Considerations:
In our last issue, we began our study of the Video Assessment of Simulated Encounters Revised (VASE-R) and how using this tool can support MI learning not only by receiving feedback about results, but also through interacting with the tool during the assessment. The VASE-R provides an opportunity to put your understanding of MI into action by demonstrating active listening to decrease discord and amplify ambivalence.
The characters in the VASE-R tool present as individuals with reservations about treatment or skepticism about the benefits of changing any of their own behaviors. The open writing format of the tool gives you opportunities to demonstrate open curiosity, efforts to understand a speaker’s view of the world (empathy), and steps to increase engagement. When interacting with the VASE-R, just as in real life, we need to be mindful of not trying to fix, persuade, or convince the speaker. We demonstrate that we are listening to increase our understanding.
By reflecting a speaker’s perspective and allowing them to discuss their own concerns, we provide a welcoming and safe space. Our communication of acceptance and safety can reduce the individual’s perceived need for defending their actions and can provide a catalyst for considering what they might really want.
