Using formative evaluation in an implementation project to increase vaccination rates in high-risk veterans: QUERI Series
2008

Increasing Vaccination Rates in High-Risk Veterans

Sample size: 23 publication Evidence: moderate

Author Information

Author(s): Carolyn M. Wallace, Marcia W. Legro

Primary Institution: VA Puget Sound Health Care System

Hypothesis

Can formative evaluation improve the implementation of vaccination interventions in veterans with spinal cord injuries?

Conclusion

Formative evaluations helped the project team understand the implementation processes and refine their strategies to increase vaccination rates.

Supporting Evidence

  • Formative evaluations provided insights into barriers and facilitators of the vaccination interventions.
  • Staff at 21 of 23 SCI Centers successfully mailed letters to patients as part of the intervention.
  • The CCR for influenza was used at 16 SCI Centers, highlighting variability in implementation.
  • Standing orders for vaccination were in place at 15 SCI Centers, indicating some level of adoption.

Takeaway

The study looked at how to help veterans get their flu shots by checking what worked and what didn't during the process.

Methodology

The study used surveys, interviews, and conference calls to gather data on the implementation of vaccination interventions.

Potential Biases

The project team had no authority to enforce interventions, relying instead on collaboration with SCI Center staff.

Limitations

The study faced challenges due to the lack of a field presence and variations in local contexts affecting implementation.

Participant Demographics

Veterans with spinal cord injuries and disorders at 23 VA SCI Centers.

Digital Object Identifier (DOI)

10.1186/1748-5908-3-22

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