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Table 2 Proximal program objectives and methods

From: Planning and process evaluation of a multi-faceted influenza vaccination implementation strategy for health care workers in acute health care settings

Determinants Proximal program objectives Methods/materials
Demographic
  Age >40 years Not applicable due to limited changeability - Not applicable
  Chronic illness Not applicable due to limited changeability - Not applicable
Behavioural
  Aware of personal risk for influenza infection Create awareness among HCWs of the risk to get infected with influenza and it’s consequences - Provide information on influenza, transmission and risks through an information stand at the UMC restaurants, a website, a folder and plenary meetings
- Polls and a quiz on the intranet
- Video testimonials with role models
  Aware of risk of infecting patients Create awareness among HCWs of the risk to transmit influenza to patients and how vaccinating HCWs can prevent this - Provide information on influenza and the risk of transmission to patients through an information stand at the UMC restaurants, a website, a folder and plenary meetings
- Polls and a quiz on the intranet
- Video testimonials with role models
  ‘Vaccination reduces risk of infecting patients’ HCWs being convinced that vaccinating HCWs against influenza will reduce the risk of transmission to patients - Provide information on influenza and the effectiveness of vaccination through an information stand at the UMC restaurants, a website, a folder and plenary meetings
- Polls and a quiz on the intranet
- Video testimonials with role models
  ‘Vaccination is useful despite the constant flow of visitors’ HCWs being convinced that vaccinating HCWs is useful despite the constant flow of visitors - Provide information on influenza and the effectiveness of vaccination through an information stand at the UMC restaurants, a website, a folder and plenary meetings
- Polls and a quiz on the intranet
- Video testimonials with role models
  Aware of the contents of the Health Council’s Advice Create awareness among HCWs on the existence and contents of the guideline developed by the Dutch Health Council - Provide and explain contents of the advice on the intranet or website
- Explain and discuss in a plenary meeting
  ‘HCWs should get vaccinated to ensure continuity of care’ HCWs understand the ethical aspects of this matter and the need to ensure continuity of care - Explain and discuss ethical aspects (plenary meeting, website)
- Video testimonials with role models
- Involve Board of Directors (e.g. first vaccination, be present at vaccination, column)
- Distribute badges to vaccinated HCWs saying ‘deliberately vaccinated for you’ to start the discussion
  ‘HCWs should get vaccinated because of their duty to do no harm’ HCWs understand the ethical aspects of vaccinating HCWs and that this is part of their duty of care - Explain and discuss ethical aspects (plenary meeting, website)
- Video testimonials with role models
- Involve Board of Directors (e.g. first vaccination, be present at vaccination, column)
- Distribute badges to vaccinated HCWs saying ‘deliberately vaccinated for you’ to start the discussion
  ‘People around me think it is important for me to get vaccinated’ Create awareness of the importance of vaccination among those close to the HCWs - Personal invitation letter with information folder and a link to the website at the home address
  ‘I would definitively get vaccinated if it was available at a convenient time’ Create a more convenient approach - Poster with clear practical information on location and time
- Personal invitation at home address with location and time
- Extended vaccination hours which take changing shifts into account