How to Build COVID-19 Vaccine Trust Among Certified Nursing Assistants

​Informed by the voices and experiences of more than 230 direct care workers, this free guide speaks directly to concerns and challenges expressed by nursing home workers and provides key insights from social, behavioral, and cognitive science. Drawing from responses to a first-of-its-kind survey of nursing home workers, Invest in Trust outlines the most effective approaches for building trust in the COVID-19 vaccines, including actions employers can take to make it easier for workers to get vaccinated.

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With this guide, you will:

  • Have a better understanding of why CNAs aren’t getting vaccinated
  • Gain research-based insights on building vaccine trust
  • Learn specific actions to build vaccine confidence and reduce barriers to getting the vaccine
  • Discover effective messages that support building vaccine confidence in CNAs


You will also find:

  • Strategies for increasing vaccination rates among CNAs
  • Scripts to guide 1-on-1 conversations about the vaccine
  • Downloadable posters, information cards, enamel pins and templates to support your efforts


We encourage you to download and read it in its entirety. But you may want to jump quickly to key sections, depending on your needs and interests:

  • To better understand why CNAs aren’t getting vaccinated, read Section 2 (page 8).
  • For research-based insights on building vaccine trust, read Section 3 (page 10).
  • For specific actions to build vaccine confidence and reduce barriers, read Section 4 (page 13).
  • For guidance and resources on how to have conversations with CNAs about getting vaccinated, read Section 5 (page 19).
  • To see effective messages that support building vaccine confidence in CNAs, read Section 6 (page 26).
  • For advice on how to use these messages and to access sample communications materials, read Section 7 (page 35).

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The Center for Public Interest Communications at the University of Florida developed this guide for AHRQ in collaboration with Project ECHO at the University of New Mexico Health Science Center, in support of the AHRQ ECHO National Nursing Home COVID-19 Action Network. Learn more about the AHRQ ECHO National Nursing Home COVID-19 Action Network here​.