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医护人员对流感疫苗接种助推措施的接受度:一项实际干预措施的评估。

Healthcare workers' acceptability of influenza vaccination nudges: Evaluation of a real-world intervention.

作者信息

Vries Rachelle de, den Hoven Mariëtte van, Ridder Denise de, Verweij Marcel, Vet Emely de

机构信息

Chair Group Consumption & Healthy Lifestyles, Wageningen University & Research, the Netherlands.

Amsterdam University Medical Center, the Netherlands.

出版信息

Prev Med Rep. 2022 Jul 20;29:101910. doi: 10.1016/j.pmedr.2022.101910. eCollection 2022 Oct.

DOI:10.1016/j.pmedr.2022.101910
PMID:35911580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9326309/
Abstract

Nudges have been proposed as an effective tool to stimulate influenza vaccination uptake in healthcare workers. However, the success of such nudges in practice is heavily reliant on their acceptance by the intended healthcare worker population, which has not been thoroughly examined to date. This study investigated healthcare workers' acceptability of diverse influenza vaccination nudges implemented in a real-world vaccination campaign and explored the relationship between nudge acceptability and vaccination uptake. A cross-sectional study was conducted among 244 Dutch hospital employees, following a hospital-wide influenza vaccination nudging intervention. A survey assessed healthcare workers' perceived acceptability of ten distinct influenza vaccination nudges, along with their vaccination status and relevant covariates (e.g., general perceptions regarding influenza vaccination of healthcare workers). Influenza vaccination nudges in general were deemed acceptable, with reward-based nudges being the least accepted, while digital vaccination forms, a mobile vaccination post, peer vaccination, and digital vaccination reminders were most appreciated. A higher overall acceptance of these nudges was associated with a greater likelihood of being vaccinated, particularly in healthcare workers with favorable perceptions of influenza vaccination usefulness. Our findings suggest that influenza vaccination nudges are an accepted means to systematically promote immunization of healthcare workers, and thus present a viable strategy for public health policies aimed at this group.

摘要

助推措施已被提议作为一种有效工具,用于提高医护人员的流感疫苗接种率。然而,此类助推措施在实际中的成功很大程度上依赖于目标医护人员群体对它们的接受程度,而迄今为止尚未对此进行全面研究。本研究调查了在实际疫苗接种活动中实施的多种流感疫苗接种助推措施在医护人员中的可接受性,并探讨了助推措施可接受性与疫苗接种率之间的关系。在一项全院范围的流感疫苗接种助推干预措施实施后,对244名荷兰医院员工开展了一项横断面研究。一项调查评估了医护人员对十种不同流感疫苗接种助推措施的可接受程度,以及他们的疫苗接种状况和相关协变量(例如,医护人员对流感疫苗接种的总体看法)。总体而言,流感疫苗接种助推措施被认为是可接受的,其中基于奖励的助推措施接受度最低,而电子疫苗接种表格、移动疫苗接种点、同伴接种和电子疫苗接种提醒最受青睐。对这些助推措施的总体接受度越高,接种疫苗的可能性就越大,尤其是在对流感疫苗接种有用性持积极看法的医护人员中。我们的研究结果表明,流感疫苗接种助推措施是系统促进医护人员免疫接种的一种可接受手段,因此是针对该群体的公共卫生政策的可行策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f31/9326309/d50691983c5b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f31/9326309/d50691983c5b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f31/9326309/d50691983c5b/gr1.jpg

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本文引用的文献

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Who accepts nudges? nudge acceptability from a self-regulation perspective.谁接受助推?从自我调节的角度看助推的可接受性。
PLoS One. 2021 Dec 3;16(12):e0260531. doi: 10.1371/journal.pone.0260531. eCollection 2021.
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Nudging toward vaccination: a systematic review.推动疫苗接种:系统评价。
BMJ Glob Health. 2021 Sep;6(9). doi: 10.1136/bmjgh-2021-006237.
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Nudgeability: Mapping Conditions of Susceptibility to Nudge Influence.可推动性:分析易受推动影响的条件。
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Proc Natl Acad Sci U S A. 2021 May 18;118(20). doi: 10.1073/pnas.2101165118.
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Nudging health care workers towards a flu shot: reminders are accepted but not necessarily effective. A randomized controlled study among residents in general practice in France.推动医护人员接种流感疫苗:提醒虽被接受,但不一定有效。法国普通科医生中进行的一项随机对照研究。
Fam Pract. 2021 Jul 28;38(4):410-415. doi: 10.1093/fampra/cmab001.
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Nudging for others' sake: An ethical analysis of the legitimacy of nudging healthcare workers to accept influenza immunization.为他人推动:对推动医护人员接受流感免疫接种的合宜性的伦理分析。
Bioethics. 2021 Feb;35(2):143-150. doi: 10.1111/bioe.12819. Epub 2020 Oct 13.
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