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Building COVID-19 Vaccine Confidence: Communication Tips and Strategies Desarrollando la confianza en la vacuna contra COVID: Estrategias de mensajería Presented by Robyn Correll, MPH, CHWI on May 5, 2021 Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Interpretation Interpretación Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Robyn Correll, MPH, CHWI Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Learning Objectives Objetivos de Aprendizaje Explain factors that contribute Explicar los factores que influyen en to vaccine decisions. nuestras decisiones sobre vacunas. Respond to questions or Responder a preguntas o concerns about COVID-19 inquietudes sobre las vacunas vaccines. contra COVID-19. Discuss what is known about the Discutir lo que se sabe sobre los risks and benefits associated riesgos y beneficios asociados con with COVID-19 vaccines las vacunas contra COVID.. Describe how health experts test Describir como los expertos de and monitor COVID-19 vaccines salud prueban y monitorean la for safety. seguridad de las vacunas contra COVID. Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Pfizer Moderna Johnson & • 12+ • 18+ Johnson • 2 doses dosis • 2 doses dosis • 18+ • 21 days días • 28 days días • 1 dose dosis All three currently available COVID vaccines are very good at protecting people from hospitalization and death. Las tres vacunas COVID disponibles son muy buenas para proteger a las personas de ser hospitalizados y de la muerte. Source: CDC, Different COVID-19 Vaccines Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Side effects Efectos secundarios In the arm where you En el brazo donde got the vaccine: recibió la vacuna: • Pain • Dolor • Redness • Enrojecimiento • Swelling • Hinchazón In the rest of your body: En el resto de tu cuerpo: • Tiredness • Cansancio • Headache • Dolor de cabeza • Muscle pain • Dolor muscular • Chills • Escalofríos • Fever • Fiebre • Nausea • Náusea Source: CDC, Selected Adverse Events Reported after COVID-19 Vaccination Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
A lot can influence our vaccine decisions. Mucho puede influir en nuestras decisiones sobre vacunas. Attitudes, biases Trust, experiences, Actitudes, perjuicios beliefs, social norms Confianza, experiencias, creencias, normas sociales Thoughts, feelings Pensamientos, sentimientos Values, identity, worldview Valores, identidad, cosmovisión Source: Vaccine Misinformation Management Field Guide Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
People can sometimes believe misinformation because… Personas pueden creer información errónea porque… It’s seen over It makes people It doesn’t look People don’t We trust the and over again. feel strong like pause to think source of the Se ve con emotions. about it. misinformation. misinformation. frecuencia. Les hace sentir No se detienen a No parece Confiamos en la emociones pensar en ello. desinformación. fuente de la fuertes. desinformación Source: The Debunking Handbook Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
There is no “One Size No existe un enfoque Fits All” approach to universal para increasing vaccine establecer la confianza confidence. en las vacunas. ✓ Adapt the message (and ✓ Adapte el mensaje (¡y el messenger!) to the individual mensajero!) a la persona y las and circumstance. circunstancias. ✓ Use a mix of storytelling and ✓ Utilice una combinación de statistics. narraciones y estadísticas. ✓ Leave the door open for continued conversation. ✓ Deje la puerta abierta para continuar la conversación. ✓ Respect their autonomy. Vaccination is ultimately ✓ Respete su autonomía. La a personal decision. vacunación es, en última instancia, una decisión personal. Source: National Institutes of Health, COVID-19 Vaccination* Communication: Applying Behavioral and Social Science to Address Vaccine Hesitancy and Foster Vaccine Confidence Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
