Novel Approach to Better Addressing Caregivers’ Hesitancy About Flu Vaccines is a Virtual Success

Published May-June 2017
Academic Pediatrics

“Because the flu vaccine works” is good, but far from good enough.

That truth was the impetus behind a study that shows how communication training using virtual-reality (VR) can help physicians navigate through some caregivers’ hesitancy about the flu vaccine.

The VR goggle-wearing “lab mice” in this case were pediatric residents at Cincinnati Children’s.

Vaccine hesitancy is common, and some physicians can be uneasy discussing the topic. Until now, few studies have explored the potential influence of using VR simulations to practice discussing vaccine hesitancy.

The pilot curriculum consisted of three VR simulations during which residents counseled digital avatars designed to express common caregiver concerns.

“The technology is incredible,” says Joe Real, MD, MEd, of the Division of General and Community Pediatrics. “Residents consistently described the experience as immersive, realistic and fun. When you put on the virtual reality goggles, you truly feel like you are in a clinic room counseling a caregiver about the flu shot.”

The study found that residents in the VR intervention group had a lower vaccine refusal rate (27.8 percent) compared to the control group (37.1 percent.)

“We chose VR as our intervention strategy,” Real explains, “because we felt it would appeal to millennial learners who tend to be tech savvy and interested in realistic educational experiences with timely feedback.”

The study also involved researchers from the divisions of Hospital Medicine, Biostatistics and Epidemiology, and the Department of Learning and Development.

Which strategies worked best? Being non-judgmental listeners and asking open-ended questions to explore vaccine hesitancy.

The flow chart indicates the intricate process to identify cases of influenza vaccine refusal in the post-intervention period.

Click image to enlarge.

In the photo, Joe Real conducts a VR experience for one of the Cincinnati Children’s residents involved in the study.

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The chart shows the vaccination refusal rates before and after implementation of the virtual-reality education intervention. It clearly illustrates the intervention’s effectiveness, with rates of refusal going down significantly during that period. The green line is the control group; the pink line reflects the subjects of the intervention.

Click image to enlarge.

Citation

Real FJ, DeBlasio D, Beck AF, Ollberding NJ, Davis D, Cruse B, Samaan Z, McLinden D, Klein MD. A Virtual Reality Curriculum for Pediatric Residents Decreases Rates of Influenza Vaccine Refusal. Acad Pediatr. 2017 May - Jun;17(4):431-435.