A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods design
Abstract Background The current uptake of many vaccinations recommended for persons aged 60 and older is unsatisfactory in Germany. Lack of confidence in the safety and efficacy of vaccinations, lack of knowledge and insecurities about possible side effects, and numerous pragmatic barriers are just...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Primary Care |
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| Online Access: | https://doi.org/10.1186/s12875-023-02101-w |
| _version_ | 1797778760936718336 |
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| author | Sarah A. K. Uthoff Anna Zinkevich Dominika Franiel Maike Below Helene Splieth Julia Iwen Marc Biedermann Dorothee Heinemeier Lena Ansmann |
| author_facet | Sarah A. K. Uthoff Anna Zinkevich Dominika Franiel Maike Below Helene Splieth Julia Iwen Marc Biedermann Dorothee Heinemeier Lena Ansmann |
| author_sort | Sarah A. K. Uthoff |
| collection | DOAJ |
| description | Abstract Background The current uptake of many vaccinations recommended for persons aged 60 and older is unsatisfactory in Germany. Lack of confidence in the safety and efficacy of vaccinations, lack of knowledge and insecurities about possible side effects, and numerous pragmatic barriers are just some of the reasons to be mentioned. General practitioners (GPs) play a central role in the vaccination process. Therefore, effective interventions in this context are needed to address the various barriers and improve the vaccination uptake rates. Methods A complex intervention will be implemented and evaluated in 1057 GPs’ practices in two German federal states. The components include trainings for GPs and medical assistants on communication psychology, medical aspects, and organisational vaccination processes. The primary outcome influenza vaccination rate and the secondary outcomes vaccination uptake rate of other vaccinations as well as vaccine literacy of patients will be examined. The intervention will be evaluated in a mixed methods study with a controlled design. Survey data will be analysed descriptively and by using mean comparisons as well as multivariable multilevel analyses. The qualitative data will be analysed with qualitative content analysis. The secondary data will be analysed by using descriptive statistics, a pre-post comparison by performing mean comparisons, cluster analysis, and subgroup analyses. Discussion In this study, a complex intervention to improve vaccination rates in GP practices for the vaccinations recommended for people aged 60 years and older will be implemented and evaluated. Additionally, improvements in patients’ vaccine-related health literacy and knowledge, and patients’ intention to get vaccinated are expected. The mixed methods design can deliver results that can be used to improve preventive health care for elderly people and to gain more knowledge on vaccination uptake and the intervention’s effectiveness. Trial registration Trial registration number: DRKS00027252 (retrospectively registered). |
| first_indexed | 2024-03-12T23:21:12Z |
| format | Article |
| id | doaj.art-56e9fd83964d44e682e311160d61517d |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-03-12T23:21:12Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-56e9fd83964d44e682e311160d61517d2023-07-16T11:23:42ZengBMCBMC Primary Care2731-45532023-07-0124111110.1186/s12875-023-02101-wA complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods designSarah A. K. Uthoff0Anna Zinkevich1Dominika Franiel2Maike Below3Helene Splieth4Julia Iwen5Marc Biedermann6Dorothee Heinemeier7Lena Ansmann8Department of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University of OldenburgDepartment of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University of OldenburgCentral Research Institute of Ambulatory Health Care in GermanyCentral Research Institute of Ambulatory Health Care in GermanyAssociation of Substitute Health Funds (Vdek) e.VAssociation of Substitute Health Funds (Vdek) e.VThe National Association of Statutory Health Insurance PhysiciansCommunication Lab ErfurtDepartment of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University of OldenburgAbstract Background The current uptake of many vaccinations recommended for persons aged 60 and older is unsatisfactory in Germany. Lack of confidence in the safety and efficacy of vaccinations, lack of knowledge and insecurities about possible side effects, and numerous pragmatic barriers are just some of the reasons to be mentioned. General practitioners (GPs) play a central role in the vaccination process. Therefore, effective interventions in this context are needed to address the various barriers and improve the vaccination uptake rates. Methods A complex intervention will be implemented and evaluated in 1057 GPs’ practices in two German federal states. The components include trainings for GPs and medical assistants on communication psychology, medical aspects, and organisational vaccination processes. The primary outcome influenza vaccination rate and the secondary outcomes vaccination uptake rate of other vaccinations as well as vaccine literacy of patients will be examined. The intervention will be evaluated in a mixed methods study with a controlled design. Survey data will be analysed descriptively and by using mean comparisons as well as multivariable multilevel analyses. The qualitative data will be analysed with qualitative content analysis. The secondary data will be analysed by using descriptive statistics, a pre-post comparison by performing mean comparisons, cluster analysis, and subgroup analyses. Discussion In this study, a complex intervention to improve vaccination rates in GP practices for the vaccinations recommended for people aged 60 years and older will be implemented and evaluated. Additionally, improvements in patients’ vaccine-related health literacy and knowledge, and patients’ intention to get vaccinated are expected. The mixed methods design can deliver results that can be used to improve preventive health care for elderly people and to gain more knowledge on vaccination uptake and the intervention’s effectiveness. Trial registration Trial registration number: DRKS00027252 (retrospectively registered).https://doi.org/10.1186/s12875-023-02101-wPreventive healthElderly careVaccination uptakeGeneral practicePrimary careInfluenza vaccination |
| spellingShingle | Sarah A. K. Uthoff Anna Zinkevich Dominika Franiel Maike Below Helene Splieth Julia Iwen Marc Biedermann Dorothee Heinemeier Lena Ansmann A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods design BMC Primary Care Preventive health Elderly care Vaccination uptake General practice Primary care Influenza vaccination |
| title | A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods design |
| title_full | A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods design |
| title_fullStr | A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods design |
| title_full_unstemmed | A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods design |
| title_short | A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany – a study protocol with a mixed methods design |
| title_sort | complex intervention on vaccination uptake among older adults ≥ 60 years in germany a study protocol with a mixed methods design |
| topic | Preventive health Elderly care Vaccination uptake General practice Primary care Influenza vaccination |
| url | https://doi.org/10.1186/s12875-023-02101-w |
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