Influenza Vaccination Quality Improvement as a Model for COVID-19 Prophylaxis

Chin, Justin; Zhou, Ya‐Qun; Chen, Chijen L; Lomiguen, Christine M; McClelland, Suzanne; Lee-Wong, Mary

doi:10.7759/cureus.12549

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…The eLearning intervention provides skills training for PCPs and social care providers in discussing COVID-19 and COVID-19 vaccine with residents and addressing both low confidence in vaccines and indecision, as well as negativity about COVID-19 vaccination. The training program is focussed on: (1) skills training in behavior change techniques including Very Brief Advice (VBA) and Motivational Interviewing (MI) for addressing COVID-19 vaccination hesitancy; (2) patient-centered communication techniques and compassionate care ( 17–21 ). Motivational interviewing (MI) is widely used counseling technique for helping people to explore and resolve their uncertainties about changing their behavior ( 18 , 20 ).…”

Section: Methodsmentioning

confidence: 99%

Development of an eLearning intervention for enhancing health professionals’ skills for addressing COVID-19 vaccine hesitancy

Papadakis,

Anastasaki,

Gamaletsou

et al. 2023

Front. Med.

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Like many countries, Greece has faced resistance to coronavirus disease 2019 (COVID-19) vaccination among residents for both the initial and booster doses. Supporting healthcare professionals with delivering brief advice on COVID-19 vaccination may assist with reaching national vaccination targets. We sought to rapidly develop, pilot test, and deploy an eLearning intervention on skills training on effective techniques for addressing COVID-19 vaccine hesitancy for primary health and social care professionals in Greece. A five-part, 1.5-h eLearning was produced in Greek which featured two behavior change techniques, Very Brief Advice (VBA) and Motivational Interviewing (MI) adapted for use in addressing COVID-19 vaccine hesitancy. Six-film-based case studies modeling the use of VBA and MI in the context of challenging scenarios typically seen in Greek health and social settings were produced for the eLearning. The CME was pilot tested using a pre-post design in a small convenience sample (n = 17) of health care professionals. Pilot study results found the training provided new knowledge (80%), improved provider skills (80%), and was useful to provider’s clinical practice (90%). There was a mixed effect in provider capability, motivation, and opportunity. Ninety percent of providers strongly agreed or agreed that they planned to use the information and skills provided by the training in their clinical practice. This project has resulted in new training assets for use by health and social professional tailored to the nationally context in Greece including supporting uptake of booster doses of the COVID-19 vaccine.

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Section: Methodsmentioning

confidence: 99%

Development of an eLearning intervention for enhancing health professionals’ skills for addressing COVID-19 vaccine hesitancy

Papadakis,

Anastasaki,

Gamaletsou

et al. 2023

Front. Med.

View full text Add to dashboard Cite

show abstract

“…Direct patient education is often the solution for health care providers as they attempt to balance pros and cons of accepting the vaccine while respecting patient autonomy. However, there is evidence that education may increase vaccination resistance as patients utilize refusal as a defensive reaction to apparent challenges of their vaccine knowledge 10. Motivational interviewing has been an effective method of increasing vaccination rates as the conversation is centered around the patient and provides a respectful and nonjudgmental setting to explore possible concerns.…”

Section: Background and Knowledgementioning

confidence: 99%

“…However, there is evidence that education may increase vaccination resistance as patients utilize refusal as a defensive reaction to apparent challenges of their vaccine knowledge. 10 Motivational interviewing has been an effective method of increasing vaccination rates as the conversation is centered around the patient and provides a respectful and nonjudgmental setting to explore possible concerns. The use of motivational interviewing calls for a respectful and empathetic discussion of vaccination and helps build a strong patient-provider relationship.…”

Section: Background and Knowledgementioning

confidence: 99%

Improving Influenza Vaccination Rates in an Underserved Primary Care Clinic Using a Simple Educational Tool

