24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
Fax: (361)578-5500

Medical Disorders
Basic InformationLookupsLatest News
Wood-Fired Cooking a Cause of Lung Illness in Developing WorldDelirium May Be Only Sign of Severe COVID in Elderly: StudySimple Move May Boost Spinal Fusion OutcomesCould the TB Vaccine Help Prevent COVID-19?When COVID Strikes Cancer Patients, Men Fare WorseMost Americans Over 50 Would Get COVID Vaccine: PollAnother Study Casts Doubt on 'Convalescent Plasma' as COVID-19 TreatmentCOVID Vaccine Rollout Could Begin Mid-December, Fauci SaysFauci: 'People Should Feel Confident' New COVID Vaccines Safe, EffectiveCould the Pill Reduce Asthma Attacks?Coronavirus Most Contagious Soon After InfectionPeople Should Know That COVID Vaccine Might Spur Transient Sickness: CDC ExpertsAnother Study Finds COVID Usually Mild in KidsBlacks, Hispanics Account for More Than Half of COVID Deaths: StudyCollege Kid Coming Home for Thanksgiving? Here's How to Keep Your Family SafeParents' Age Key to Whether Kids Get Vaccinated Against COVID, Study FindsVegan Diets Tied to Higher Bone Fracture RiskThird COVID Vaccine Shows Effectiveness; FDA Approves New TreatmentWhich Kids With COVID Will Get Very Sick?Add Kids to COVID Vaccine Trials, Pediatricians' Group SaysLosing Your Hair Because of Pandemic Stress?How Hospitals Can Cut Patients' FallsMany Young Americans Lonely, Depressed During Pandemic: SurveyWHO Says No to Remdesivir as COVID-19 TreatmentBirx Says U.S. COVID Cases Are Skyrocketing as Holidays ApproachA 'Stunning' Alternative Rx for Arthritic Joints?Are Statin Side Effects 'All in Your Head'?Stay Home This Holiday, CDC and Medical Groups UrgeDirty Air Endangers Homeless People: StudyU.S. Coronavirus Deaths Top a Quarter MillionOxford COVID Vaccine Safe, Effective, Especially in Older AdultsAre High-Dose Blood Thinners Needed for Severe COVID-19?Childhood Lead Exposure Tied to Brain Changes in Middle AgeWith Cold Weather Forcing Patrons Inside, How Safe Are Restaurants?AHA News: Fauci Offers a COVID-19 Lesson and Looks to the Future'A Struggle:' Physical, Mental Ills Can Linger Months After COVID RecoveryExoskeleton Helps Paralyzed People Walk AgainAre You Feeling 'Pandemic Fatigue'?Chinese COVID Vaccine Appears Safe, EffectiveFDA Approves First Rapid COVID Test for Home UseCould Night Shifts Raise Asthma Risk?AHA News: Black, Hispanic People Hospitalized for COVID-19 at Disproportionately High RatesAHA News: COVID-19 Patients of All Ages With Obesity Face Higher Risk of Complications, DeathOverweight With Arthritic Knees? You Might Want to Avoid TennisAnswers to Your Questions About Face MasksHow to Be a Living Liver DonorCoronavirus Immunity Might Last at Least 6 MonthsCalifornia, Iowa Toughen Restrictions as COVID Cases ClimbAllergies Won't Up Your Odds for Severe COVIDCombo 'Polypill' May Cut Heart Attack, Stroke Risk Up to 40%
Questions and AnswersLinks
Related Topics


How to Counter the Anti-Mask Backlash? Empathy.

HealthDay News
by By Alan Mozes
HealthDay Reporter
Updated: Jul 27th 2020

new article illustration

MONDAY, July 27, 2020 (HealthDay News) -- In the midst of a pandemic, many Americans still view face mask mandates as an assault on their personal freedoms, rather than a means of protecting themselves and others from COVID-19.

But a group of researchers out of Duke University say the mask backlash can be turned around -- as long as efforts to do so are grounded in empathy, not judgment.

As coronavirus cases in the United States soar, face mask mandates have been issued by a growing number of cities, states and national retailers. The mandates make sense, health experts say.

"I think face masking is a very important part [of curbing the spread of COVID-19] and ought to be done in this epidemic," Dr. Robert Brook, distinguished chair of RAND Corporation's health care services program, said in a HD Live! interview. "It's one of the few things we can do that will slow the pandemic."

