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Strategies associated with COVID-19 vaccine coverage among nursing home staff.
Berry, Sarah D; Baier, Rosa R; Syme, Maggie; Gouskova, Natalia; Bishnoi, Courtney; Patel, Urvi; Leitson, Michael; Gharpure, Radhika; Stone, Nimalie D; Link-Gelles, Ruth; Gifford, David R.
  • Berry SD; Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
  • Baier RR; Department of Medicine, and Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
  • Syme M; Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, Rhode Island, USA.
  • Gouskova N; Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
  • Bishnoi C; Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
  • Patel U; Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
  • Leitson M; Center for Health Policy and Evaluation in Long-Term Care, American Health Care Association/National Center for Assisted Living, Washington, DC, USA.
  • Gharpure R; Center for Health Policy and Evaluation in Long-Term Care, American Health Care Association/National Center for Assisted Living, Washington, DC, USA.
  • Stone ND; Center for Health Policy and Evaluation in Long-Term Care, American Health Care Association/National Center for Assisted Living, Washington, DC, USA.
  • Link-Gelles R; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
  • Gifford DR; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Am Geriatr Soc ; 70(1): 19-28, 2022 01.
Article in English | MEDLINE | ID: covidwho-1526377
ABSTRACT

BACKGROUND:

After the first of three COVID-19 vaccination clinics in U.S. nursing homes (NHs), the median vaccination coverage of staff was 37.5%, indicating the need to identify strategies to increase staff coverage. We aimed at comparing the facility-level activities, policies, incentives, and communication methods associated with higher staff COVID-19 vaccination coverage.

METHODS:

Design. Case-control analysis.

SETTING:

Nationally stratified random sample of 1338 U.S. NHs participating in the Pharmacy Partnership for Long-Term Care Program.

PARTICIPANTS:

Nursing home leadership. MEASUREMENT During February 4-March 2, 2021, we surveyed NHs with low (<35%), medium (40%-60%), and high (>75%) staff vaccination coverage, to collect information on facility strategies used to encourage staff vaccination. Cases were respondents with medium and high vaccination coverage, whereas controls were respondents with low coverage. We used logistic regression modeling, adjusted for county and NH characteristics, to identify strategies associated with facility-level vaccination coverage.

RESULTS:

We obtained responses from 413 of 1338 NHs (30.9%). Compared with facilities with lower staff vaccination coverage, facilities with medium or high coverage were more likely to have designated frontline staff champions (medium adjusted odds ratio [aOR] 3.6, 95% CI 1.3-10.3; high aOR 2.9, 95% CI 1.1-7.7) and set vaccination goals (medium aOR 2.4, 95% 1.0-5.5; high aOR 3.7, 95% CI 1.6-8.3). NHs with high vaccination coverage were more likely to have given vaccinated staff rewards such as T-shirts compared with NHs with low coverage (aOR 3.8, 95% CI 1.3-11.0). Use of multiple strategies was associated with greater likelihood of facilities having medium or high vaccination coverage For example, facilities that used ≥9 strategies were three times more likely to have high staff vaccination coverage than facilities using <6 strategies (aOR 3.3, 95% CI 1.2-8.9).

CONCLUSIONS:

Use of designated champions, setting targets, and use of non-monetary awards were associated with high NH staff COVID-19 vaccination coverage.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccination / COVID-19 Vaccines / COVID-19 / Nursing Homes / Nursing Staff Type of study: Observational study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Am Geriatr Soc Year: 2022 Document Type: Article Affiliation country: Jgs.17559

Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccination / COVID-19 Vaccines / COVID-19 / Nursing Homes / Nursing Staff Type of study: Observational study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Am Geriatr Soc Year: 2022 Document Type: Article Affiliation country: Jgs.17559