Baltes

Pronovost

Kanuch

et al. 2022

Quality Management in Health Care

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Background and Objectives: Influenza is a preventable communicable illness that has a significant impact on people of all ages. In 2018, it was estimated that 80 000 people died of influenza-related illnesses. In the 2018-2019 influenza season, only 34.9% of individuals in the 18 to 49 years age group received the influenza vaccine. Despite the low vaccination rate for influenza, the vaccine has multiple evidence-based benefits that demonstrate the importance of improving its uptake among adults. According to data from the Centers for Disease Control and Prevention (CDC), the vaccine prevented around “6.2 million influenza illnesses, 3.2 million influenza-associated medical visits 91 000 influenza-associated hospitalizations, and 5700 influenza-associated deaths” in the 2017-2018 influenza season. In a suburban family medicine clinic, a primary care provider (PCP) observed that greater than 50% of adult patients in his family medicine practice declined influenza vaccine when offered during the 2018-2019 season compared with the site rate of 43.4% and the department rate of 47.9%. Methods: The goal of this project was to educate patients who initially decline the vaccine to agree to receive the vaccine and to increase the percentage of patients who get an influenza vaccine from 43.4% to 50% in adult patients at a suburban primary care clinic by having them read the CDC document and asking them after they read the document whether they would like to receive the vaccine. From October 1, 2018, to February 28, 2019, adult patients in a primary care clinic were asked whether they wanted to receive the influenza vaccination and responses were recorded. During this time, 589 patients were questioned, with 56% (n = 330) answering no, or 43% of patients receiving the influenza vaccination. Results: In total, 658 patients were offered the flu shot during the intervention period, representing 27.7% of the patients seen in this clinic. While there was some monthly variation, the PCP was able improve the percentage of patients receiving the influenza vaccination from 43% to 60.9% with this simple educational intervention. The overall clinic rate for this time frame increased from 56.6% to 58.2%. Conclusions: This simple intervention was effective in improving influenza vaccine rates for one provider in a suburban safety-net clinic. It added minimal workload to the provider, and the intervention is easily replicable in other settings.

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“…Because of the COVID-19 pandemic, strategies to improve influenza vaccination rates have become increasingly important as some data shows a correlation between influenza vaccination and reduced severity of COVID infection 9 , 10 . Additionally, influenza vaccination strategies are applied to COVID-19 vaccination campaigns with increasing frequency 11 . Most pertinently, both the medical literature and the news media recognize heterogeneity in COVID-19 vaccine distribution and access mechanisms 12 , 13 .…”

Section: Introductionmentioning

confidence: 99%

Impact of Patient Portal Messaging Reminders with Self-Scheduling Option on Influenza Vaccination Rates: a Prospective, Randomized Trial

2021

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Background Patient portal messages have been used in a variety of ways to facilitate improved communication between provider and patient. These platforms have shown promise in many ways for improving various health outcomes and overall communication between patient and provider. Objective Assess the impact of automated portal reminder messages and self-scheduling options on increasing rates of annual influenza vaccination. Design This is a prospective, randomized, controlled study. Participants All patients who receive their primary care through an ambulatory primary care clinic at a large, multidisciplinary, academic health center. Interventions One group of patients received a portal message reminder to undergo influenza vaccination. A second group received the same message with instructions to self-schedule the vaccination appointment. A third group received no portal message (control). Main Measures Rates of influenza vaccination in each group for previously unvaccinated patients in the 2019−2020 influenza season. Key Results For the group receiving the message with self-scheduling option ( n =5408), the in-study vaccination rate was significantly greater than the group receiving no message ( n =5621) (15.7% vs. 13.5%; p =0.002). For the group receiving a message alone (without self-scheduling) ( n =5699), the in-study vaccination rate was significantly greater than the group receiving no message (15.1% vs. 13.5%; p =0.01). There was no significant difference in vaccination rate between the two intervention groups receiving messages (15.7% vs. 15.1%; p =0.549). Conclusions Portal messaging reminders increase annual influenza vaccination rates, but the addition of a self-scheduling option did not further increase rates. Key Words vaccination patient portal messaging influenza

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Influenza Vaccination Quality Improvement as a Model for COVID-19 Prophylaxis

Cited by 6 publications

References 28 publications

Development of an eLearning intervention for enhancing health professionals’ skills for addressing COVID-19 vaccine hesitancy

Development of an eLearning intervention for enhancing health professionals’ skills for addressing COVID-19 vaccine hesitancy

Improving Influenza Vaccination Rates in an Underserved Primary Care Clinic Using a Simple Educational Tool

Impact of Patient Portal Messaging Reminders with Self-Scheduling Option on Influenza Vaccination Rates: a Prospective, Randomized Trial

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