Evaluation of an Influenza Vaccination Implementation Strategy for Hospital Health Care Workers

NCT01481467 | Unknown

• 1 other identifier: 125030012
• Study Type: interventional
• Target: 6
• Locations: 1 country
• Sites: 2

Brief Summary

Influenza is a serious disease which can cause severe illness and even death among patients. Health care workers (HCWs) often get infected with influenza and up to 76% of them keep working while being ill. Immunizing HCWs is therefore an essential factor in protecting patients from influenza as HCWs easily transmit influenza to their patients. However, despite recommendations from the Dutch Health Council since 2007, vaccine uptake among HCWs remains low. The aim of this study is to develop an effective implementation strategy on the basis of previous behavioural studies and to evaluate its value in a clustered randomized trial in all Dutch University Medical Centers (UMCs). Also, we want to assess the program elements that are associated with a higher vaccine uptake and the cost-effectiveness of such an implementation strategy. The results of this study will give more insights in the way influenza vaccination campaigns should be directed in order to achieve high vaccine uptake rates among HCWs in hospitals.

Conditions

Influenza

Keywords

influenza vaccination; intervention mapping; hospital care; respiratory infections; vaccination

Outcome Measures

Primary Outcomes (1)

• Influenza vaccine uptake among health care workers in the UMCs

  Influenza vaccine uptake among health care workers of all UMCs. Measured by means of data provided by the departments of occupational health. For the assessment of short-term effects vaccine uptake is measured after the first influenza season (2009/2010) in February-March 2010 and for the long-term effects it is measured after the second influenza season (2010/2011) in March-April 2011.

  Up to 2 months

Secondary Outcomes (2)

• Absenteeism among health care workers during influenza epidemics

  Up to 5 months

• Patient morbidity and mortality

  Up to 5 months

Study Arms (2)

Intervention

EXPERIMENTAL

Influenza vaccination implementation strategy applied.

Behavioral: Influenza vaccination implementation strategy

Control

NO INTERVENTION

Usual care.

Interventions

Influenza vaccination implementation strategy BEHAVIORAL

A multi-faceted influenza vaccination implementation strategy

Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• University Medical Hospital in the Netherlands

You may not qualify if:

• Absence of consent to be randomized
• Health care staff at University Medical Hospitals
• Patients cared for during the study influenza epidemics of selected divisions
• None

Sponsors & Collaborators

• University Medical Center Groningen: lead
• ZonMw: The Netherlands Organisation for Health Research and Development: collaborator

Study Sites (2)

University Medical Centre Groningen

Groningen, 9700 RB, Netherlands

COMPLETED

University Medical Centre

Groningen, 9700 RB, Netherlands

RECRUITING

Related Publications (18)

• Osterholm MT, Kelley NS, Sommer A, Belongia EA. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infect Dis. 2012 Jan;12(1):36-44. doi: 10.1016/S1473-3099(11)70295-X. Epub 2011 Oct 25.

  PMID: 22032844 BACKGROUND

• Hayward AC, Watson J. Effectiveness of influenza vaccination of staff on morbidity, and mortality of residents of long term care facilities for the elderly. Vaccine. 2011 Mar 16;29(13):2357-8. doi: 10.1016/j.vaccine.2011.01.020. Epub 2011 Feb 2. No abstract available.

  PMID: 21295099 BACKGROUND

• Potter J, Stott DJ, Roberts MA, Elder AG, O'Donnell B, Knight PV, Carman WF. Influenza vaccination of health care workers in long-term-care hospitals reduces the mortality of elderly patients. J Infect Dis. 1997 Jan;175(1):1-6. doi: 10.1093/infdis/175.1.1.

  PMID: 8985189 BACKGROUND

• Wilde JA, McMillan JA, Serwint J, Butta J, O'Riordan MA, Steinhoff MC. Effectiveness of influenza vaccine in health care professionals: a randomized trial. JAMA. 1999 Mar 10;281(10):908-13. doi: 10.1001/jama.281.10.908.

  PMID: 10078487 BACKGROUND

• Carman WF, Elder AG, Wallace LA, McAulay K, Walker A, Murray GD, Stott DJ. Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet. 2000 Jan 8;355(9198):93-7. doi: 10.1016/S0140-6736(99)05190-9.

  PMID: 10675165 BACKGROUND

• Saxen H, Virtanen M. Randomized, placebo-controlled double blind study on the efficacy of influenza immunization on absenteeism of health care workers. Pediatr Infect Dis J. 1999 Sep;18(9):779-83. doi: 10.1097/00006454-199909000-00007.

  PMID: 10493337 BACKGROUND

• Weingarten S, Riedinger M, Bolton LB, Miles P, Ault M. Barriers to influenza vaccine acceptance. A survey of physicians and nurses. Am J Infect Control. 1989 Aug;17(4):202-7. doi: 10.1016/0196-6553(89)90129-6.

  PMID: 2774292 BACKGROUND

• Christini AB, Shutt KA, Byers KE. Influenza vaccination rates and motivators among healthcare worker groups. Infect Control Hosp Epidemiol. 2007 Feb;28(2):171-7. doi: 10.1086/511796. Epub 2007 Jan 17.

