Enhancing Influenza Vaccination of Hospital Workers from 30% to 80% Through Application of Behavior Change Theories

Background: Historically, influenza vaccination coverage among Norwegian healthcare workers has been low. In 2014–2015 and 2015–2016 the national averages were 9% and 12%, respectively, Although the Fig.s for Oslo University Hospital were higher (30% in 2015–2016), we were still far from the goal of 75% set by the WHO. The same year, <10% of employees at Vestre Viken Hospital Trust were vaccinated. Before the 2016–2017 influenza season, we therefore launched a campaign using methods based on behavior change theories and social marketing to enhance vaccination coverage. Methods: In May–June 2016 a questionnaire was sent by e-mail to all employees at Oslo University Hospital (n = ~25,000) and Vestre Viken Hospital Trust (n = 9,000). The questionnaire was structured according to the theory of planned behavior, asking questions related to attitude, subjective norms, and perceived control. The respondents were asked to grade each answer from 1 to 5, and we could then calculate a score for each question based on the proportion (%) of respondents across the 5 grades. Thus a score between 0 and 500 was possible. We then selected the questions with the highest and lowest scores for intervention, and applied stages of change principles and social marketing for implementation. In May–June 2017, the same questionnaire was sent to all employees and the procedure was repeated before the 2017–2018 influenza season. Finally, for the third time, the procedure was repeated before the 2019–2020 season. This time some additional questions were added, about which sources the employees were using for information on influenza vaccination. Results: In 2017–2018 vaccination coverage increased from 30% to 54%. The year after we reached 73%, and at the time of abstract submission (November 12, 2019) we have passed 80% for the 2019–2020 season, still with more vaccines to be given. Among Norwegian healthcare workers, attitudes and perceived control seemed to have a stronger impact on behavior (vaccination) than subjective norms. Conclusions: We were able to significantly increase voluntary influenza vaccination, reaching the WHO goal of at least 75%, by the application of behavior change theories and social marketing.Funding: NoneDisclosure: Egil Lingaas, Salary - 3M Healthcare

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Influenza vaccination coverage among patients and healthcare workers in a university hospital during the 2006–2007 influenza season

Vaccine ◽

10.1016/j.vaccine.2012.10.059 ◽

2012 ◽

Vol 31 (1) ◽

pp. 23-26 ◽

Cited By ~ 5

Author(s):

Caroline Landelle ◽

Philippe Vanhems ◽

Mitra Saadatian-Elahi ◽

Nicolas Voirin

Keyword(s):

Influenza Vaccination ◽

Vaccination Coverage ◽

Healthcare Workers ◽

Influenza Season ◽

University Hospital

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The impact of the 2009 influenza A(H1N1) pandemic on attitudes of healthcare workers toward seasonal influenza vaccination 2010/11

Eurosurveillance ◽

10.2807/ese.16.17.19854-en ◽

2011 ◽

Vol 16 (17) ◽

Author(s):

C Brandt ◽

H F Rabenau ◽

S Bornmann ◽

R Gottschalk ◽

S Wicker

Keyword(s):

Medical Students ◽

Influenza Vaccine ◽

Influenza Vaccination ◽

Healthcare Workers ◽

Influenza A ◽

Influenza Season ◽

University Hospital ◽

The Public ◽

Influenza A H1n1 ◽

The Impact

The emergence of the influenza A(H1N1)2009 virus provided a major challenge to health services around the world. However, vaccination rates for the public and for healthcare workers (HCWs) have remained low. We performed a study to review the reasons put forward by HCWs to refuse immunisation with the pandemic vaccine in 2009/10 and characterise attitudes in the influenza season 2010/11 due to the emergence of influenza A(H1N1)2009. A survey among HCWs and medical students in the clinical phase of their studies was conducted, using an anonymous questionnaire, at a German university hospital during an influenza vaccination campaign. 1,366 of 3,900 HCWs (35.0%) were vaccinated in the 2010/11 influenza season. Of the vaccinated HCWs, 1,323 (96.9%) completed the questionnaire in addition to 322 vaccinated medical students. Of the 1,645 vaccinees who completed the questionnaire, 712 had not been vaccinated against the influenza A(H1N1)2009 virus in the 2009/10 season. The main reason put forward was the objection to the AS03 adjuvants (239/712, 33.6%). Of the HCWs and students surveyed, 270 of 1,645 (16.4%) stated that the pandemic had influenced their attitude towards vaccination in general. Many German HCWs remained unconvinced of the safety of the pandemic (adjuvanted) influenza vaccine. For this reason, effective risk communication should focus on educating the public and HCWs about influenza vaccine safety and the benefits of vaccination.