But there's been no national public health campaign to tell Americans why face masks work, and how to use them properly, Brook added.

May Chu, a clinical professor of epidemiology at the University of Colorado's School of Public Health, concurred.

"We have to teach people how to wear it, how to take care of them and when to use them," she said in the same HD Live! interview.

In the meantime, some Americans balk at wearing a mask. When that happens, the best approaches to change minds are based in understanding and empathy, according to Gavan Fitzsimons. He's professor of marketing and psychology at Duke University's Fuqua School of Business, in Durham, N.C.

"Many people perceive that some of the public health guidelines are direct threats to their freedoms," Fitzsimons noted. Roughly one-third of the population has "an extremely strong 'reactive response' when their freedom is threatened," he said.

And those who do feel threatened will go "to great lengths to try to restore their freedom," Fitzsimons added, and efforts to change their minds won't work if those efforts are also viewed as threatening.

Convincing skeptics

"The way we communicate is going to be very critical here," Fitzsimons said during a Duke University telebriefing this week. For example, he questioned the value of characterizing those who refuse to wear masks as "selfish," a term used recently by North Carolina Gov. Roy Cooper.

"Obviously the governor is well-intentioned. But using a term like 'selfish', I think, is going to lead people who are already digging in to dig in even harder," Fitzsimons said.

His suggestion: Help those resistant to masks "feel they have the freedom to make a choice."

That approach could be a game-changer when concerned store managers confront mask-less customers, he said.

"If you want to minimize resistance, you want to try to give some agency to that shopper," Fitzsimons said. "Rather than approach and say, 'Ma'am, you must wear a facemask,' you might say, 'Ma'am, the local law says you must wear a facemask. We have three different types, all of which are comfortable. Which of these might you like to use today?'"

That tactic may not always work, he acknowledged, "but it helps. If the person who feels their freedom is threatened feels like part of the solution, they're more likely to comply. Giving them a choice helps a lot."

Speaking at the same briefing, Lavanya Vasudevan, an assistant professor of community and family medicine at Duke, offered similar advice when tackling the misgivings some Americans have already expressed about getting a COVID-19 vaccine when it becomes available.

"There are many people out there who are either not convinced there is a pandemic or don't think COVID is a threat to them either because of their age or other circumstance," she noted. "We really need to start communicating about why the vaccine is important to them in terms of benefits rather than threats."

The focus, she said, needs to be on building community confidence in vaccine safety and effectiveness. And Vasudevan echoed Fitzsimons central point: "It's always good to communicate in terms of benefits rather than threats. Talking to folks about the benefits of mask-wearing, the benefits of vaccinations, is always better."

Another key to success: enlisting trusted local leaders to deliver the message.

Trusted voices

"If it's on the national level, it feels more distant," Vasudevan cautioned, adding that "people want facts, but more importantly they want facts from people they trust."

Enlisting "trusted voices within the community" is helpful, agreed Benjamin Anderson, an assistant professor of science and global health at Duke Kunshan University in China. "It could be religious institutions, it could be service organizations. Having that message that goes all the way down on the local and personal level makes for a more impactful message."

Why? Because while "people don't want to be told what to do, they want to be told what their peers and community members are doing," Vasudevan explained. "If something is a norm in a community, it is more likely to be accepted."

Of course, national figures can either reinforce acceptance or foster confusion, Anderson and Fitzsimons both noted.

For example, said Anderson, China's "very centralized approach" to coronavirus included "a very consistent message in terms of how the response was going to be rolled out, what measures were going to be put in place."

In contrast, the U.S. government largely chose to defer to the states on these decisions. That created "a lot of confusion, as people are seeing different things presented to the communities in terms of what's effective, what's not effective," he added.

The result was an unhelpful politicization of masks, Fitzsimons said. "The trouble, of course, is that once there was the link between the political and the wearing of a mask, that's where that feeling that the freedom to not wear a mask became important to a lot of folks," he noted.

Still, "we've seen some movement in the last couple of days across the political spectrum to unify behind a mask/face covering strategy," Fitzsimons added.

It may be working: A new Associated Press-NORC Center for Public Affairs Research poll shows that three in four Americans now believe face masks should be worn by people when they leave home.

More information

There's more on COVID-19 safety guidelines at the U.S. Centers for Disease Control and Prevention.