title: The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities.
abstract: OBJECTIVE
  We examined barriers to influenza vaccination among long-term care facility (LTCF) health care workers in Southern California and developed simple, effective interventions to improve influenza vaccine coverage of these workers.
  
  
  METHODS
  In 2002, health care workers at LTCFs were surveyed regarding their knowledge and attitudes about influenza and the influenza vaccine. Results were used to develop 2 interventions, an educational campaign and Vaccine Day (a well-publicized day for free influenza vaccination of all employees at the worksite). Seventy facilities were recruited to participate in an intervention trial and randomly assigned to 4 study groups.
  
  
  RESULTS
  The combination of Vaccine Day and an educational campaign was most effective in increasing vaccine coverage (53% coverage; prevalence ratio [PR]=1.45; 95% confidence interval [CI]=1.24, 1.71, compared with 27% coverage in the control group). Vaccine Day alone was also effective (46% coverage; PR= 1.41; 95% CI=1.17, 1.71). The educational campaign alone was not effective in improving coverage levels (34% coverage; PR=1.18; 95% CI=0.93, 1.50).
  
  
  CONCLUSIONS
  Influenza vaccine coverage of LTCF health care workers can be improved by providing free vaccinations at the worksite with a well-publicized Vaccine Day.
authors.affiliation: Division of Communicable Disease Control, California Department of Health Services, Gardena, CA 90248, USA. akimura@dhs.ca.gov
authors.forename: Akiko C
authors.initials: AC
authors.lastname: Kimura
authors.forename: Christine N
authors.initials: CN
authors.lastname: Nguyen
authors.forename: Jeffrey I
authors.initials: JI
authors.lastname: Higa
authors.forename: Eric L
authors.initials: EL
authors.lastname: Hurwitz
authors.forename: Duc J
authors.initials: DJ
authors.lastname: Vugia
mesh_terms: D000328:Adult; D000368:Aged; D002140:California; D004493:Education; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D017589:Immunization Programs; D007252:Influenza Vaccines / Q000627:therapeutic use*; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D000078329:Workforce; D017132:Workplace
chemical_list: D007252:Influenza Vaccines