Promoting Influenza Vaccination among Staff of Nursing Homes According to Behavioral Insights: Analyzing the Choice Architecture during a Nudge-Based Intervention.
Vaccines (Basel)
; 8(4)2020 Oct 12.
Article
en En
| MEDLINE
| ID: mdl-33053868
ABSTRACT
(1) Background:
Influenza vaccination uptake in nursing home (NH) workers is uncommon. The aim of this study was to understand the choice architecture of influenza vaccination acceptance or refusal among them and to promote vaccination acceptance using the nudge approach. (2)Methods:
In autumn 2019, a nudge intervention with a contextual qualitative analysis of choice architecture of vaccination was performed among the staff of eight Tuscan NHs. In summer 2020, a cross-sectional study including the staff of 111 NHs (8 in the nudge, 103 in the comparison group) was conducted to assess the impact of the nudge intervention in promoting vaccination uptake. (3)Results:
Macro-categories of motivations for vaccination uptake that emerged from the qualitative analysis were risk perception, value dimension, and trust, while those regarding refusal were risk perception, distrust, value dimension, and reasons related to one's health. Considering the cross-sectional study, influenza vaccination uptake in the 2018-2019 season was similar in the two groups (23.6% vs. 22.2% respectively, in the nudge and comparison group), but significantly different in the 2019-2020 season 28% in the nudge vs. 20% in the comparison group. Also, the intention to get the vaccine in the 2020-2021 season was significantly different in the two groups 37.9% in the nudge and 30.8% in the comparison group. (4)Conclusions:
Nudge interventions-simple, fast, low cost-could be effective in promoting vaccination acceptance among NH workers and the analysis of choice architecture could be useful in improving tailored, new nudge interventions aimed at modifying irrational biased and cognitive errors.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Observational_studies
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Qualitative_research
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Risk_factors_studies
Idioma:
En
Revista:
Vaccines (Basel)
Año:
2020
Tipo del documento:
Article
País de afiliación:
Italia
Pais de publicación:
CH
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SUIZA
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SUÍÇA
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SWITZERLAND