How to develop a program to increase influenza vaccine uptake among workers in health care settings?

Autor: Eelko Hak, Theo J M Verheij, Josien Riphagen-Dalhuisen, Ingrid Looijmans-van den Akker, Marlies E J L Hulscher, Johan Jm van Delden
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Male
medicine.medical_specialty
Influenza vaccine
Health Personnel
Health Behavior
Health Informatics
NURSING-HOMES
Health administration
Nursing
BELIEFS
Surveys and Questionnaires
Health care
Influenza
Human
QUALITY
Medicine
Humans
ATTITUDES
RATES
Health policy
Netherlands
Medicine(all)
lcsh:R5-920
business.industry
Immunization Programs
Health Policy
Public health
Research
Public Health
Environmental and Occupational Health
Health services research
General Medicine
Planning Techniques
RANDOMIZED CONTROLLED-TRIAL
IMMUNIZATION
Nursing Homes
Vaccination
Effective primary care and public health Pathogenesis and modulation of inflammation [NCEBP 7]
Influenza Vaccines
Family medicine
Evidence-Based Practice
Needs assessment
Female
lcsh:Medicine (General)
Quality of hospital and integrated care [NCEBP 4]
business
INTERVENTION
Needs Assessment
Zdroj: Implementation Science : IS
Implementation Science, 6, 47-47
Implementation Science, 6, pp. 47-47
Implementation Science, 6:47. BMC
Implementation Science, Vol 6, Iss 1, p 47 (2011)
ISSN: 1748-5908
Popis: Background Apart from direct protection and reduced productivity loss during epidemics, the main reason to immunize healthcare workers (HCWs) against influenza is to provide indirect protection of frail patients through reduced transmission in healthcare settings. Because the vaccine uptake among HCWs remains far below the health objectives, systematic programs are needed to take full advantage of such vaccination. In an earlier report, we showed a mean 9% increase of vaccine uptake among HCWs in nursing homes that implemented a systematic program compared with control homes, with higher rates in those homes that implemented more program elements. Here, we report in detail the process of the development of the implementation program to enable researchers and practitioners to develop intervention programs tailored to their setting. Methods We applied the intervention mapping (IM) method to develop a theory- and evidence-based intervention program to change vaccination behaviour among HCWs in nursing homes. Results After a comprehensive needs assessment, we were able to specify proximal program objectives and selected methods and strategies for inducing behavioural change. By consensus, we decided on planning of three main program components, i.e., an outreach visit to all nursing homes, plenary information meetings, and the appointment of a program coordinator -- preferably a physician -- in each home. Finally, we planned program adoption, implementation, and evaluation. Conclusion The IM methodology resulted in a systematic, comprehensive, and transparent procedure of program development. A potentially effective intervention program to change influenza vaccination behaviour among HCWs was developed, and its impact was assessed in a clustered randomised controlled trial.
Databáze: OpenAIRE
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