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Implementation Science
Published in: Implementation Science 1/2011

Open Access 01-12-2011 | Research

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

Authors: Ingrid Looijmans-van den Akker, Marlies E Hulscher, Theo JM Verheij, Josien Riphagen-Dalhuisen, Johan JM van Delden, Eelko Hak

Published in: Implementation Science | Issue 1/2011

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Abstract

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.
Appendix
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Metadata
Title
How to develop a program to increase influenza vaccine uptake among workers in health care settings?
Authors
Ingrid Looijmans-van den Akker
Marlies E Hulscher
Theo JM Verheij
Josien Riphagen-Dalhuisen
Johan JM van Delden
Eelko Hak
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2011
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-6-47

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