Determinants of vaccine hesitancy
the vaccine hesitancy continuum
evidence -based communication skills
Motivational interviewing in practice
consequences and public health impact
100

Trust in vaccine safety, effectiveness and supporting scientific evidence describes which determinant.

What is confidence ?

100

Child has a medical exception on file for varicella vaccine due to varicella infection. All other required and recommended vaccines are up to date. 

What is Accept all vaccines with confidence

100

Open ended questions, affirmation reflection and summary 

What is OARS

100

Partnership acceptance , evocation (helping individuals verbalized their change) and compassion 

What is spirit

100

When vaccination rates drop this protective community effect weakens

What is community immunity?

200

Satisfaction with the status quo where vaccines may not be seen as necessary or the disease as a threat is which determinant.

What is complacency ?

200

Child is up to date with all vaccines. Parent seems anxious and has a lot of questions about vaccines and any risks and side effects. 

What is Accept all vaccines but unsure 

200

The correct information, then mention the misinformation. End the conversation with correct information summary. Our brains remember what is said first and what was said last.

What is fighting misinformation- truth sandwich 

200

Fostering engagement focusing on the target of change, and using skills to understand and address concerns 

What is process

200

Vaccine hesitancy is listed by WHO

What is a major global threat

300

Structural and psychological barriers to vaccination ,such as accessibility,affordability and understanding the need for vaccination is which determinant.

What is constraints?

300

Child has had no doses of previous MMR and V vaccines. Parent submitted a non medical exception due to concerns with live vaccines 

What is delay or refuse some vaccines

300

exploring reasons of hesitancy and changing attitudes and behaviour 

What is motivational interviewing 

300

Open ended questions to facilitate dialogue and understanding 

What is skills

300

When vaccination rates drop disease that were eliminated return.

What is a resurgence in vaccine preventable diseases 

400

Individual assessments of the risks and benefits of vaccination describes which determinant.

What is calculation?

400

Child has a non-medical exception on file for all vaccines and has never had a vaccine. The note on file indicates that the parent has submitted the exception due to lack of information on vaccines safety

What is refuse all vaccines but unsure 

400

Would it be ok if we talked a bit more about where your concerns? That concern has been around awhile. The idea MMR causes autism came from a study in 1998, but it was found to fraudulent and was retracted. Does this information make sense to you 

What is Ask .provide. verify

400

The core goal is to evoke the persons own arguments for change not to persuade or pressure them

What is change talk?

400

Misinformation spread through social media 

What leads to erosion of public trust ?

500

The desire to be vaccinated to protect others and achieve collective immunity is which determinant.

What is collective responsibility ?

500

Parent submitted philosophical exception for all child vaccinations.she believes natural immunity is better than immunization. She doesn't want to receive any information about vaccines 

What is refuse all vaccines with confidence 

500

Emphasis safety. Vaccines are 99% safe vs 1% you may have a side effect.

What is framing message positively 

500

Partnership,acceptance compassion and evocation 

What are the four elements that guide every interaction utilizing the MI spirit 

500

Communities with lower access to health care and high exposure to misinformation, often experience lower vaccination rates and higher disease burden .

What is widening health inequities ?