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Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
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.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
Interpretation Interpretación

                                Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
Robyn Correll, MPH, CHWI

                 Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
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.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
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.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
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.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
Copyright © 2021 National Center for Farmworker Health, Inc. All Rights Reserved.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
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.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
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.
Building COVID-19 Vaccine Confidence: Communication Tips and Strategies - National Center for ...
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
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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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