Skip to main content
. 2021 Jun 16;215(1):9–12.e1. doi: 10.5694/mja2.51136
Communication practice Example
Elicit questions and concerns “You mentioned earlier some concerns about getting the COVID‐19 vaccine. Can you tell me more?”

Acknowledge

concerns

“It’s understandable that you have some concerns.”
Set brief agenda “Let’s go through that concern about the clotting risk for you and also the possible benefits of having the vaccine soon. How does that sound?”
Share knowledge “Can I share what I know so far? The risk from the vaccine is small — it may affect 16 people in every million in your age group. It can be quite serious if not treated early. Here is some information showing the risks of the rare blood clotting syndrome alongside the risks of going to the ICU with COVID‐19. I also have some information about what to look out for. This may help your decision.”
Elicit potential motivation to vaccinate “What might be important to you about having the vaccine now?”
Set out options, share tailored recommendation “So if I could summarise, your options are to not vaccinate, to wait for Pfizer vaccine doses to be available later on, or to have the AstraZeneca vaccine right now. There are pros and cons of each option. Having looked at all the considerations, where are you leaning?”
“I will respect whatever decision you make. I would like to see you get vaccinated sooner rather than later.”
Continue the conversation “If there is an outbreak, the risk from COVID‐19 is increased. Could we revisit your decision then?”

ICU = intensive care unit.

*

Based on the Sharing Knowledge About Immunisation (SKAI) approach,21 (http://providers.talkingaboutimmunisation.org.au/).