Abstract
Background: Suboptimal vaccination coverage of healthcare personnel (HCP) is a global issue. This study was intended to estimate the vaccination coverage and its association with the perceived threat of vaccine-preventable diseases (VPDs) and vaccination effectiveness among HCP in the primary care setting. It was also intended to assess the effectiveness of framed Short Messages Service (SMS) to improve vaccination uptake among HCP.
Methodology: The study was conducted in two sequential phases in the Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Phase-I, a cross-sectional study, was based on the constructs of the Health Beliefs Model (HBM). The data were collected from 469 HCP using self-administered validated questionnaires. The randomised control trial (RCT) phase was conducted between October 2018 and March 2019. Three hundred and forty-three unvaccinated HCP were randomised into three arms: HCP receiving a loss framed-SMS, HCP receiving a gain framed-SMS, and control group. The vaccination uptake after receiving a loss or gain framed-SMS was estimated.
Results: Only 5.8% of the HCP had completed their vaccinations. The mean perceived VPDs threat score and vaccination effectiveness score of HCP-influenced by vaccine-promoting cues were significantly higher by 3.06 (95% Confidence Interval (95%CI): 1.46, 4.66), and 3.05 (95%CI: 1.39, 4.7), respectively. Vaccine-promoting cues were independently associated with the perceived vaccination effectiveness with an adjusted mean difference of 1.61 (95%CI: 0.23, 3.00; P=0.022). The mean of perceived VPDs threat score and vaccination effectiveness of HCP who completed vaccination against bloodborne and airborne VPDs significantly exceeded that of unvaccinated ones by 5.85 (95%CI: 3.86, 7.85) and 5.29 (95%CI: 3.38, 7.20), respectively. Vaccination completeness was independently associated with perceived threat (Odds Ratio
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@phdthesis{Abuobieda-DrPH,
title = {The Effect of Framedtext-messaging on vaccination uptake among healthcare personnel in Primary Health Care in Saudi Arabia: Randomised Control Trial},
author = {Abuobieda Khogali Abdalla Abdalrouf},
year = {2022},
date = {2022-03-09},
urldate = {2022-03-09},
school = {Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya},
abstract = {Background: Suboptimal vaccination coverage of healthcare personnel (HCP) is a global issue. This study was intended to estimate the vaccination coverage and its association with the perceived threat of vaccine-preventable diseases (VPDs) and vaccination effectiveness among HCP in the primary care setting. It was also intended to assess the effectiveness of framed Short Messages Service (SMS) to improve vaccination uptake among HCP.
Methodology: The study was conducted in two sequential phases in the Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Phase-I, a cross-sectional study, was based on the constructs of the Health Beliefs Model (HBM). The data were collected from 469 HCP using self-administered validated questionnaires. The randomised control trial (RCT) phase was conducted between October 2018 and March 2019. Three hundred and forty-three unvaccinated HCP were randomised into three arms: HCP receiving a loss framed-SMS, HCP receiving a gain framed-SMS, and control group. The vaccination uptake after receiving a loss or gain framed-SMS was estimated.
Results: Only 5.8% of the HCP had completed their vaccinations. The mean perceived VPDs threat score and vaccination effectiveness score of HCP-influenced by vaccine-promoting cues were significantly higher by 3.06 (95% Confidence Interval (95%CI): 1.46, 4.66), and 3.05 (95%CI: 1.39, 4.7), respectively. Vaccine-promoting cues were independently associated with the perceived vaccination effectiveness with an adjusted mean difference of 1.61 (95%CI: 0.23, 3.00; P=0.022). The mean of perceived VPDs threat score and vaccination effectiveness of HCP who completed vaccination against bloodborne and airborne VPDs significantly exceeded that of unvaccinated ones by 5.85 (95%CI: 3.86, 7.85) and 5.29 (95%CI: 3.38, 7.20), respectively. Vaccination completeness was independently associated with perceived threat (Odds Ratio},
note = {DrPH Thesis},
keywords = {Health Beliefs Model, Healthcare Personnel, Short Message Service, Vaccination, Vaccine-Preventable Diseases},
pubstate = {published},
tppubtype = {phdthesis}
}
