title: Potential influence of seasonal influenza vaccination requirement versus traditional vaccine promotion strategies on unvaccinated healthcare personnel.
abstract: In a prospective cohort study of 1670 healthcare personnel (HCP) providing direct patient care at Scott & White Healthcare in Texas and Kaiser Permanente Northwest in Oregon and Washington, we examined the potential impact of twelve vaccine promotion strategies on the likelihood of being vaccinated. Internet-based surveys were conducted at enrollment (Fall, 2010) and at post-season (Spring, 2011), which asked HCP whether twelve vaccination promotion strategies would make them "much less" to "much more" likely to be vaccinated next season (on a 5-point Likert scale). Overall, 366 of 1670 HCP (22%) were unvaccinated. Half (50%) of unvaccinated HCP self-reported that a vaccination requirement would make them more likely to be vaccinated and most (62%) identified at least one strategy other than a vaccination requirement that would make them more likely to be vaccinated. In sub-groups of unvaccinated HCPs with specific barriers to vaccination, about one in three (range=27-35%) indicated that interventions targeting specific vaccination barrier would increase the likelihood they would be vaccinated. However, in all cases, significantly more unvaccinated HCP reported that a vaccination requirement would increase the likelihood of vaccination than reported a targeted intervention would have this effect (range in difference scores=+11-23%).
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA. isq8@cdc.gov
authors.forename: Mark G
authors.initials: MG
authors.lastname: Thompson
authors.forename: Anne F
authors.initials: AF
authors.lastname: McIntyre
authors.forename: Allison L
authors.initials: AL
authors.lastname: Naleway
authors.forename: Carla
authors.initials: C
authors.lastname: Black
authors.forename: Erin D
authors.initials: ED
authors.lastname: Kennedy
authors.forename: Sarah
authors.initials: S
authors.lastname: Ball
authors.forename: Deborah Klein
authors.initials: DK
authors.lastname: Walker
authors.forename: Emily M
authors.initials: EM
authors.lastname: Henkle
authors.forename: Manjusha J
authors.initials: MJ
authors.lastname: Gaglani
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015331:Cohort Studies; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D007252:Influenza Vaccines; D008297:Male; D009922:Oregon; D011446:Prospective Studies; D057566:Self Report; D013781:Texas; D014611:Vaccination / Q000523:psychology / Q000706:statistics & numerical data*; D014861:Washington
chemical_list: D007252:Influenza Vaccines
keywords: Health care personnel; Influenza vaccination; Intervention; Mandate