Date of Submission


Document Type



Doctor of Education




vaccine hesitancy, motivational interviewing, presumptive language, problem-based learning, public health


Vaccine hesitancy is a multifaceted and complex public health issue, and a plethora of research has been conducted on patients’ vaccine knowledge, attitudes, and beliefs that contribute to decreased public confidence in vaccines which then decreases vaccine uptake, which ultimately has resulted in an increase of vaccine preventable disease outbreaks (for example, measles). Research also illustrates that health care providers (HCP) are patients’ primary source of vaccination information and that HCPs who can communicate effectively with these patients are more likely to encourage adherence to medical advice and the adoption of preventative health behaviours, such as vaccination. Unfortunately, the communication training resources for HCPs are limited and conflicting, and thus, there is no communication training plan for immunization HCPs at a public health unit in Ontario. This OIP presents a pathway to develop and implement a training plan for HCPs to learn motivational interviewing (MI) and presumptive language through problem-based learning (PBL) so they can communicate effectively with vaccine hesitant patients. By demonstrating Leader-Member Exchange (LMX) and Servant leadership behaviours encompassed in public health leadership practice, the author combines the ADKAR Model of Change and Kotter’s Eight Stage Change Process, as well as utilizes Duck’s Five Stage Change Curve to manage the inevitable emotions that affect the change process, to guide the pathway in an effort to decrease vaccine hesitancy in a community and improve overall vaccine coverage rates.