title: A novel approach to improve influenza vaccination rates among health care professionals: a prospective randomized controlled trial.
abstract: BACKGROUND
  Although influenza is the leading infections cause of death in the United States, only 40% of health care workers (HCW) comply with Centers for Disease Control and Prevention recommendation for routine influenza vaccination.
  
  
  METHODS
  This study investigated a novel approach for improving influenza vaccination rates among HCW. Eight hundred employees we selected, 200 each from the following 4 categories: professional staff, resident physicians, registered nurses, and licensed practical nurses. Subjects were randomly assigned to receive (1) no intervention, (2) a letter explaining the importance of influenza vaccine for HCW, (3) a ticket activated with influenza vaccine administration for a raffle of a free Caribbean vacation for 2, or (4) both the educational letter and the raffle ticket. We compared the proportion of employees receiving vaccination and participating in the raffle across groups.
  
  
  RESULTS
  The influenza vaccination rate for all study subjects was 41%. The number of subjects receiving vaccine did not differ by occupation (P = .87) or intervention group (P = .66).
  
  
  CONCLUSIONS
  This study provides no evidence to support the use of mailed educational letters or a single large raffle prize incentive as a means to boost hospital employee influenza vaccination rates.
authors.affiliation: Department of General Pediatrics, The Cleveland Clinic Foundation, Cleveland, OH, USA.
authors.forename: Shirin
authors.initials: S
authors.lastname: Doratotaj
authors.forename: Michael L
authors.initials: ML
authors.lastname: Macknin
authors.forename: Sarah
authors.initials: S
authors.lastname: Worley
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D007252:Influenza Vaccines / Q000592:standards / Q000627:therapeutic use*; D007318:Inservice Training / Q000379:methods*; D032541:Mass Vaccination / Q000379:methods* / Q000592:standards; D008505:Medical Staff, Hospital / Q000523:psychology / Q000592:standards; D009042:Motivation; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000592:standards; D010349:Patient Compliance
chemical_list: D007252:Influenza Vaccines