title: Promotion of flu vaccination among healthcare workers in an Italian academic hospital: An experience with tailored web tools.
abstract: Influenza causes significant mortality particularly among the elderly and high-risk groups. Healthcare workers (HCWs) are at risk of occupational exposure due to contact with patients. Aims of this study was to promote flu shot among HCWs through a multimedia campaign in a large North-Eastern Italian Hospital.
  
  
  
  The 2013/2014 flu vaccination multimedia campaign addressed to HCWs was developed by maintaining pre-existing tools (letters in pay slip and poster displayed in wards) and creating 4 on-line spots (30") delivered trough the hospital intranet. Campaign effectiveness was assessed in terms of changes in knowledge, attitude and practice comparing data of pre (10 items) and post test (20 items) survey on a randomized sample of HCWs.
  
  
  
  Response rates were 92.6% (464/501) in pre-test and 83.2% (417/501) in post-test. 93.8% (391/417) of HCWs reported to awareness of the campaign to promote vaccination. Spots were seen by 59.6% (233/391) of HCWs. Some reasons for vaccine denial, "not believing in vaccine efficacy" (34.7% to 14.9%), "not considering flu as a serious problem" (from 24% to 12.6%), "thinking not to get sick" (28.7% to 18.2%) or "being against the vaccine" (32.7% to 21%), showed a statistically significant reduction after the exposure to the campaign. The "intention to get vaccinated in the next year" instead, raised effectively (13.1% to 36.6%). Vaccinated HCWs rate in 2013-2014 season was 7.6% (221/2910), and 5.6% (164/2910) in 2012-2013 (p<0.005).
  
  
  
  The multimedia campaign succeeded with regard to KAP outcomes, but the vaccination rate is still far from the goal of 90%. Due to their impact, especially on younger age groups, web tools deserve to be better studied as effective approach to convey health information among HCWs.
authors.affiliation: a Department of Medical and Biological Sciences , University of Udine , Udine , Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Conte
authors.affiliation: b Azienda Ospedaliero-Universitaria "Santa Maria della Misericordia ," Udine , Italy.
authors.forename: Rosanna
authors.initials: R
authors.lastname: Quattrin
authors.affiliation: c Department of Human Sciences , University of Udine , Udine , Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Filiputti
authors.affiliation: b Azienda Ospedaliero-Universitaria "Santa Maria della Misericordia ," Udine , Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Cocconi
authors.affiliation: b Azienda Ospedaliero-Universitaria "Santa Maria della Misericordia ," Udine , Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Arnoldo
authors.affiliation: a Department of Medical and Biological Sciences , University of Udine , Udine , Italy.
authors.forename: Pierfrancesco
authors.initials: P
authors.lastname: Tricarico
authors.affiliation: b Azienda Ospedaliero-Universitaria "Santa Maria della Misericordia ," Udine , Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Delendi
authors.affiliation: a Department of Medical and Biological Sciences , University of Udine , Udine , Italy.
authors.forename: Silvio
authors.initials: S
authors.lastname: Brusaferro
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006785:Hospitals, University; D006801:Humans; D017589:Immunization Programs; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D007558:Italy; D008297:Male; D008875:Middle Aged; D011897:Random Allocation; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines
keywords: HCW; flu vaccination; multimedia campaign