Evidence map›Paper›PMID 39939961›Full record

Trial reportBMC public health2025

A randomized controlled trial of empathetic refutational learning with health care professionals.

Dawn Holford, Karl O Mäki, Linda C Karlsson, Stephan Lewandowsky, Virginia C Gould, Anna Soveri

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dawn HolfordSchool of Psychological Science, University of Bristol, Bristol, UK.
Karl O MäkiDepartment of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland. otto.maki@utu.fi.
Linda C KarlssonDepartment of Clinical Medicine, University of Turku, Turku, Finland.
Stephan LewandowskySchool of Psychological Science, University of Bristol, Bristol, UK.
Virginia C GouldSchool of Psychological Science, University of Bristol, Bristol, UK.
Anna SoveriDepartment of Clinical Medicine, University of Turku, Turku, Finland.

Funding

Academy of Finland 316004Horizon 2020 964728
6 · The paper itself

Abstract

backgroundHealth care professionals are in a key position to promote vaccinations. However, consulting vaccine-hesitant patients can be difficult, especially when patients bring up anti-vaccination arguments. Whereas prior research has identified essential skills for refuting anti-vaccination arguments, little is known about how to acquire these skills. Our aim was to determine if empathetic refutational interview text scenarios help health care professionals build confidence and abilities in countering anti-vaccination arguments.

methodsWe conducted an online randomized controlled experiment with UK and Finnish health care professionals in which we randomly assigned them to an empathetic refutational interview group (n = 167) or a control group (n = 180). Participants in the empathetic refutational interview group were presented with examples of the empathetic refutational interview approach, which encompasses the identification of attitude roots, affirmations, corrections of misconceptions, and provision of facts. Control group participants received a standard facts-based approach. We examined posttest use of empathetic refutational interview techniques and pre- and posttest perceived difficulty of refuting anti-vaccination arguments.

resultsParticipants in the empathetic refutational interview group used more empathetic affirmations than control group participants. The empathetic refutational interview group and the control group did not differ significantly in how often they explicitly tried to identify attitude roots, correct misconceptions, and provide vaccination facts, nor in how difficult they found anti-vaccination arguments to be to refute.

conclusionsBrief empathetic refutational interview text scenarios can increase health care professionals' use of affirmations when discussing vaccines with patients. Additional materials are needed to efficiently teach refutations of attitude roots.

Indexed as

Attitude of Health PersonnelEmpathyHealth PersonnelVaccination HesitancyAdultFemaleFinlandHumansInterviews as TopicMaleMiddle AgedUnited KingdomEmpathetic refutational interviewHealth care professionalsHealth communicationVaccine hesitancy

Identifiers

PMID39939961
PMCPMC11823235

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.