A novel approach to improve influenza vaccination rates among health care professionals: a prospective randomized controlled trial.
ABSTRACT Although influenza is the leading infections cause of death in the United States, only 40% of health care workers (HCW) comply with Centers for Disease Control and Prevention recommendation for routine influenza vaccination.
This study investigated a novel approach for improving influenza vaccination rates among HCW. Eight hundred employees we selected, 200 each from the following 4 categories: professional staff, resident physicians, registered nurses, and licensed practical nurses. Subjects were randomly assigned to receive (1) no intervention, (2) a letter explaining the importance of influenza vaccine for HCW, (3) a ticket activated with influenza vaccine administration for a raffle of a free Caribbean vacation for 2, or (4) both the educational letter and the raffle ticket. We compared the proportion of employees receiving vaccination and participating in the raffle across groups.
The influenza vaccination rate for all study subjects was 41%. The number of subjects receiving vaccine did not differ by occupation (P = .87) or intervention group (P = .66).
This study provides no evidence to support the use of mailed educational letters or a single large raffle prize incentive as a means to boost hospital employee influenza vaccination rates.
- SourceAvailable from: Birthe A Lehmann[Show abstract] [Hide abstract]
ABSTRACT: Health Authorities recommend annual vaccination of healthcare personnel (HCP) against influenza to protect vulnerable patients. Nevertheless, vaccination rates have been low among European HCP. Here we report on a longitudinal survey study to identify social cognitive predictors of the motivation to obtain influenza vaccination, and to test whether intention is a good predictor of actual vaccination behaviour. Dutch HCP (N = 1370) were invited to participate in a survey (baseline). To link intention to behaviour, participants who completed the first survey (N = 556) were sent a second survey after vaccinations were offered (follow-up). Multinominal regression analysis showed that HCP with a positive attitude and a higher frequency of past vaccinations were more likely to have a high intention to get vaccinated. A negative attitude, high feelings of autonomy in the decision whether to get vaccinated, a preference of inaction over vaccination, a lesser sense of personal responsibility, and high self-protection motives increased the probability of no intention to get vaccinated. Social cognitive predictors were identified that explain the intention to get vaccinated against influenza of HCP, which in turn proved to be a good predictor of behaviour. Future interventions should focus on these variables to increase vaccination coverage rates.Vaccine 10/2014; 32(51). DOI:10.1016/j.vaccine.2014.10.034 · 3.49 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: To estimate the seasonal influenza vaccination coverage of health care workers and the factors associated with vaccination. A cross-sectional study of 1058 staff workers from four hospitals used a self-administered questionnaire to document age, sex, education, and work including a second job in another health institution, contact with patients in their journal, knowledge and perception on the seasonal influenza vaccine and history of vaccination and when last vaccination was received. The expected gains of potential interventions to increase the vaccination coverage were estimated from the risk difference. Fifty three percent received the seasonal influenza vaccine in 2008 and 49% in 2007. Factors associated with vaccination in 2008 were knowledge of the target population, the vaccination schedule, adverse effects and that the vaccine does not produce influenza. The single most relevant association was receiving a recommendation to be vaccinated from the medical preventive services. Vaccination coverage at hospitals in Guerrero, México, was into the range of the reported figures from other countries. This study demonstrates that preventive medicine services may play an important role in increasing the coverage of seasonal influenza vaccination.Gaceta medica de Mexico 146(5):318-25. · 0.19 Impact Factor
- Public Health Reports 127(2):224-7. · 1.64 Impact Factor