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Vaccine . A quick access to information on influenza burden and prevention in Lyon university hospital: A prospective QR code-based information campaign in 2022-2023

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  • Vaccine . A quick access to information on influenza burden and prevention in Lyon university hospital: A prospective QR code-based information campaign in 2022-2023

    Vaccine


    . 2024 Jul 26:126160.
    doi: 10.1016/j.vaccine.2024.126160. Online ahead of print. A quick access to information on influenza burden and prevention in Lyon university hospital: A prospective QR code-based information campaign in 2022-2023

    Nagham Khanafer 1 , Sylvain Oudot 2 , Margot Maligeay 2 , Catherine Planckaert 3 , Camille Mena 3 , Nadège Trehet Mandel 3 , Rym Bouhalila 4 , Florence Ader 5 , Frédéric Berard 6 , Françoise Bouhour 7 , Roland Chapurlat 8 , Sybil Charriere 9 , Cyrille Confavreux 10 , Gilles Devouassoux 11 , Emmanuel Disse 12 , Denis Fouque 13 , Herve Ghesquieres 14 , Sophie Hyvert 15 , Anne Jolivot 16 , Alice Durand 17 , Géraldine Martin-Gaujard 18 , Jean-Francois Mornex 19 , Marc Nicolino 20 , Nathalie André-Obadia 21 , Gérald Raverot 20 , Philippe Reix 22 , Alain Ruffion 23 , Pascal Seve 24 , Ruben Hermann 25 , Fabien Zoulim 26 , Joséphine Clamens 2 , Marie-Pierre Ayala 2 , Philippe Vanhems 27



    AffiliationsFree article Abstract

    Background: Influenza vaccines are effective in decreasing hospitalizations and mortality related to influenza and its complications. However, the Vaccine Coverage Rate of influenza remains low and multifaceted efforts are required to improve it. The aim of this study was to assess the impact on influenza vaccine perception using a digital tool among outpatients and health care workers (HCWs).
    Methods: A study was performed among outpatients and the HCWs of 23 hospital departments from 4 hospitals affiliated to Lyon university Hospitals (France), between October 2022 and February 2023. By scanning QR (Quick Response) codes, displayed on posters for patients, their companions, as well as in the letters sent to HCWs, users accessed anonymously to a web-application (ELEFIGHT®), which provided information on influenza and invited them to initiate a discussion on influenza prevention with their physicians during the consultation. Patients were also invited to complete a questionnaire regarding their perception of influenza vaccination before and after reading the information on ELEFIGHT®. The retention rate (RR = proportion of people who remain on the page for >2 s), the conversion rate (CR = proportion of people who click on the "Call-To-Action" button) and the absolute variation (difference in the perception before/after) and relative variation (absolute change as a percentage of the initial perception) in perception regarding influenza vaccination before and after consulting the application were calculated.
    Results: 3791 scans were performed by 3298 patients and/or their companions with a RR of 52% and a CR of 55.1% and 253 scans by 221 HCWs with a RR of 71.2% and a CR of 115.3%. Participants spent an average of 47 s on the application. The questionnaire on influenza vaccination perception was completed by 1533 participants (46.5%); 1390 (90.7%) maintained the same position (neutral, favorable or unfavorable) on this vaccination before and after consulting the application. The relative variations in favor of vaccination were + 7.2% (unfavorable then favorable) and + 19.8% (neutral then favorable).
    Conclusion: This study suggests that a facilitated direct access to medical information through QR codes disseminated in health settings can help nudge people to foster their awareness of influenza and its prevention. Future deployments in a similar context or to other populations could be envisaged. Other vaccine-preventable and/or chronic diseases could also be the target of similar projects as part of public health programs.

    Keywords: Digital application; Flu; Hospital; Influenza; Nudging; Prevention; QR code; Reminders; Vaccination.

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