Influenza
Conditions
Keywords
influenza, immunization, healthcare personnel
Brief summary
During the 2010-2011 and the 2011-2012 seasonal influenza immunization campaigns, we will recruit a minimum of 46 healthcare organizations to either conduct their campaigns as usual or to use the Successful Influenza Immunization Campaigns for Healthcare Personnel: A Guide for Campaign Planners and a web-based grab-and-go Tool Kit. At the end of the campaign season we will evaluate the impact of the Guide and web-based tools and assess whether there were changes in immunization rates within each organization and/or if there were significant changes in the management of the campaigns across organizations. Following completion of the study, we will work with partner organizations to make these tools available to all Canadian healthcare organizations.
Detailed description
Keeping nurses, physicians and allied health professionals working during seasonal influenza epidemics is essential. Influenza immunization has been shown to mitigate the adverse health outcomes associated with influenza in the community. When provided to healthcare personnel, influenza vaccine reduces the frequency and severity of influenza outbreaks and reduces influenza-associated morbidity and mortality among patients by reducing the transmission of influenza from healthcare personnel to their vulnerable patients. Despite abundant evidence of the safety and efficacy of the influenza vaccine, immunization rates among healthcare personnel in hospital and long-term settings remain well below the public health target of 90%. Current initiatives targeted at increasing healthcare personnel immunization rates are having limited success with healthcare personnel immunization rates as low as 2%, but averaging 40% - 60% in most healthcare facilities being reported. Following the work of the research team over the past two years, a Guide, called Successful Influenza Immunization Campaigns for Healthcare Personnel: A Guide for Campaign Planners has been developed, along with web-based grab and go tools (the Toolkit). This practical Guide is structured to facilitate the use of the evidence-based research on strategies to increase immunization rates by healthcare planners.
Interventions
BEHAVIORALIntervention Group
This group of healthcare organizations will be given the Guide, web-based tools and access to a Guide facilitator throughout the study.
BEHAVIORALControl Group
This group will provide their immunization rates for the base and study years and will provide information on their campaign activities. No other intervention will be provided.
Sponsors
Bruyère Health Research Institute.
Canadian Center for Vaccinology
Ottawa Hospital Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
At least 46 healthcare organizations from across Canada will be selected to participate in the study. The Guide is designed to be used across different types of healthcare organizations. Potential healthcare organizations will be self-identified, recommended by a project team member, and/or selected from the Canadian Healthcare Association's Guide to Healthcare Facilities. Selected sites must meet the following eligibility criteria: * Canadian healthcare organizations who conduct seasonal influenza immunization campaigns * Have a systematic approach to collecting healthcare personnel immunization rates and be able to provide accurate and timely reports of immunization rates for categories of healthcare personnel * Agree to be randomized to receive the Guide or receive no intervention * If randomized to receive the Guide, the organization, including the campaign team and senior management, agrees to commit to adhere to the steps in the Guide to plan, implement, monitor and evaluate their campaign
Exclusion criteria
Healthcare organizations who do not meet the above criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intervention Group - 10% improvement in immunization rates | 2010 to 2012 | In the Intervention Group, a 10% improvement in healthcare personnel immunization rates from the base year (2008-2009) as compared to Year One (2010-2011) and Year Two (2011-2012), assessed using a time-series analysis on how each organization does against themselves and between the Intervention and Control Group. We will also the WHO benchmark of 90%. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in the reporting of immunization rates | 2010-2012 | In both the Intervention and Control Group, we will assess improvement in the reporting of immunization rates, based on the methodology outlined in Appendix 3 of the Guide. |
Countries
Canada
Contacts
Primary ContactAnne E McCarthy, MD, FRCP(C)
Backup ContactLois Crowe
Outcome results
None listed