Page 96 - Preventing pertussis in early infancy - Visser

Chapter 6
Chapter 6
and their working context. These applications were then combined into a coherent pertussis vaccination programme that is subdivided into three categories: A. Invitation letter; B. Information folder, website and posters; C. Online deliberation tool (for more detailed information, see Table 3). An overview of how the selected theoretical methods are translated into their practical applications and the pertussis vaccination programme content can be found in Appendix 1.
The information base for the programme content should originate from the National Institute for Public Health and the Environment or the Regional Public Health service, as most respondents from the survey study among HCWs indicated to trust their information (Visser et al. 2017). However, maternity assistants indicated to have slightly more trust in information from general practitioners or hospital specialists. Therefore, these should also be referred to in the maternity assistant folder. Midwives additionally indicated to appreciate information from their own professional organisation, the Royal Dutch Organisation of Midwives.
In the planning group, we specifically discussed the logistical organisation of a pertussis vaccination programme for the three HCW groups involved (maternity assistants, midwives, and paediatric nurses). As the three HCW groups are characterised by different organisational forms, the logistical organisation of providing a vaccination is also different for each group. For each group, we filled in ten basic components of programmatic prevention (Drenthen 1999, Assendelft 2006, Visser et al. 2017) based on discussion in the planning group and the empirical evidence of logistical preferences we found in the survey study among three specific HCW groups. This led to a list of preconditions to be applied if pertussis vaccination for these HCW groups would be implemented. All HCW groups responded they would want a vaccination to fit as much in their day-to-day routine as possible. However, this had a different meaning for different groups (see Table 4).
IM Step 4: Programme production
Step 4 of IM integrates the various applications that were chosen in the previous step. Here, the actual programme was developed, answering the question “what will the programme look like?”. The overall structure of the programme, themes, channels and vehicles were determined, taking into account cultural sensitivities and target group specific conditions. The invitation letter and posters were written by the research team and revised by an expert in persuasive communication. The online deliberation tool was built by a programmer, who is linked to our scientific institute. The website was made available for personal computers, tablets and smart phones and is platform independent. It was designed by a graphic designer. In a minor pre-test among co-workers (n=12) we tested the algorithms of the online deliberation tool.
Before implementation, a pilot test is planned aiming to obtain an empirical indication of the effect of the vaccination programme and its individual components. Upon pilot testing, posters should be designed with help of a graphic designer, and a text editor
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