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Effectiveness of Online Vaccine Communication Training and Assessment Using Virtual Encounters With Standardized
Shanna M Barton1,2, Aaron W Calhoun3,4, Carrie A Bohnert5
1Department of Pediatrics, Pediatric Infectious Diseases, Norton Children's Hospital, Louisville, USA.
Cureus
|May 28, 2026
Summary
Online training in the Announce-Inquire-Mirror-Secure (AIMS) method improved resident behaviors for counseling vaccine-hesitant parents. Confidence increased in both trained and control groups during telemedicine encounters.
Area of Science:
- Medical Education
- Communication Strategies
- Vaccine Hesitancy
Background:
- Lack of standardized training for counseling vaccine-hesitant parents exists.
- Vaccine hesitancy is a significant concern among parents.
- Structured communication approaches, like the AIMS method, aim to build trust and improve vaccine acceptance.
Purpose of the Study:
- To evaluate the effectiveness of online training in a structured communication strategy (AIMS) for addressing vaccine hesitancy.
- To assess if the training improves resident behaviors and confidence during telemedicine encounters with standardized patients (SPs).
- To determine if specific communication behaviors are more prevalent after AIMS training compared to a control group.
Main Methods:
- Pediatric and medicine-pediatric residents were randomized to receive either AIMS or control online training.
- Pre- and post-training telemedicine encounters with SPs simulating well-child visits were conducted and video-recorded.
- Encounters were assessed using the Vaccine Hesitancy Communication Assessment (VHCA); resident confidence and SP evaluations were also measured.
Main Results:
- Resident self-confidence improved in both AIMS and control groups.
- AIMS-specific communication behaviors were observed more frequently in residents who received AIMS training.
- Standardized patient assessments of resident communication skills did not significantly differ between the groups.
Conclusions:
- Online training and assessment using SPs are effective for vaccine hesitancy communication, even in a virtual setting.
- Confidence gains appear to stem from the SP encounter experience itself, benefiting both groups.
- Similar virtual training and simulation programs hold promise for resident education and the expanding use of telemedicine.
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