Design and validation of a questionnaire on the attitudes of health professionals towards the official recommendation of influenza vaccination

e201904023

Authors

  • María Fernández-Prada Servicio de Medicina Preventiva y Salud Pública. Hospital Vital Álvarez Buylla. Mieres. Asturias. España.
  • Joaquín González-Cabrera Departamento de Psicología de la Educación y Psicobiología. Facultad de Educación. Universidad Internacional de la Rioja. Logroño. La Rioja. España.
  • Ángel Gil de Miguel Departamento de Salud Pública. Cátedra de Investigación en Vacunas. Universidad Rey Juan Carlos. Madrid. España.
  • Ismael Huerta-González Servicio de Vigilancia Epidemiológica. Dirección General de Salud Pública. Consejería de Sanidad de Sanidad del Principado de Asturias. Oviedo. Asturias. España.

Keywords:

Questionnaire, Vaccination, Influenza, Attitudes, Health professionals, Nursing, Medicine

Abstract

Background: Actually, there are no studies related to the attitudes of health professionals towards the official recommendation of influenza vaccination, despite the fact that there are numerous investigations that have addressed their own attitude towards vaccination. The objective is to design the Questionnaire on the Attitudes of Healthcare Professionals towards the Official Flu Vaccination Recommendations (CAPSVA).

Methods: Quasi-experimental study. The control group includedInstrumental study was conducted between February and March 2019 with 288 professionals of Medicine, Nursing and Pharmacy of the Principado of Asturias (Spain). The sampling was non-probabilistic of incidental type. After content validation, a tool was designed with 16 items in three dimensions. Reliability (alpha ordinal) and internal validity (exploratory factorial analysis using the parallel analysis method) analyses were performed, as well as frequency analysis and mean comparisons.

Results: The exploratory factor analysis yielded a 3-factor solution that explained 79.38% of the total variance. The ordinal alpha ranged from 0,72 to 0,80. The test-retest recorded a value of r= 0,804 (p < 0,001). There were no statistically significant differences when comparing according to sex (p = 0,952), professional group (p = 0,563) or having received influenza vaccination in the last campaign (p = 0,861). There were these differences when comparing the number of years of professional practice (p = 0,003) and having received specific training in vaccines in the last year (p = 0,004). More than 90% of the participants valued positively the influenza vaccination strategy of the Autonomous Community of study (quadrivalent vaccine for <65 years and adjuvant trivalent for ≥65 years).

Conclusions: A questionnaire with sufficient guarantees of reliability and internal validity is available to evaluate the attitudes of health professionals towards the official recommendation of influenza vaccination.

Downloads

Download data is not yet available.

References

Duncan IG, Taitel MS, Zhang J, kirkham HS. Planning influenza vaccination programs: a cost benefit model. Cost Eff Resour Alloc. 2012;10:10.

Kissling E, Rose A, Hanne-Dorthe E, Gherasim A, Pebody R, Pozo F et al. Interim 2018/19 influenza vaccine effectiveness: six European studies, October 2018 to January 2019. Eurosuveillance. 2019;8:21.

Consejo Interterritorial Sistema Nacional de Salud [Internet]. 2018. Recomendaciones de vacunación frente a la gripe, temporada 2018-2019. [Consultado el 31 de marzo de 2019]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/docs/Recomendaciones_vacunacion_gripe.pdf

European Commission. State of vaccine confidence in the EU 2018 [Internet0]. Luxemburgo. 2018. [Consultado el 31/03/2019]. Disponible en: https://ec.europa.eu/health/sites/health/files/vaccination/docs/2018_vaccine_confidence_en.pdf

Ministerio de Sanidad, Consumo y Bienestar Social [Internet]. 2018. Coberturas de vacunación frente a gripe en ≥65 años, personas de 60-64 años, embarazadas y personal sanitario. Comunidades autónomas. Campaña 2017-2018 (actualización). [Consultado el 31/03/2019]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/docs/CoberturasVacunacion/Tabla13.pdf

