Claire Borthwick1, Rory O'Connor2, Louise Kennedy1. 1. Psychological Services, The State Hospitals Board for Scotland, Carstairs , Scotland. 2. Institute of Health and Wellbeing, The University of Glasgow, Glasgow, Scotland.
Abstract
OBJECTIVES: This study aimed to identify demographic and psychological predictors of seasonal influenza vaccination intentions and behaviour among a sample of inpatients in a secure forensic mental health service. It also sought to explore patient experiences about being offered the vaccine. DESIGN: This study used a mixed-methods design. The quantitative element employed a prospective design using a questionnaire; both cross-sectional and prospective findings are reported. For the qualitative part of the study, semi-structured interviews were conducted and analysed using Interpretative Phenomenological Analysis (IPA). MAIN OUTCOME MEASURES: Seasonal influenza vaccination intentions and behaviour. RESULTS: Past behaviour, vaccine knowledge and cues to action were predictors of vaccination intention (N = 57). Cues to action remained as the only statistical predictor of vaccination behaviour (N = 55). Nine interviews were conducted with four vaccinated and five unvaccinated participants. Three main themes were formed in the IPA analysis; these were 'Managing Decisional Conflict', 'Interaction with Immune Function' and 'The Role of Others'. CONCLUSIONS: The results highlighted the integral role of health professionals in shaping patient's vaccination behaviour within a secure mental health setting. Recommendations for vaccination promotion strategies were offered.
OBJECTIVES: This study aimed to identify demographic and psychological predictors of seasonal influenza vaccination intentions and behaviour among a sample of inpatients in a secure forensic mental health service. It also sought to explore patient experiences about being offered the vaccine. DESIGN: This study used a mixed-methods design. The quantitative element employed a prospective design using a questionnaire; both cross-sectional and prospective findings are reported. For the qualitative part of the study, semi-structured interviews were conducted and analysed using Interpretative Phenomenological Analysis (IPA). MAIN OUTCOME MEASURES: Seasonal influenza vaccination intentions and behaviour. RESULTS: Past behaviour, vaccine knowledge and cues to action were predictors of vaccination intention (N = 57). Cues to action remained as the only statistical predictor of vaccination behaviour (N = 55). Nine interviews were conducted with four vaccinated and five unvaccinated participants. Three main themes were formed in the IPA analysis; these were 'Managing Decisional Conflict', 'Interaction with Immune Function' and 'The Role of Others'. CONCLUSIONS: The results highlighted the integral role of health professionals in shaping patient's vaccination behaviour within a secure mental health setting. Recommendations for vaccination promotion strategies were offered.
Entities:
Keywords:
Influenza vaccination; forensic mental health; interpretive phenomenological analysis; patient experience; social cognition model
Authors: Victor Mazereel; Tom Vanbrabant; Franciska Desplenter; Johan Detraux; Livia De Picker; Erik Thys; Ken Popelier; Marc De Hert Journal: Front Psychiatry Date: 2021-12-16 Impact factor: 4.157