Table 1.

Addressing vaccine hesitancy: Tips for communication

Engage	Frame the conversation beyond a binary yes/no vaccination decision.
Listen	Listen to and acknowledge patient concerns without judgement.
Correct	Correct misinformation, accept questions and explain the relevant scientific findings.
Avoid	Avoid debating back and forth.
Remind	Remind of the benefits of vaccinations and point out the risk of not immunizing.
Provide	Provide fact sheets and other resources about vaccination (e.g., websites).
Accommodate	Accommodate patient requests (e.g., alternative schedule) as clinically appropriate within scope of practice.
Examples	Provide personal examples (own vaccination/examples of vaccine-preventable diseases in practice).
Nudge	Positively nudge patient further along the vaccine hesitancy continuum and recognize that a completed immunization is not the only acceptable outcome.
Refer	Refer patient to other providers or schedule another appointment to discuss remaining vaccination concerns.