FluCare: Results from a randomised feasibility study of a complex intervention to increase care home staff influenza vaccination rates

Wright, David, Patel, Amrish ORCID: https://orcid.org/0000-0002-2374-6409, Blacklock, Jeanette, Bion, Veronica, Birt, Linda, Bryant, Terry, Clark, Allan ORCID: https://orcid.org/0000-0003-2965-8941, Cook, Luke, Griffiths, Alys, Guillard, Cecile, Hammond, Amber, Holland, Richard, Jones, Andy, Jones, Liz, Katangwe-Chigamba, Thando, Pitcher, Jennifer ORCID: https://orcid.org/0009-0002-2879-4298, Ruby, Po, Scott, Sion, Sims, Erika ORCID: https://orcid.org/0000-0002-7898-0331, Stirling, Susan and Wagner, Adam P. ORCID: https://orcid.org/0000-0002-9101-3477 (2024) FluCare: Results from a randomised feasibility study of a complex intervention to increase care home staff influenza vaccination rates. Archives of Clinical and Biomedical Research, 8. pp. 273-290. ISSN 2572-5017

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Abstract

Background: To protect care home residents, annual staff influenza vaccination uptake is recommended to be greater than 75%. In the UK it is under 40%. With barriers and enablers to care home staff flu vaccine uptake identified, the purpose of this study was to feasibility test a theory informed intervention to improve vaccination rates. Methods: This was a five-arm (one intervention, four different control) study designed to inform the development of a definitive trial protocol. The intervention comprised of videos/posters to change vaccination attitudes, on-site clinics to increase access, a financial incentive for homes to reach target, and monthly monitoring of vaccination uptake. Control arms consisted of a mix of monthly or end of the study monitoring and provision of informational materials to identify the most suitable control arm for a definitive trial. Care homes were recruited via sector associations and purposively allocated. The feasibility outcomes were: ability to recruit enough homes; data quality (variables reported, variable completeness and consistency with a national reporting system); intervention implementation; control arm reactivity bias and signal of efficacy. Staff vaccination data was collated from homes and via a national healthcare tracking system. Process evaluation and economic data collation were undertaken to optimise intervention and research design. Results: Ten homes were recruited as per target within 11 weeks. Recruitment delays meant intervention delivery began towards end of flu season. Only 2 clinics took place in each home. All homes in intervention and chosen control arm (monthly monitoring only) reported all variables with over 90% completeness. There was a 15% difference between control homes’ reported vaccination rates and that in the national healthcare tracker, home reported data was more reliable. Signal of efficacy: intervention arm had a vaccination rate 13.6% higher than control arm. Bias: control arm did not have a higher vaccination rate than usual care control. Conclusions: Better recruitment processes, earlier start in flu season, and data collection direct from care homes are required for a definitive trial. A control arm of monthly monitoring only was identified as optimal for data collection purposes and minimising reactivity bias. The signal of efficacy was acceptable.

Item Type: Article
Uncontrolled Keywords: residential homes; nursing homes; long-term care facilities; staff; employees; influenza vaccination,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Social Sciences > School of Economics
Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Social Sciences > Research Groups > Economic Theory
Faculty of Social Sciences > Research Groups > Behavioural Economics
Faculty of Social Sciences > Research Centres > Centre for Behavioural and Experimental Social Sciences
Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit
Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care
Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Faculty of Medicine and Health Sciences > Research Centres > Population Health
Faculty of Medicine and Health Sciences > Research Groups > Health Economics
Depositing User: LivePure Connector
Date Deposited: 12 Jul 2024 11:31
Last Modified: 05 Dec 2024 01:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/95896
DOI: 10.26502/acbr.50170410

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