Page 100 - Preventing pertussis in early infancy - Visser

Chapter 6
Intervention Mapping
Appendix 1. Theoretical methods, application and program content, organized by determinant and change objective
Change Objectives
Theoretical Method
Parameters for use
Practical Application
Program content1
A
B
C
Determinant: Knowledge
HCWs review their risk of contracting and transmitting pertussis to an infant
Consciousness raising2
Raising awareness must be quickly followed by increase in problem-solving ability and self-efficacy.
Providing information on personal risk of contracting and transmitting pertussis and message that pertussis can be severe in infants, followed by information on vaccination as a solution.
X
X
X
Belief selection3
Requires investigation of the current attitudinal, normative and efficacy beliefs of the individual.
Important misconceptions are corrected and influential positive beliefs are affirmed.
X
HCWs describe their own personal and professional values
Values clarification4
Requires consideration and evaluation of values.
HCWs are asked to select important personal and professional values and are invited to reflect on the relation with pertussis vaccination
X
HCWs recall where and when the vaccination is provided
Providing cues for action5
Cues work best when people are allowed to select and provide their own cues.
HCWs can choose te be reminded of the vaccination opportunity of their choice by text message or e-mail a day in advance
X
X
Determinant: Attitude
HCWs conclude that they are at risk to contract pertussis and transmit it to an infant
Scenario based risk information6
Plausible scenario with a cause and an outcome; imagery. Most effective when people generate their own scenario or when multiple scenarios are provided.
A series of scenarios is presented where peer models show the risk of contracting pertussis, transmitting pertussis and the severity of pertussis in infants
X
HCWs conclude that a pertussis cocooning vaccination is part of their professional responsibility
Values clarification4
Requires investigation of the important current values of individuals; requires consideration and evaluation of values.
HCWs are asked to select important personal and professional values and are invited to reflect on the relation with pertussis vaccination
X
HCWs conclude it is important to make a deliberate choice on vaccination
Modeling7
Attention, remembrance, self-efficacy and skills, reinforcement of the model; identification with the model; coping model instead of mastery model.
Peer models show that they were uncertain about their vaccination decision and did not deliberate about the choice at first. However, after reflecting on risks and personal/professional values they are happy they made a deliberate choice to accept vaccination.
X
Persuasive Communication8
Messages need to be relevant and not too discrepant from the beliefs of the individual; can be stimulated by surprise and repetition; will include arguments. Thedifferent stages of behavior change through attitude change are taken into account (exposure, attention for the message, understanding and remembering message and
Message: “Make sure you deliberate on your choice on pertussis vaccination, so you can feel confident and satisfied with your decision.”
x
x
102
98