ArticleJournal of the American Geriatrics Society2022
Strategies associated with COVID-19 vaccine coverage among nursing home staff.
Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 27 citations in OpenAlex.
- Pragmatic Implementation of a Music Intervention in Nursing Homes Before and During COVID-19.Journal of the American Medical Directors Association · 2024Trial
- Ownership change in American nursing homes during the COVID-19 pandemic and the relationship with measures in Donabedian's model of care quality.The Gerontologist · 2026Article
- Vaccination Rates Among Long-Term Care Staff During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2025Article
- Integrating routine immunization into COVID-19 vaccination improve coverage but could create equity issues: evidence from Niger State, Nigeria.BMC public health · 2025Article
- Identifying Emerging Drivers and Interventions to Reduce Vaccine Hesitancy Among Long-Term Care Facility Nursing Staff.The Gerontologist · 2025Article
- Measures to Prevent and Control COVID-19 in Skilled Nursing Facilities: A Scoping Review.JAMA health forum · 2025Article
- Vaccinations in older adults: Optimization, strategies, and latest guidelines.Journal of the American Geriatrics Society · 2025Article
- Analysis of public opinion polls about COVID-19 vaccines: Theoretical and policy implications for vaccine communication and campaigns to address vaccine hesitancy.Human vaccines & immunotherapeutics · 2024Article
- Vaccine hesitancy for the COVID-19 vaccine booster dose among nursing home staff fully vaccinated with the primary vaccination course in Belgium.Vaccine: X · 2024Article
- Exploring COVID-19 education to support vaccine confidence amongst the general adult population with special considerations for healthcare and long-term care staff: A scoping review.Campbell systematic reviews · 2023Article
- The balance of prescriptive and dynamic regulatory policies in nursing homes: Lessons learned from the COVID-19 pandemic.Journal of the American Geriatrics Society · 2023Article
- Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: A Rapid Systematic Review.Vaccines · 2023Review
- COVID-19 Vaccination Attitude and Behavior among Nurses at a West Texas Regional Hospital.Vaccines · 2023Article
- Differences In Nursing Home Staff COVID-19 Testing Rates And Odds Of Vaccination Across Work Shifts.Health affairs (Project Hope) · 2023Article
- "The bottom line is that it is all about trust": Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails.Journal of clinical and translational science · 2023Article
- Strategies to Increase Willingness to Receive a COVID-19 Vaccine among Nursing Home Staff.Infectious disease reports · 2022Article
- Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update.Journal of the American Medical Directors Association · 2022Article
- Review
- Strategies associated with COVID-19 vaccine coverage among nursing home staff.Journal of the American Geriatrics Society · 2022Article
- Addressing hesitancy to COVID-19 vaccines in healthcare assistants.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundAfter the first of three COVID-19 vaccination clinics in U.S. nursing homes (NHs), the median vaccination coverage of staff was 37.5%, indicating the need to identify strategies to increase staff coverage. We aimed at comparing the facility-level activities, policies, incentives, and communication methods associated with higher staff COVID-19 vaccination coverage.
methodsDesign. Case-control analysis.
settingNationally stratified random sample of 1338 U.S. NHs participating in the Pharmacy Partnership for Long-Term Care Program.
participantsNursing home leadership. MEASUREMENT: During February 4-March 2, 2021, we surveyed NHs with low (<35%), medium (40%-60%), and high (>75%) staff vaccination coverage, to collect information on facility strategies used to encourage staff vaccination. Cases were respondents with medium and high vaccination coverage, whereas controls were respondents with low coverage. We used logistic regression modeling, adjusted for county and NH characteristics, to identify strategies associated with facility-level vaccination coverage.
resultsWe obtained responses from 413 of 1338 NHs (30.9%). Compared with facilities with lower staff vaccination coverage, facilities with medium or high coverage were more likely to have designated frontline staff champions (medium: adjusted odds ratio [aOR] 3.6, 95% CI 1.3-10.3; high: aOR 2.9, 95% CI 1.1-7.7) and set vaccination goals (medium: aOR 2.4, 95% 1.0-5.5; high: aOR 3.7, 95% CI 1.6-8.3). NHs with high vaccination coverage were more likely to have given vaccinated staff rewards such as T-shirts compared with NHs with low coverage (aOR 3.8, 95% CI 1.3-11.0). Use of multiple strategies was associated with greater likelihood of facilities having medium or high vaccination coverage: For example, facilities that used ≥9 strategies were three times more likely to have high staff vaccination coverage than facilities using <6 strategies (aOR 3.3, 95% CI 1.2-8.9).
conclusionsUse of designated champions, setting targets, and use of non-monetary awards were associated with high NH staff COVID-19 vaccination coverage.
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Registered trials
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