Ministerio de Sanidad, Consumo y Bienestar Social [Internet]. 2018. Coberturas de vacunación con dTpa en embarazadas. Comunidades autónomas. Años 2016 y 2017 (actualización). [Consultado el 31/03/2019]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/docs/CoberturasVacunacion/Tabla12.pdf

Fernández-Prada M, Ramos-Martín P, Madroñal-Menéndez J, Martínez-Ortega MC, González-Cabrera J. Diseño y validación de un cuestionario sobre vacunación en estudiantes de ciencias de salud. Rev Esp Salud Publica. 2016;90:e1-e10.

Torner N, Godoy P, Soldebila N, Toledo D, Rius C, Domínguez A. Primary health care professionals attitudes towards influenza immunzation in Catalonia. Aten Primaria. 2016;48:192-9.

Montserrat-Capdevila J, Godoy P, Marsal JR, Barbé-Illa F. Factores asociados a recibir la vacunación antigripal en profesionales de atención primaria. Gac Sanit. 2015;29:383-6.

Martínez-Baz I, Díaz-González J, Guevara M, Toledo D, Zabala A, Domínguez A, Castilla J. Attitudes, perceptions and factors associated with influenza vaccination among primary healthcare professionals in Navarre, 2011-2012. An Sist Navar. 2013;36:263-73.

Godoy P, Castilla J, Mayoral JM, Martínez C, Astray J, Torner N et al. Influenza vaccination of primary healthcare physicians may be associated with vaccination in their patients: a vaccination coverage study. BMC Family Practices. 2015;16:44.

Wheelock A, thomson A, Sevdalis N. Social and psychological factors underlying adult vaccination behavior: lessons from seasonal influenza vaccination in the US and the UK. Expert Rev Vaccines. 2013;12:893-901.

Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literatura. Hum Vaccin Immunother. 2018;14:772-89.

Schmidt et al. Barriers of Influenza Vaccination Intention and Behavior - A Systematic Review of Influenza Vaccine Hesitancy, 2005-2016. PLoS One. 2017 Jan 26;12(1):e0170550.

Lorenc T, Marshall D, Wright K, Sutcliffe K, Sowden A. Seasonal influenza vaccination of healthcare workers: systematic review of qualitative evidence. BMC Health Serv Res. 2017 Nov 15;17(1):732.

Corace KM, Srigley JA, Hargadon DP, Yu D, MacDonald TK, Fabrigar LR, Garber GE. Using behavior change frameworks to improve healthcare worker influenza vaccination rates: A systematic review. Vaccine. 2016 Jun 14;34(28):3235-42. 17. Adams J, McNaughton RJ, Wigham S, Flynn D, Ternent L, Shucksmith J. Acceptability of parental financial incentives and quasi-mandatory interventions for preschool vaccinations: triangulation of findings from three linked studies. PLoS One. 2016;11:e0156843.

Carretero-Dios H, Pérez C. Normas para el desarrollo y revisión de estudios instrumentales. International Int J Clin Health Psychol. 2005;5:521-51.

Astursalud Portal de Salud del Principado de Asturias [Internet]. 2019. Campaña de vacunación antigripal 2018. [Consultado el 19/03/2019]. Disponible en: https://www.astursalud.es/documents/31867/440631/Guia+tecnica+Campa%C3%B1a+Antigripal+2018.pdf/c6ffb344-cee3-652a-32ec-069998dfe77e

Plotkin SA, Orenstein WA, Picazo JJ. Vacunas. Madrid: Acindes; 2007.

Comité Asesor de Vacunas (CAV-AEP). Generalidades de las vacunas. Manual de vacunas en línea de la AEP [Internet]. Madrid: AEP; ene/2019. [Consultado el 02/02/2019]. Disponible en: http://vacunasaep.org/documentos/manual/cap-1

Herzog R, Álvarez-Pasquín MJ, Díaz C, del Barrio JL, Estrada JM, Gil Á. Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health. 2013;13:154.

