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.

中文翻译：

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预测和了解法医精神卫生患者的季节性流感疫苗接种行为

摘要

目标

本研究旨在确定在安全的法医精神卫生服务中的住院患者样本中季节性流感疫苗接种意图和行为的人口统计学和心理预测因素。它还试图探索患者获得疫苗的经验。

设计

这项研究采用了混合方法设计。定量要素采用问卷设计的前瞻性设计。报告了横断面和前瞻性发现。对于研究的定性部分，使用解释性现象学分析（IPA）进行了半结构化访谈并进行了分析。

主要观察指标

季节性流感疫苗接种意向和行为

结果

过去的行为，疫苗知识和行动提示是疫苗接种意向的预测因素（N = 57）。行动提示仍然是疫苗接种行为的唯一统计预测指标（N = 55）。对四名接种疫苗和五名未接种疫苗的参与者进行了九次访谈。IPA分析中形成了三个主要主题；这些是“管理决策性冲突”，“与免疫功能的相互作用”和“其他人的角色”。

结论

结果强调了卫生专业人员在安全的精神卫生环境中塑造患者疫苗接种行为的不可或缺的作用。提供了疫苗接种促进策略的建议。