  PMID: 17265398 BACKGROUND

• Doebbeling BN, Edmond MB, Davis CS, Woodin JR, Zeitler RR. Influenza vaccination of health care workers: evaluation of factors that are important in acceptance. Prev Med. 1997 Jan-Feb;26(1):68-77. doi: 10.1006/pmed.1996.9991.

  PMID: 9010900 BACKGROUND

• Smedley J, Palmer C, Baird J, Barker M. A survey of the delivery and uptake of influenza vaccine among health care workers. Occup Med (Lond). 2002 Aug;52(5):271-6. doi: 10.1093/occmed/52.5.271.

  PMID: 12181376 BACKGROUND

• Canning HS, Phillips J, Allsup S. Health care worker beliefs about influenza vaccine and reasons for non-vaccination--a cross-sectional survey. J Clin Nurs. 2005 Sep;14(8):922-5. doi: 10.1111/j.1365-2702.2005.01190.x.

  PMID: 16102143 BACKGROUND

• Douville LE, Myers A, Jackson MA, Lantos JD. Health care worker knowledge, attitudes, and beliefs regarding mandatory influenza vaccination. Arch Pediatr Adolesc Med. 2010 Jan;164(1):33-7. doi: 10.1001/archpediatrics.2009.252.

  PMID: 20048239 BACKGROUND

• van den Dool C, Bonten MJ, Hak E, Heijne JC, Wallinga J. The effects of influenza vaccination of health care workers in nursing homes: insights from a mathematical model. PLoS Med. 2008 Oct 28;5(10):e200. doi: 10.1371/journal.pmed.0050200.

  PMID: 18959470 BACKGROUND

• Blank PR, Schwenkglenks M, Szucs TD. Vaccination coverage rates in eleven European countries during two consecutive influenza seasons. J Infect. 2009 Jun;58(6):446-58. doi: 10.1016/j.jinf.2009.04.001. Epub 2009 Apr 17.

  PMID: 19446340 BACKGROUND

• Looijmans-van den Akker I, van Delden JJ, Verheij TJ, van der Sande MA, van Essen GA, Riphagen-Dalhuisen J, Hulscher ME, Hak E. Effects of a multi-faceted program to increase influenza vaccine uptake among health care workers in nursing homes: A cluster randomised controlled trial. Vaccine. 2010 Jul 12;28(31):5086-92. doi: 10.1016/j.vaccine.2010.05.003. Epub 2010 May 23.

  PMID: 20580740 BACKGROUND

• Hopman CE, Riphagen-Dalhuisen J, Looijmans-van den Akker I, Frijstein G, Van der Geest-Blankert AD, Danhof-Pont MB, De Jager HJ, Bos AA, Smeets E, De Vries MJ, Gallee PM, Lenderink AF, Hak E. Determination of factors required to increase uptake of influenza vaccination among hospital-based healthcare workers. J Hosp Infect. 2011 Apr;77(4):327-31. doi: 10.1016/j.jhin.2010.10.009. Epub 2011 Feb 12.

  PMID: 21316803 RESULT

• Meijboom MJ, Riphagen-Dalhuisen J, Hak E. The potential economic value of influenza vaccination for healthcare workers in The Netherlands. Influenza Other Respir Viruses. 2018 Jul;12(4):457-464. doi: 10.1111/irv.12558. Epub 2018 May 24.

  PMID: 29624882 DERIVED

• Riphagen-Dalhuisen J, Burgerhof JG, Frijstein G, van der Geest-Blankert AD, Danhof-Pont MB, de Jager HJ, Bos AA, Smeets EE, de Vries MJ, Gallee PM, Hak E. Hospital-based cluster randomised controlled trial to assess effects of a multi-faceted programme on influenza vaccine coverage among hospital healthcare workers and nosocomial influenza in the Netherlands, 2009 to 2011. Euro Surveill. 2013 Jun 27;18(26):20512. doi: 10.2807/1560-7917.es2013.18.26.20512.

  PMID: 23827527 DERIVED

Related Links

• Website that was developed as part of the implementation program.

MeSH Terms

Conditions

Influenza, Human; Respiratory Tract Infections

Condition Hierarchy (Ancestors)

Infections; Orthomyxoviridae Infections; RNA Virus Infections; Virus Diseases; Respiratory Tract Diseases

Study Officials

• Josien Riphagen-Dalhuisen, MD

  University Medical Centre Groningen/ University of Groningen

  PRINCIPAL INVESTIGATOR

• Eelko Hak, PhD

  University Medical Centre Groninge/University of Groningen

  STUDY DIRECTOR

Central Study Contacts

Josien Riphagen-Dalhuisen, MD

CONTACT

+31 (0)6 45 23 80 26; j.riphagen@umcg.nl

Eelko Hak, PhD

CONTACT

+31 (0)50 363 7576; e.hak@rug.nl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD fellow

Study Record Dates

• First Submitted: November 10, 2011
• First Posted: November 29, 2011
• Study Start: April 1, 2009
• Primary Completion: December 1, 2011
• Study Completion: March 1, 2012
• Last Updated: December 20, 2011

Record last verified: 2011-12

Locations

NL (2)