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Vaccine Voices

Motivational Interviewing in Long-term Care

Vaccine Voices is a series of audio learning modules produced by the IPRO QIN-QIO and MI for Health that focuses on using Motivational Interviewing to improve conversations about vaccination in long-term care settings. 

Series host Jeff Wetherhold guides listeners through six diverse cases that represent different forms of vaccine resistance. This topic provides an ideal venue for learning about Motivational Interviewing by observing its application.

Vaccine voices logo of a clinician speaking with a resident in a long-term care setting

Episodes

Case 1:
Marie

"Are vaccines still necessary?"

Marie is a staff member in an adult long-term care facility who has previously received COVID vaccines but isn’t sure if they are still important. Her case is a helpful reminder that not all vaccine resistance is strong, and that low-level resistance can still be challenging to address.

Case 2:
Janice

"I don't want to upset my family."

Janice is a resident in an adult long-term care facility who has been reluctant to receive vaccines due to pressure from a family member. Her case provides an opportunity to practice recognizing and respectfully managing family pressure on a resident’s decisions. 

Case 3:
Alejandra

"I can't afford to miss work right now."

Alejandra was recently hired as a member of the custodial staff at an adult long-term care facility. She has concerns about the side effects of vaccination and is managing circumstances in her life that make it harder to work through these concerns. Alejandra’s case requires the interviewer to be responsive to unforeseen external factors impacting her decisions. 

Case 4:
Monica

"You might mean well, but you are part of it."

Monica is the daughter of a resident in an adult long-term care facility who has deep feelings of mistrust stemming from the mistreatment of marginalized communities by the health care system. This case provides an opportunity to practice acknowledging and working through mistrust to have productive and supportive conversations about change.

Case 5:
Elizabeth

"We are not putting those chemicals in my sick child."

Elizabeth is the mother of a new resident in a pediatric long-term care facility. She has strong opinions on the safety of vaccination which are complicated by her child’s recent adverse experiences with the health care system. This case requires the interviewer to balance their own desire to move toward vaccination for a resident with the need to reestablish trust with a family member.

Case 6:
Carter

"You're doing their work for them!"

Carter is a resident in an adult long-term care facility who is vocal about his opposition to vaccination and related political views. His opinions have impacted other residents’ decisions regarding their own vaccination. Carter’s case provides an opportunity to practice using MI to identify achievable and appropriate change goals under very challenging circumstances.

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