What is the Initiative?
Unity developed the 3Cs educational program to demonstrate how healthcare providers can deliver confident, concise, and consistent (3Cs) recommendations for vaccines for adolescents ages 11-12 and 16-18, featuring:
- Presumptive, Bundled Recommendation for Tdap, HPV and MenACWY
- Shared Clinical Decision-Making Recommendation for MenB Vaccine
- Motivational Interviewing Techniques for Successful Vaccination Outcome
- Varying Levels of MenB Vaccine Acceptance by Parent
What are the Benefits?
Healthcare provider recommendations play a central role in the decision for parents and adolescents to vaccinate on time. The 3Cs program helps address these common provider challenges:
Parents and adolescents aren’t aware of what vaccines they need
Healthcare priorities compete for our attention
Parent’s and/or adolescent’s concerns can lead to prolonged discussions
Guiding cautious or hesitant parents to good vaccine decisions can be complicated
A shared clinical decision making recommendation for MenB vaccine is new for me
Responding to common questions about meningococcal vaccines confidently and concisely can be challenging
What is the Goal of The Three C's?
Our Goal is for physician practices to improve the acceptance rate for all CDC/ACIP-recommended vaccines for adolescents. We feature presumptive, bundled and equal recommendations for adolescent vaccines (Tdap, MenACWY, HPV) for well visits at age 11-12. And, since the official U.S. immunization schedule implemented a significant format change in 2017 by creating a stand-alone column for age 16 years, we also feature 16-18 year old visits addressing MenACWY booster vaccination and the shared clinical decision making recommendation for Meningococcal B vaccine.
UNITY Resources
To support strong provider recommendations for adolescent vaccines, the UNITY Consortium has developed the following resources:
This video provides an overview of the Three Cs intervention (presumptive, bundled recommendation for adolescent vaccinations; FAQ strategies; motivational interviewing guiding style of communications) and demonstrates and reviews various scenarios of parental-provider recommendation conversations. The video addresses adolescent vaccination recommendations at the 11, 12, and 16-year-old well visit.
Three Cs Demo and Motivational Interviewing
This video provides an overview of the UNITY Consortium (the sponsor of the Three Cs study), reviews current gaps vs. adolescent immunization goals, and provides the rationale for the quality improvement study that focuses on the provider recommendation and applies motivational interviewing principles to the parent-provider conversation.
Three Cs Background Video
This demo demonstrates a healthcare provider using the three Cs – Consistent, Confident, and Concise – to recommend a MenB Vaccine using motivational interviewing techniques to a 18YO adolescent.
Three Cs Demo: 18 YO Acceptance of MenB Vaccine
This demo demonstrates a healthcare provider using the three Cs – Consistent, Confident, and Concise – to recommend a MenB Vaccine and MenACWY vaccine using motivational interviewing techniques to a 16 YO adolescent and their mother. Patient and mother are accepting of both vaccines.
Three Cs Demo: 16YO and Mom Acceptance of MenACWY and MenB Vaccines
This demo demonstrates a healthcare provider using the three Cs- Consistent, Confident, and Concise- to recommend a MenB Vaccine and MenACWY vaccine using motivational interviewing techniques to a 16 YO adolescent and their mother. Patient and mother are accepting of MenACWY vaccine, but hesitant to accept MenB vaccine.
Three Cs Demo: 16 YO and Mom Acceptance of MenACWY Vaccine and Hesitant of MenB Vaccine
Scenarios demonstrate HCP Consistent, Confident, Concise Recommendations of MenACWY and MenB (shared clinical decision making) vaccines with varying levels of acceptance, using motivational interviewing techniques that engage the parent and teen.
Three Cs Demo: Healthcare Provider Vaccine Recommendations
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