Ep 38 – MI for vaccine hesitancy

Glenn and Sebastian welcomed Amanda Gabarda, EdD, MPH, NBC-HWC for a timely discussion about vaccine hesitancy. Amanda is the Senior Director of Clinical Training & Development for the University of Pittsburgh Medical Center (UPMC) Health Plan where she is responsible for designing, scaling, and evaluating evidence-based care management and health coach training, quality assurance, and coaching interventions for digital, telephonic, and in-person coaching. Her work focuses on setting a standard of excellence to positively impact health and increase patient/member engagement and activation through coaching and the use of Motivational Interviewing. She is passionate about combining coaching and behavior change science to empower individuals to live their best and healthiest lives.

0:00 – Opening/introduction

1:30 – Amanda’s introduction and early MI story

4:45 – Beyond the skills and techniques of MI

12:00 – Vaccine hesitancy

17:40 – Supporting autonomy around vaccine decision-making

26:25 – “Shoulders up” vs “shoulders down” conversations

29:30 – Literature on use of MI for vaccine hesitancy

32:40 – Ethical considerations

42:00 – Helpful skills for helpful conversations

46:45 – Choosing our words carefully

54:45 – Looking towards the digital age of health behavior change

01:00:09 – End of recording

Links and contact information:

• LinkedIn: https://www.linkedin.com/in/amanda-gabarda-edd-mph-nbc-hwc-762a7323/ [linkedin.com]
  

For suggestions, questions and to enquire about training in Motivational Interviewing contact Glenn & Sebastian

Email: podcast@glennhinds.com

Twitter:

• ChangeTalking
  
• Glenn Hinds
  
• Sebastian Kaplan 
  

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• References Discussed:
  
  • Gagneur, A., Gosselin, V., & Dubé, È. (2018). Motivational interviewing: A promising tool to address vaccine hesitancy. Vaccine, 36(44), 6553-6555.
    
  • Gagneur, A., Battista, M. C., Boucher, F. D., Tapiero, B., Quach, C., De Wals, P., … & Dubé, È. (2019). Promoting vaccination in maternity wards─ motivational interview technique reduces hesitancy and enhances intention to vaccinate, results from a multicentre non-controlled pre-and post-intervention RCT-nested study, Quebec, March 2014 to February 2015. Eurosurveillance, 24(36), 1800641.
    
  • Opel, D. J., Robinson, J. D., Spielvogle, H., Spina, C., Garrett, K., Dempsey, A. F., … & Taylor, J. A. (2020). ‘Presumptively Initiating Vaccines and Optimizing Talk with Motivational Interviewing’(PIVOT with MI) trial: a protocol for a cluster randomised controlled trial of a clinician vaccine communication intervention. BMJ open, 10(8), e039299.
    
  • Verger, P., & Dubé, E. (2020). Restoring confidence in vaccines in the COVID-19 era. Expert Review of Vaccines, 19(11). https://doi.org/10.1080/14760584.2020.1825945 
    
  
  

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