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Table 2 Selected intervention objectives, methods and strategies

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

Determinants Objectives Methods and strategies
Management level   
Having a written policy Stimulating nursing homes to develop a written policy on influenza vaccination of HCWs Informing management on effect of a written policy (outreach visit, written information)
Actively requesting HCWs to get vaccinated Actively requesting HCWs to get vaccinated Executing the intervention program automatically leads to an active request
Informing HCWs about influenza vaccination Having HCWs informed on influenza vaccination Informing HCWs by plenary meetings, discussion in smaller groups, invitation letter, leaflets, posters, video, website
HCW level   
Presence of chronic illness No objective set due to limited changeability  
Working in health care for more than 15 years No objective set due to limited changeability  
Perceived high personal risk Awareness among HCWs of being at risk for an influenza infection and knowing how high this risk is - Provide risk information (plenary meeting, leaflets, website)
- Evaluate own behaviour in smaller groups
- Show a video with role-models
Perceived reduction of personal risk HCWs being convinced that vaccination is effective in reducing the personal risk for an influenza infection - Provide effectiveness information concerning reduction of personal risk (plenary meeting, leaflets, posters, website)
- Interactive information provision by discussion in smaller groups
- Show a video with role models
Perceived reduction of risk to infect patients HCWs being convinced that vaccination is effective in reducing the risk to infect patients with influenza - Providing effectiveness information concerning the reduction of infecting patients (leaflets, posters, website, plenary meeting)
- Interactive information provision by discussion in smaller groups
- Show a video with role-models
Awareness of the existence of a guideline HCWs being aware of existence of guideline Mention the existence of the guideline in program materials (leaflets, website, information meeting)
Agreement with this guideline HCWs understanding reasoning of guideline - Explain guideline (leaflets, website, plenary meetings)
- Discuss the guideline in smaller groups
Social influence of people close to the HCWs Also informing people close to the HCWs Send a personal invitation letter for the plenary meetings to the home address of all HCWs together with an information leaflet
Influence of media attention for avian influenza HCWs understand what avian influenza is and how it relates to annual human influenza - Explain avian influenza on website
All HCWs should get vaccinated HCWs understand the ethical aspects of influenza vaccination among HCWs - Explain and discuss ethical aspects (leaflets, website)
- Show a video with role-models
- Discussion in smaller groups
HCWs should get vaccinated because of their duty not to harm HCWs understand the ethical aspects of influenza vaccination among HCWs - Explain and discuss ethical aspects (leaflets, website)
- Show a video with role-models
- Discussion in smaller groups
Information received through an information meeting Conducting an information meeting Execute an information meeting with plenary information on influenza and influenza vaccination and discussion in smaller groups
Information received from a nursing home physician Having preferably a physician a local program coordinator Nursing home physician signing invitation letters and shows his support during information meetings