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Stepwise intervention including 1-on-1 counseling is highly effective in increasing influenza vaccination among health care workers

tetano

Editor, Senior Moderator
Am J Infect Control. 2017 Jan 4. pii: S0196-6553(16)31044-6. doi: 10.1016/j.ajic.2016.11.012. [Epub ahead of print]
[h=1]Stepwise intervention including 1-on-1 counseling is highly effective in increasing influenza vaccination among health care workers.[/h] Jung Y[SUP]1[/SUP], Kwon M[SUP]2[/SUP], Song J[SUP]3[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] The influenza vaccination rate among health care workers (HCWs) remains suboptimal. We attempted to increase vaccine uptake in HCWs by nonmandatory measures, including 1-on-1 counseling.
[h=4]METHODS:[/h] In 2015 we used a stepwise approach including (1) text messaging on the last day of the vaccination period, (2) extending the vaccination period by 3 days, (3) education for the low uptake group, and (4) 1-on-1 counseling for unvaccinated HCWs after the 3 interventions.
[h=4]RESULTS:[/h] There were 1,433 HCWs included. By the end of the initial 3 days, the uptake rate was 80.0% (1,146/1,433). During an extension for a further 3 days, 33 additional HCWs received the vaccine. One month after starting the vaccination, 90.1% (1,291/1,433) of the HCWs were vaccinated, but this included only 76.1% (210/276) of the doctors (lowest among HCWs). After 3 educational presentations targeted at the unvaccinated doctors, no additional individuals were vaccinated in the following 2 weeks. After 1-on-1 counseling for unvaccinated HCWs, the overall vaccination rate increased to 94.7% (1,357/1,433) in 2015, higher than in the previous year (82.5%, P < .001). Of the unvaccinated doctors, 63.2% (43/68) were vaccinated, therefore achieving 92.4% (255/276) compliance, higher than the 56.5% in the previous year (152/269, P < .001).
[h=4]CONCLUSIONS:[/h] Stepwise intervention including 1-on-1 counseling is effective in increasing influenza vaccination rates among HCWs.
Copyright ? 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.


[h=4]KEYWORDS:[/h] Health care workers; Influenza vaccination

PMID: 28063732 DOI: 10.1016/j.ajic.2016.11.012
[PubMed - as supplied by publisher]
 
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