventable diseases, where I learned …” www.immunizeUSA.org
Science Source: Allison Singer, http://www.aapnj.org/uploadfiles/documents/f73.pdf; WHO: “I don’t think all the vaccines are necessary. I mean, why do we even vaccinate against polio anymore?” http://www.who.int/mediacentre/factsheets/fs114/en/ • What does the science say? – “Since the introduction of the polio vaccine, the number of cases of polio in the U.S. has plummeted by more than 99%. But not all countries have had successful vaccination campaigns. In today’s world, polio is really just a plane ride away.” www.immunizeUSA.org
Explain/Advise “I don’t think all the vaccines are necessary. I Source: Allison Singer, http://www.aapnj.org/uploadfiles/documents/f73.pdf mean, why do we even vaccinate against polio anymore?” • What is you recommendation based on science? – “Given that the risk of diseases like polio still exist, it is very important that all children be up-to- date on their vaccinations.” www.immunizeUSA.org
Scenario • “I want to spread the vaccines out so I Source: Allison Singer, http://www.aapnj.org/uploadfiles/documents/f73.pdf don’t overwhelm my baby’s immune system.” • How would you respond using the CASE model? www.immunizeUSA.org
Scenario • C: Children today do get more shots than they did when we were growing up. Source: Allison Singer, http://www.aapnj.org/uploadfiles/documents/f73.pdf • A: I recently watched the CDC’s advisory council meeting where they determine the childhood immunization schedule, and they spent a great deal of time looking at all available research to make sure that the schedule provides the greatest amount of protection in the safest way. • S: While kids today get more shots than our day, new vaccine technologies have made them safer than ever before – and often that means that they require more doses for the same level of protection. E/A: We all want our children to be safe and healthy. That’s • why my children receive their vaccines according to the recommended schedule. www.immunizeUSA.org
Summary • Be compassionate. • Share your story. • Keep it simple. • Be confident in your recommendation. www.immunizeUSA.org
Questions? Please feel free to contact: Robyn Correll Carlyle, MPH Community Outreach Coordinator rcarlyle@immunizeUSA.org (281) 400-3689 www.immunizeUSA.org
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