Objectives. Development of a vaccine against COVID-19 will be key to controlling the pandemic. We need to understand the barriers and facilitators to receiving a future COVID-19 vaccine so that we can provide recommendations for the design of interventions aimed at maximizing public acceptance. Design. Cross-sectional UK survey with older adults and patients with chronic respiratory disease. Methods. During the UK's early April 2020 'lockdown' period, 527 participants (311 older adults, mean age = 70.4 years; 216 chronic respiratory participants, mean age = 43.8 years) completed an online questionnaire assessing willingness to receive a COVID-19 vaccine, perceptions of COVID-19, and intention to receive influenza and pneumococcal vaccinations. A free text response (n = 502) examined barriers and facilitators to uptake. The Behaviour Change Wheel informed the analysis of these responses, which were coded to the Theoretical Domains Framework (TDF). Behaviour change techniques (BCTs) were identified. Results. Eighty-six per cent of respondents want to receive a COVID-19 vaccine. This was positively correlated with the perception that COVID-19 will persist over time, and negatively associated with perceiving the media to have over-exaggerated the risk. The majority of barriers and facilitators were mapped onto the 'beliefs about consequences' TDF domain, with themes relating to personal health, health consequences to others, concerns of vaccine safety, and severity of COVID-19. Conclusions. Willingness to receive a COVID-19 vaccination is currently high among high-risk individuals. Mass media interventions aimed at maximizing vaccine uptake should utilize the BCTs of information about health, emotional, social and environmental consequences, and salience of consequences. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Experiencing excessive stress in the workplace can lead to mental ill health, which has costs both personally for individuals and for the wider economy in terms of lost working days. This study used two in‐depth focus groups, one with NHS mental health workers (n = 9) and one with Samaritans’ volunteers (n = 8), to investigate how they cope with work‐based stressors, and build and maintain resilience. The qualitative data derived from the focus groups were compared and analysed using interpretative phenomenological analysis to gain an in‐depth understanding of the lived experiences of those working in both statutory and voluntary adult mental health settings. Four superordinate themes emerged: (1) Perceived lack of control as a stressor; (2) Ways of building resilience; (3) The dual impact of values; and (4) The effect of environment. The implications of these findings are discussed in the context of recommendations for training to help foster resilience within mental health care systems, along with possible areas of future investigation.
Practitioner points
Resilience has been shown to be an important element in allowing those working and volunteering in mental health settings to cope with the stressors inherent in their chosen field.
Allowing staff reasonable control over their work, and providing an adequate environment in which to carry out their work, is conducive to building and maintaining resilience.
Consideration should be given to the dual nature of some elements of working in a mental health context, in terms of both the positive and negative impact they can have (e.g., values and environment).
Training programmes using aspects of developments such as mindfulness and acceptance and commitment training may also be able to contribute to building and maintaining resilience in mental health workers.
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