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Influenza Vaccination Coverage Among Children Aged 6-23 Months--Six Immunization Information System Sentinel Sites, United States, 2005-06 Influenza Season

PsycEXTRA Dataset ◽

10.1037/e585342006-004 ◽

2006 ◽

Keyword(s):

United States ◽

Information System ◽

Influenza Vaccination ◽

Vaccination Coverage ◽

Influenza Season ◽

Immunization Information System

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Coverage and Timing of Influenza Vaccination Among Privately Insured Pregnant Women in the United States, 2010-2018

Public Health Reports ◽

10.1177/00333549211026779 ◽

2021 ◽

pp. 003335492110267

Author(s):

Kai Hong ◽

Megan C. Lindley ◽

Fangjun Zhou

Keyword(s):

Influenza Vaccination ◽

Pregnant Women ◽

Vaccination Coverage ◽

Influenza Season ◽

The United States ◽

Metropolitan Statistical Area ◽

Provider Education ◽

Vaccination Uptake ◽

Increased Risk ◽

Privately Insured

Objective Pregnant women are at increased risk of serious complications from influenza and are recommended to receive an influenza vaccination during pregnancy. The objective of this study was to assess trends, timing patterns, and associated factors of influenza vaccination among pregnant women. Methods We used 2010-2018 MarketScan data on 1 286 749 pregnant women aged 15-49 who were privately insured to examine trends and timing patterns of influenza vaccination coverage. We examined descriptive statistics and identified factors associated with vaccination uptake by using multivariate log-binomial and Cox proportional hazard models. Results In-plan influenza vaccination coverage before delivery increased from 22.0% during the 2010-2011 influenza season to 33.2% during the 2017-2018 influenza season. About two-thirds of vaccinated women received the vaccine in September or October during each influenza season. For women who delivered in September through May, influenza vaccination coverage increased rapidly at the beginning of influenza season and flattened after October. For women who delivered in June through August, influenza vaccination coverage increased gradually until February and flattened thereafter. Most vaccinated women who delivered before January received the vaccine in the third trimester. Increased likelihood of being vaccinated was associated with age 31-40, living in a metropolitan statistical area, living outside the South, enrollment in a consumer-driven or high-deductible health plan, being spouses or dependents of policy holders, and delivery in November through January. Conclusions Despite increases during the past several years, vaccination uptake is still suboptimal, particularly after October. Health care provider education on timing of vaccination and recommendations throughout influenza seasons are needed to improve influenza vaccination coverage among pregnant women.

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Influenza Vaccination Coverage Among Health Care Personnel — United States, 2017–18 Influenza Season

MMWR Morbidity and Mortality Weekly Report ◽

10.15585/mmwr.mm6738a2 ◽

2018 ◽

Vol 67 (38) ◽

pp. 1050-1054 ◽

Cited By ~ 45

Author(s):

Carla L. Black ◽

Xin Yue ◽

Sarah W. Ball ◽

Rebecca V. Fink ◽

Marie A. de Perio ◽

...

Keyword(s):

United States ◽

Health Care ◽

Influenza Vaccination ◽

Vaccination Coverage ◽

Influenza Season ◽

Health Care Personnel

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Influenza Vaccination Coverage of Healthcare Workers in Nursing Homes in France and Related Determinants, 2018- 2019 Season: A Cross-Sectional Survey

10.21203/rs.3.rs-934635/v1 ◽

2021 ◽

Author(s):

Sophie Vaux ◽

Laure Fonteneau ◽

Anne-Gaëlle Venier ◽

Arnaud Gautier ◽

Sophan Soing Altrach ◽

...

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Influenza Vaccination ◽

Vaccination Coverage ◽

Healthcare Workers ◽

Negative Binomial ◽

Nursing Assistants ◽

Influenza Vaccines ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract Background The burden of influenza morbidity and mortality in nursing homes (NH) is high. Vaccination of residents and healthcare workers (HCW) is the main prevention strategy. Despite recommendations, HCW vaccination coverage is generally low. Methods We performed a nationwide cross-sectional survey of NH using a single-stage stratified random sampling design to estimate influenza vaccination coverage in nursing home HCW in France during the 2019-2020 season, and to identify measures likely to increase it. A multivariate analysis was performed using a negative binomial regression. Results Overall influenza vaccination coverage in HCW was 31.9% (95% CI [29.7-34.1]). It varied according to occupational category: 75.5% [69.3-81.7] for physicians, 42.9% [39.4-46.4] for nurses, 26.7% [24.5-29.0] for nursing assistants, and 34.0% [30.1-38.0] for other paramedical personnel. When considering all professionals (i.e., HCW and non-medical professionals), overall vaccination coverage was 30.6% [28.2-33.0]. Vaccination coverage was higher in private nursing homes, in i) small nursing homes, ii) when vaccination was offered free of charge (RRa: 1.4, [1.1-1.8]), iii) when vaccination promotion for professionals included individual (RRa: 1.6 [1.1-2.1]) or collective (RRa: 1.3 [1.1-1.5]) information sessions, videos or games (RRa: 1.4 [1.2-1.6], iv) when information on influenza vaccines was provided (RRa: 1.2 [1.0-1.3], and finally, vi) when a vaccination point of contact - defined as an HCW who could provide reliable information on vaccination - was nominated within the nursing home (RRa: 1.7 [1.3-2.2]). Conclusions Urgent and innovative actions are required to increase coverage in HCW. Vaccination programmes should include free vaccination and education campaigns, and particularly target nursing assistants. The results of this nationwide study provide keys for improving influenza vaccination coverage in HCW. Programmes should ensure that information on influenza vaccines is provided by a vaccination point of contact in NH using attractive media. Combining the different prevention measures proposed could increase coverage in NH nationwide by over 50%.

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