转变提供者-患者疫苗对话:一种随机试验的假设性沟通培训
Nina Bartmann1, Jan Willem Lindemans2, Caroline E Sloan3,4
1Duke University, Durham, North Carolina, USA nina.bartmann@duke.edu.
BMJ leader
|December 9, 2025
概括
医疗保健提供者在假设性沟通方面的培训显著增加了疫苗接种建议语言. 这种方法,结合社会规范信息传递,可以通过提高患者信任和沟通效率来提高免疫率.
科学领域:
- 行为科学 行为科学
- 公共卫生 公共卫生
- 卫生沟通健康沟通
背景情况:
- 在全球范围内,尽管有疫苗可用性和提供者支持,但免疫率仍然低于最佳水平.
- 本研究通过调查沟通策略来改善疫苗接种建议来弥补这一差距.
研究的目的:
- 评估假设性 (选择退出) 沟通培训对医疗保健提供者的疫苗推行为的影响.
- 评估基于社会规范的消息传递对提供者自我报告的疫苗接种建议实践的影响.
主要方法:
- 两项跨文化,纵向随机对照试验与美国和巴西的413名医疗保健提供者进行.
- 一个2x2的因数设计检查了假设的沟通培训和社会规范消息传递.
- 参与者在基线和干预后的30,60和90天被调查.
主要成果:
- 在90天后,假设性沟通培训显著增加了在疫苗推中使用假设性语言的比例,在美国增加了59.5%,在巴西增加了25.3%.
- 社交规范信息传递导致巴西在60天和90天内,患者对医疗服务提供者的信任感显著增加.
结论:
- 在线假设性沟通培训有效地提高了医疗保健提供者对疫苗接种假设性语言的自我报告使用率.
- 结合假设性沟通和社会规范信息传递,提供了一种新的策略,使提供者行为与疫苗接种目标保持一致.
- 行为科学的见解可以指导卫生系统和临床领导人改善患者与疫苗接种有关的沟通.
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