“Inoculation” “Inoculación” Help protect people from Ayude a proteger a las personas misinformation by showing them de la información errónea por “a weakened version of the mostrándoles “una versión misleading tactics used in debilitada de las tácticas misinformation or the hidden engañosas que se emplean en motives of the disinformation dichas informaciones o a los authors, and a refuted version of motivos ocultos de los autores the message beforehand.” de la desinformación, así como a una versión refutada de dichos —Vaccine Misinformation mensajes.” Management Field Guide —Guía práctica para gestionar las informaciones erróneas sobre las vacunas Source: Vaccine Misinformation Management Field Guide Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Debunking Desacreditar Hecho Fact Empiece con la verdad. Exponga los hechos con Lead with the truth, state the facts clearly. Do not try claridad. No trate de refutar las informaciones to refute the misinformation, just state what is true. erróneas y limítese a exponer la verdad. Advertencia Warning Haga una advertencia explícita sobre las informaciones An explicit warning that misinformation is coming, erróneas, la cual puede incluir una versión atenuada de which may contain a weakened version of the estas. Repita las informaciones erróneas una sola vez. misinformation. Only repeat the misinformation once. Falacia Fallacy Explique por qué las informaciones erróneas son Explain why the misinformation is wrong and explain incorrectas y describa las tácticas engañosas concretas the specific misleading tactics being employed or que se están empleando o ponga de relieve los motivos highlight the hidden motives of the authors of the ocultos de los autores de la desinformación. disinformation. Hecho Fact Repita la verdad. Este paso es crucial, ya que la Repeat the truth. This is crucial because the información correcta alternativa suple la “laguna” alternative correct information fills the mental ‘gap’ mental generada por la corrección. Haga que los generated by the correction. Make the facts ‘stickier’ hechos resulten “más pegajosos” que las than the misinformation. informaciones erróneas Source: Vaccine Misinformation Management Field Guide Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Anti-Vaccine Activist Activista Antivacunas The COVID vaccine was developed La vacuna contra COVID se desarrolló recently. We can’t trust it. recientemente. No podemos confiar en ella. NON-REPUTABLEWEBSITE.COM Scary, Misleading Headline Here SITIO-WEB-NO-RESPETABLE.COM Titular aterrador y engañoso aquí Like Reply 30m Me gusta Responder 30m Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Robyn Correll Robyn Correll We have more safety data on COVID Tenemos más datos de seguridad sobre las vaccines than we do for many vacunas contra COVID que para muchas vitamins sold in the U.S. de las vitaminas que se venden en los A common myth is that “new” EEUU. vaccines are totally untested. Un mito común es que nunca se han These claims are often pushed by probado vacunas "nuevas". anti-vaccine activists who want to Estos mitos a menudo son compartidos drive traffic to their website to make por activistas antivacunas que quieren money, including some who sell generar tráfico en su sitio web para ganar nutritional supplements as an dinero, incluyendo algunos que venden alternative to vaccination. They prey suplementos nutricionales como on fear or mistrust to try and drive alternativa a la vacunación. Se people away from vaccines and aprovechan del miedo o la desconfianza toward whatever it is they’re selling. para tratar de alejar a la gente de las vacunas y acercarla a lo que sea que estén vendiendo. Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
But unlike nutritional supplements, Pero a diferencia de los suplementos COVID vaccines had to be tested in nutricionales, las vacunas COVID tuvieron tens of thousands of people before que probarse en decenas de miles de they could be sold in the U.S. And personas antes de que pudieran venderse the data from those studies had to be en los EE. UU. Y los datos de esos reviewed by a panel of independent estudios se revisaron por un grupo de health experts to make sure the expertos en salud independientes para vaccines were safe and effective. asegurarse de que las vacunas fueran seguras y eficaz. Even now, the vaccines are watched closely through multiple monitoring E incluso ahora, las vacunas se vigilan por systems to verify that there aren’t varios sistemas de monitoreo para any serious risks that were too rare verificar que no haya riesgos graves que to be seen in clinical trials. fueran demasiado raros para verse en los Few medical products — including estudios clínicos. vitamins — have as high a bar for Pocos productos médicos, incluidas las safety as vaccines. vitaminas, tienen un nivel de seguridad Like Reply 5m tan alto como las vacunas. Me gusta Responder 5m Sources: Children’s Hospital of Philadelphia, Questions and Answers about COVID-19 Vaccines Food and Drug Administration, Questions and Answers on Dietary Supplements Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
