Effect of an audiovisual message for tetanus booster vaccination broadcast in the waiting room
Caroline Eubelen, Fannette Brendel, Jean-Luc Belche, Anne Freyens, Sophie Vanbelle, Didier Giet, Caroline Eubelen, Fannette Brendel, Jean-Luc Belche, Anne Freyens, Sophie Vanbelle, Didier Giet
Abstract
Background: General practitioners (GPs) often lack time and resources to invest in health education; audiovisual messages broadcast in the waiting room may be a useful educational tool. This work was designed to assess the effect of a message inviting patients to ask for a tetanus booster vaccination.
Methods: A quasi experimental study was conducted in a Belgian medical practice consisting of 6 GPs and 4 waiting rooms (total: 20,000 contacts/year). A tetanus booster vaccination audiovisual message was continuously broadcast for 6 months in 2 randomly selected waiting rooms (intervention group--3 GPs) while the other 2 waiting rooms remained unequipped (control group--3 GPs). At the end of the 6-month period, the number of vaccine adult-doses delivered by local pharmacies in response to GPs' prescriptions was recorded. As a reference, the same data were also collected retrospectively for the general practice during the same 6-month period of the previous year.
Results: During the 6-month reference period where no audiovisual message was broadcast in the 4 waiting rooms, the number of prescriptions presented for tetanus vaccines was respectively 52 (0.44%) in the intervention group and 33 (0.38%) in the control group (p = 0.50). By contrast, during the 6-month study period, the number of prescriptions differed between the two groups (p < 0.0001), rising significantly to 91 (0.79%) in the intervention group (p = 0.0005) while remaining constant in the control group (0.38% vs 0.39%; p = 0.90).
Conclusions: Broadcasting an audiovisual health education message in the GPs' waiting room was associated with a significant increase in the number of adult tetanus booster vaccination prescriptions delivered by local pharmacies.
References
- WONCA Europe. The European definition of general practice/family medicine. (Accessed 8 Jul 2011)
- Cornuz J, Ghali WA, Di Carlantonio D, Pecoud A, Paccaud F. Physician's attitudes towards prevention: Importance of intervention-specific barriers and physician's health habits. Fam Pract. 2000;17:535–40. doi: 10.1093/fampra/17.6.535.
- Green LW, Kreuter MW, Deeds SG, Partridge KB. Health Education Planning. A Diagnostic Approach. 1. Mountain View (CA): Mayfield Publishing Company; 1980.
- Scott CS, Neighbor WE, Brock DM. Physician's attitudes toward preventive care services: A seven-year prospective cohort study. Am J Prev Med. 1992;8(4):241–8.
- Gibbon W. Medical schools for the health-care needs of the 21st century. Lancet. 2007;369(9580):2211–3. doi: 10.1016/S0140-6736(07)61017-4.
- Wicke DM, Lorge RE, Coppin RJ, Jones KP. The effectiveness of waiting room notice-boards as a vehicle for health education. Fam Pract. 1994;11(3):292–5. doi: 10.1093/fampra/11.3.292.
- Clarke WD, Devine M, Jolly BC, Meyrick RL. Health education, with a display machine, in the surgery. Health Educ J. 1977;36(4):100–3, 113. doi: 10.1177/001789697703600405.
- Ward K, Hawthorne K. Do patients read health promotion posters in the waiting room? A study in one general practice. Br J Gen Pract. 1994;44(389):583–5.
- Montazeri A, Sajadian A. Do women read poster displays on breast cancer in waiting rooms? J Public Health (Oxf) 2004;26(4):355–8. doi: 10.1093/pubmed/fdh178.
- Assathiany R, Kemeny J, Sznajder M, Hummel M, Van Egroo LD, Chevallier B. AREPEGE. The pediatrician's waiting room: a place for health education? Arch Pediatr. 2005;12(1):10–5. doi: 10.1016/j.arcped.2004.07.026.
- Stubbe M, Swinnen R, Crusiaux A, Mascart F, Lheureux PE. Seroprotection against tetanus in patients attending an emergency department in Belgium and evaluation of a bedside immunotest. Eur J Emerg Med. 2007;14:14–24. doi: 10.1097/01.mej.0000228449.37974.7e.
- Institut Scientifique de la Santé Publique. Enquête de Santé par Interview Belgique 2001. (Accessed 13 Feb 2011)
- Montrieux C, Collette G, Limme C, Seidel L, Albert A, Giet D. Evaluation of tetanus vaccine coverage in rural society. Rev Med Liege. 2002;57:97–103.
- Labrecque M, Rhéault C, Bergeron M, Bergeron S, Paquet F. Tetanus vaccination. Evaluation of a program of health promotion in a family medicine unit. Can Fam Physician. 1995;41:70–5.
- Shiroyama C, Begg A, Griffiths J, McKie L. Getting the message across: The development and evaluation of a health education video in general practice. Health Bull (Edinb) 1997;55(1):58–61.
- Wheeler JG, Fair M, Simpson PM, Rowlands LA, Aitken ME, Jacobs RF. Impact of a waiting room videotape message on parent attitudes toward pediatric antibiotic use. Pediatrics. 2001;108:591–6. doi: 10.1542/peds.108.3.591.
- Oermann MH, Webb SA, Ashare JA. Outcomes of videotape instruction in clinic waiting area. Orthop Nurs. 2003;22(2):102–5. doi: 10.1097/00006416-200303000-00006.
- Schwartz AL, Edelmann RJ. Health education: Using a video in general practice. Br J Gen Pract. 1990;40(340):477.
- Koperski M. Health education using video recordings in a general practice waiting area: An evaluation. J R Coll Gen Pract. 1989;39(325):328–30.
- Manfredi C, Crittenden KS, Cho YI, Englof J, Warnecke R. The effect of a structured smoking cessation program, independent of exposure to existing interventions. AM J Public Health. 2000;90(5):751–6. doi: 10.2105/AJPH.90.5.751.
- Oermann MH, Needham CA, Dobal MT, Sinishtaj L, Lange MP. Filling the waiting time in the clinic with education about glaucoma. Insight. 2001;26(3):77–80.
Source: PubMed