Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Randomised active programs on healthcareworkers' flu vaccination in geriatric health care settings in France: The VESTA study
Journal of Nutrition, Health and Aging, Volume 15, No. 2, Year 2011
Notification
URL copied to clipboard!
Description
Background: Because of a lack of efficacy of influenza vaccination in elderly population, there are still numerous outbreaks in geriatric health care settings. The health care workers (HCW) flu vaccination is known to get herd immunity and decrease the impact of influenza in elderly population living in geriatric health care settings. However, the rates of vaccinated HCWs are still low in France. The French Geriatric Infection Risk Institute (ORIG) performed the VESTA study, a three-phase multicentre to identify factors limiting vaccination in HCWs, and to develop and implement active programs promoting HCWs influenza vaccination. Objectives: To implement multicenter programs to enhance HCW influenza vaccination. Design: It was a cluster randomised interventional studies. Setting: 43 geriatric health care settings (GHCSs), long term care and rehabilitation care settings in France. Participants: 1814 Health care workers from 20 GHCSs in the interventional group and 2,435 health care workers in 23 GHCSs in the control group. Intervention: After the failure of a first educational program giving scientific information and. tested during the 2005-06 flu season in 43 HCSs, a second program was designed with the help of marketing experts, one year after Program 1. The objectives were to involve HCWs in the creation of "safety zones", and to give personal satisfaction. Program 2 was tested during the 2006-07 season. 20 of the 24 HCSs from the Program 1 cluster were included in the Program 2 cluster (1,814 HCWs), and 16 of the 19 HCSs from the Control 1 cluster, plus 7 new HCSs with interest in participating, were included in the Control 2 cluster (23 HCSs; 2,435 HCWs). Measurements: The efficacy of each program was assessed by calculating and comparing the percentage of vaccinated HCWs, from all HCSs taken together, in the program and control clusters. Results: Program 1 failed to increase the HCW vaccination coverage rate (VCR) (Program 1: 34%; Control 1: 32%; p>0.05),). Program 2 increased the VCR in HCWs (Program 2: 44%; Control 2: 27%; Chi2 test, p<0.001) regardless their occupational group but only in the non previous vaccinated subgroup. Conclusions: In geriatric health care centres in France, an active multicenter program giving personal satisfaction and taking into account the profile of non-vaccinated HCWs was more effective in promoting flu vaccination than a scientifically factual information program. HCW involvement is required in program implementation in order to avoid rejection of top-down information. © 2011 Serdi and Springer Verlag France.
Authors & Co-Authors
Rothan-Tondeur, Monique Ique
France, Ivry-sur-seine
Hôpital Universitaire Charles Foix
France, Paris
Hôpital Saint-antoine
France, Rennes
School of Public Health
Filali-Zegzouti, Younès
France, Ivry-sur-seine
Hôpital Universitaire Charles Foix
Morocco, Meknes
Université Moulay Ismaïl
Golmard, Jean Louis
France, Paris
Hôpital Universitaire Pitié Salpêtrière
de Waziéres, Benoît
France, Ivry-sur-seine
Hôpital Universitaire Charles Foix
France, Nimes
Hôpital Universitaire Carémeau
Piette, François
France, Ivry-sur-seine
Hôpital Universitaire Charles Foix
Carrat, Fabrice
France, Paris
Hôpital Saint-antoine
Lejeune, Benoist
France, Ivry-sur-seine
Hôpital Universitaire Charles Foix
Gavazzi, Gaëtan 1.
France, Grenoble
Centre Hospitalier Universitaire de Grenoble
Statistics
Citations: 21
Authors: 8
Affiliations: 7
Identifiers
Doi:
10.1007/s12603-011-0025-5
ISSN:
12797707
e-ISSN:
17604788
Research Areas
Disability
Health System And Policy
Study Design
Randomised Control Trial
Cross Sectional Study