Vaccine Conversations: Meeting Patients Where They Are

Aisha Townes, MD
Allen F. Shaughnessy, PharmD, MMedEd

American Family Physician. 2026;113(4):396-397.

Author disclosure: No relevant financial relationships.

Related article, Vaccine Adverse Effects: An Overview, is available.

Published online ahead March 16, 2026.

AISHA TOWNES, MD, Cambridge Health Alliance, Malden, Massachusetts

ALLEN F. SHAUGHNESSY, PharmD, MMedEd, Cambridge Health Alliance, Malden

Address correspondence to Allen F. Shaughnessy, PharmD, MMedEd, at ashaughnessy@challiance.org.

Author disclosure: No relevant financial relationships.

  1. 1.World Health Organization. Ten threats to global health in 2019. Accessed August 15, 2025. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
  2. 2.Perlis RH, et al. Trust in physicians and hospitals during the COVID-19 pandemic in a 50-state survey of US adults. JAMA Netw Open. 2024;7(7):e2424984.
  3. 3.Palmer A, et al. Misinformation, trust, and health. Soc Sci Med. 2025;381:118272.
  4. 4.Piller C, et al. Hidden conflicts? Pharma payments to FDA advisers after drug approvals spark ethical concerns. Accessed February 19, 2025. https://www.science.org/content/article/hidden-conflicts-pharma-payments-fda-advisers-after-drug-approvals-spark-ethical
  5. 5.Sandman PM. Risk communication. EPA J. 1987;13(90):21-22.
  6. 6.Wood T, et al. The elusive backfire effect. Polit Behav. 2019;41(1):135-163.
  7. 7.Thaler RH, et al. Nudge: The Final Edition. Penguin Books; 2021.
  8. 8.Brewer NT, et al. Announcements versus conversations to improve HPV vaccination coverage. Pediatrics. 2017;139(1):e20161764.
  9. 9.Searight HR. Counseling patients in primary care. Am Fam Physician. 2018;98(12):719-728.
  10. 10.Opel DJ, et al. Tiered clinician vaccine communi cation strategy to improve childhood vaccine uptake. JAMA Netw Open. 2025;8(4):e257814.
  11. 11.Gargano LM, et al. Impact of a physician recommendation and parental immunization attitudes on receipt or intention to receive adolescent vaccines. Hum Vaccin Immunother. 2013;9(12):2627-2633.
  12. 12.Carment DW, et al. The relationship of opinion-strength and order of self-produced arguments to number of arguments produced and opinion change. Acta Psychol. 1969;31:285-292.
  13. 13.O’Leary ST, et al. Development of PIVOT with MI. Vaccine. 2023;41(10):1760-1767.

Case scenarios are written to express typical situations that family physicians may encounter; authors remain anonymous. Send scenarios to afpjournal@aafp.org. Materials are edited to retain confidentiality.

This series is coordinated by Caroline Wellbery, MD, associate deputy editor.

A collection of Curbside Consultation published in AFP is available at https://www.aafp.org/afp/curbside.

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