CASE Approach Método CACE Corroborate C Corroborar C Acknowledge their concern and find some point on Reconozca su preocupación y encuentre algún punto which you can agree. Set the tone for a respectful, en el que pueda estar de acuerdo. Establezca el successful talk. tono para una charla exitosa y respetuosa. About Me A Acerca de mí A Describe what you have done to build your knowledge Describa lo que usted ha hecho para construir su base and expertise about their specific concern. base de conocimientos y experiencia sobre la preocupación específica. Science S Describe what the science says in an accessible way. Be truthful and transparent. Avoid exaggerating benefits or minimizing risks. C Ciencias Describa lo que dice la ciencia de forma accesible. Sea sincero y transparente. Evite exagerar los beneficios o minimizar los riesgos. Explain/Advise E Give your recommendation, based on the science. Draw on positive emotions rather than fear or shame. E Explicar Explique su recomendación, basado en la ciencia. Aproveche las emociones positivas en lugar del miedo o la vergüenza. Source: Autism Science Foundation, Alison Singer Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
I’m worried about Me preocupan los efectos long-term side effects. secundarios a largo plazo. COVID vaccines are new, so Las vacunas COVID son I understand the desire to nuevas, así que entiendo el want to “wait and see” what deseo de esperar y ver lo happens to others. que les sucede a los demás. Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
I read a really great article by Leí un artículo realmente a vaccinologist on the excelente de un vacunólogo Children’s Hospital of del Hospital Infantil de Philadelphia website. In it, he Filadelfia. En él, dijo, aunque said while researchers are los investigadores todavía still doing studies to confirm, están realizando estudios it’s highly unlikely that there para confirmar que no hay will be any long-term or efectos secundarios a largo delayed side effects. plazo o tardios, es muy poco probable que los haya. Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
In the 200 years we’ve been En los 200 años que hemos using vaccines, only a few estado usando vacunas, solo have had any delayed or unas pocas han tenido long-term side effects. And all efectos secundarios tardíos o of those were spotted within a largo plazo. Y todos ellos 8 weeks of the vaccine. fueron detectados dentro de What’s more, COVID las 8 semanas después de la vaccines might be new, but vacuna. Incluso, las the technologies used to tecnologías utilizadas para make the vaccines have fabricar las vacunas se han been studied for years to estudiado durante años para prevent other diseases, and prevenir otras enfermedades, there haven’t been any y tampoco ha habido señales warning signs that there are de advertencia de que esas long-term side effects with vacunas tengan efectos those vaccines either. secundarios a largo plazo. Source: Children’s Hospital of Philadelphia, Questions and Answers about COVID-19 Vaccines Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
I was really reassured by that Eso me tranquiliza mucho, — especially given how especialmente dado lo much we know about the mucho que sabemos sobre long-term effects of COVID. los efectos a largo plazo de COVID. I’ve gotten the vaccine, and I hope you will too. He recibido la vacuna y espero que usted también la reciba. Source: Children’s Hospital of Philadelphia, Questions and Answers about COVID-19 Vaccines Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
To build vaccine confidence, you need: Para desarrollar la confianza en las vacunas, se necesita: Trust Transparency Compassion Confianza Transparencia Compasión Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Hey, do you need any ¿Necesita ayuda para help getting a COVID conseguir una cita para la vaccine appointment? vacuna contra COVID? No thanks. I don’t know if No gracias. No sé si I want to get vaccinated. quiero vacunarme Yeah? Is something ¿Si? ¿Algo le worrying you about it? preocupa? Did you see that stuff Esas noticias sobre los about the blood clots? coágulos de sangre… me That’s scary. asustan. Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Yeah. The CDC found Sí. Los CDC encontraron some cases of blood algunos casos de coágulos clots in people who sanguíneos en personas que got the Johnson & recibieron la vacuna de Johnson vaccine. Johnson y Johnson. It was actually kind of En realidad fue algo amazing... Did you hear asombroso ... ¿Escuchó about how they were cómo pudieron able to find the cases? encontrar los casos? No. What No. ¿Qué happened? pasó? Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Researchers tested the Los investigadores vaccine in ~40,000 people probaron la vacuna en before it was released but aproximadamente 40.000 didn’t catch the risk personas antes de que la because it’s so rare. autorizaran, pero no detectaron el riesgo porque es muy poco común. Once the vaccine started to be used in more people though, the Una vez que la vacuna safety systems set up to comenzó a usarse en más monitor vaccines personas, se encontró por los flagged it. sistemas de seguridad establecidos para monitorear las vacunas. Source: FDA Briefing Document Janssen Ad26.COV2.S Vaccine for the Prevention of COVID-19, Vaccines and Related Biological Products Advisory Committee Meeting February 26, 2021 Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