Ellen M. Factors that influence influenza vaccination rates among the elderly: nurses’ perspectives. J Nurs Manag. 2018;26:158-66.

Asma S, Akan H, Uysal Y, Poçan AG, Sucakli MH, Yengil E et al. Factors effecting influenza vaccination uptake among health care workers: a multi-center cross-sectional study. BMC Infec Dis. 2016;16:192.

Maltezou HC, Christophilea O, Tedoma A, Katarelos P, Dounias G. Vaccination of healthcare workers against influenza: does a day off make a difference? J Hosp Infect. 2018;99:181-4.

Giles EL, Sniehotta FF, McColl E, Adams J. Acceptability of financial incentives and penalties for encouraging uptake of healthy behaviours: focus groups. BMC Public Health. 2015;15:58.14.

Timmerman ME, Lorenzo-Seva U. Dimensionality Assessment of Ordered Polytomous Items With Parallel Analysis. Maxwell SE (editor), editor. Psychol Methods. 2011;16:209–20.

Ferrando J, Lorenzo-Seva U. El Análisis Factorial Exploratorio de los Ítems: algunas consideraciones adicionales. An Psicol. 2014;30(3):1170–5.

Lorenzo-Seva U. Promin: A Method for Oblique Factor Rotation. Multivariate Behav Res. 1999;34:347–65.

Elosua P, Zumbo B. Coeficientes de fiabilidad para escalas de respuesta categórica ordenada. Psicothema. 2008;20(4): 896-901.

Tuells J, García-Román V, Duro-Torrijos JL. Cobertura de vacunación antigripal (2011-2014) en profesionales sanitarios de dos departamentos de salud de la comunidad valenciana y servicios hospitalarios más vulnerables a la gripe. Rev Esp Salud Pública. 2018;92:e1-e8.

Petek D, Kamnik-Jug K. Motivators and barriers to vaccination of health professionals against seasonal influenza in primary healthcare. BMC Health Serv. Res. 2018;18:853.

Galicia García MD, González Torga A, García González C, Fuster Pérez M, Garrigos Gordo I, López Fresneña N, et al. Vacunación de gripe en trabajadores sanitarios. Por qué se vacunan y por qué no se vacunan. Enferm Infecc Microbiol Clin. 2006;24:413-7.

Gramegna1 A, Dellafiore S, Contarini M, Blasi1 F, Aliberti1 S, Tosatto R, et al. Knowledge and attitudes on influenza vaccination among Italian physicians specialized in respiratory infections: an Italian Respiratory Society (SIP/IRS) web-based survey. J Prev Med Hyg. 2018;59:e128-e131.

Espada JP, Pereira JR, García-Fernández JM. Influencia de los modelos sociales en el consumo de alcohol de los adolescentes. Psicothema. 2008; 20: 531-537.

Pérez-Ciordia I, Guillén-Grima F, Aguinaga I, García P, Ezenarro A, Aguinaga E, et al. Cobertura vacunal y factores que motivan la actitud de vacunación antigripal en profesionales sanitarios. Vacunas. 2017;18:1-32.

Martínez-Baz I, Díaz-González J, Guevara M, Toledo D, Zabala A, Domínguez A, et al., Actitudes, percepciones y factores asociados a la vacunación antigripal en los profesionales de atención primaria de navarra, 2011-2012. An Sist Sanit Navar.2013;36:263-73

Published

2019-04-23

How to Cite

1.
Fernández-Prada M, González-Cabrera J, Gil de Miguel Ángel, Huerta-González I. Design and validation of a questionnaire on the attitudes of health professionals towards the official recommendation of influenza vaccination: e201904023. Rev Esp Salud Pública [Internet]. 2019 Apr. 23 [cited 2025 May 17];93:11 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/1256

Most read articles by the same author(s)