But get this… roughly Pero escuche esto ... 6 MILLION people got the aproximadamente 6 MILLONES vaccine, and it took just de personas se vacunaron, y 6 cases of the clots for solo se necesitaron 6 casos de them to pause the vaccine coágulos para que pausaran la so they could investigate. vacuna e investigaran. Really? ¿De verdad? Yeah. Did you hear why Sí. ¿Escuchó por qué they decided to start decidieron comenzar a usar using the vaccine again? la vacuna de nuevo? No. Why? No. ¿Por qué? Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Well, after they Bueno, después de investigated, they investigar, found out that even descubrieron que though the clots were aunque los coágulos serious, they were also eran graves, también really, really rare. You eran muy, muy raros. have a better chance of Tiene más being struck by posibilidades de ser lightning than alcanzado por un rayo experiencing these que de experimentar clots after the vaccine. estos coágulos después de la vacuna. ! ! Source: CDC, Risk/Benefit assessment of thrombotic thrombocytopenic events after Janssen COVID-19 vaccines: Applying Evidence to Recommendation Framework, ACIP meeting April. 23, 2021 National Weather Service, How Dangerous is Lightning? Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Yeah, but more to the Sí, pero quizás más point, when they importante, cuando los compared the risk of expertos compararon el these clots to the risks riesgo de los coágulos of COVID, they realized con los riesgos de that way more people COVID, se dieron cuenta would likely be de que probablemente hospitalized or die due más personas serían to COVID if they hospitalizadas o morirían stopped using the debido a COVID si se vaccine. This risk from dejaba de usar la vacuna. the vaccine is really Este riesgo de la vacuna serious, but COVID is es grave, pero COVID es still more dangerous. aún más peligroso. Source: CDC, Risk/Benefit assessment of thrombotic thrombocytopenic events after Janssen COVID-19 vaccines: Applying Evidence to Recommendation Framework, ACIP meeting April. 23, 2021 National Weather Service, How Dangerous is Lightning? Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
That all makes sense. Tiene sentido eso. But I’m still not totally Pero todavía no me comfortable risking it. siento confiado ponerme la vacuna. I get that. Entiendo. These clots weren’t linked to Pfizer’s or Estos coágulos no son Moderna’s COVID relacionados con las vaccines. Do you think vacunas contra COVID you might feel more de Pfizer o Moderna. comfortable getting ¿Cree que podría one of those? sentirse seguro obteniendo uno de esos? Source: CDC, Risk/Benefit assessment of thrombotic thrombocytopenic events after Janssen COVID-19 vaccines: Applying Evidence to Recommendation Framework, ACIP meeting April. 23, 2021 National Weather Service, How Dangerous is Lightning? Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Resources Recursos COVID-19 Vaccination Communication: Applying Behavioral and Social Science to Address Vaccine Hesitancy and Foster Vaccine Confidence https://obssr.od.nih.gov/wp-content/uploads/2020/12/COVIDReport_Final.pdf Vaccine Misinformation Management Field Guide Guía práctica para gestionar las informaciones erróneas sobre las vacunas vaccinemisinformation.guide Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Resources Recursos Centers for Disease Control and Prevention Cdc.gov/vaccines/covid-19/ Cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.html Children’s Hospital of Philadelphia Chop.edu/centers-programs/vaccine-education-center/ Vaccinate Your Family Vaccinateyourfamily.org/covid19 Vaccines.gov Vacunas.gov Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
1-800-377-9968 Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Thank you to Gracias a Claudia Gizell Aparicio Gamundi Myrthala Almada, Translation Focus Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
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