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Identifying interventions with Gypsies, Roma and Travellers to promote immunisation uptake: methodological approach and findings

Dyson, Lisa; Bedford, Helen; Condon, Louise; Emslie, Carol; Ireland, Lana; Mytton, Julie; Overend, Karen; Redsell, Sarah; Richardson, Zoe; Jackson, Cath

Identifying interventions with Gypsies, Roma and Travellers to promote immunisation uptake: methodological approach and findings Thumbnail


Authors

Lisa Dyson

Helen Bedford

Louise Condon

Carol Emslie

Lana Ireland

Karen Overend

Sarah Redsell

Zoe Richardson

Cath Jackson



Abstract

Background: In the UK, Gypsy, Roma and Traveller (GRT) communities are generally considered to be at risk of low or variable immunisation uptake. Many strategies to increase uptake for the general population are relevant for GRT communities, however additional approaches may also be required, and importantly one cannot assume that “one size fits all”. Robust methods are needed to identify content and methods of delivery that are likely to be acceptable, feasible, effective and cost effective. In this paper, we describe the approach taken to identify potential interventions to increase uptake of immunisations in six GRT communities in four UK cities; and present the list of prioritised interventions that emerged.

Methods: This work was conducted in three stages: (1) a modified intervention mapping process to identify ideas for potential interventions; (2) a two-step prioritisation activity at workshops with 51 GRTs and 25 Service Providers to agree a prioritised list of potentially feasible and acceptable interventions for each community; (3) crosscommunity synthesis to produce a final list of interventions. The theoretical framework underpinning the study was the Social Ecological Model.

Results: Five priority interventions were agreed across communities and Service Providers to improve the uptake of immunisation amongst GRTs who are housed or settled on an authorised site. These interventions are all at the Institutional (e.g. cultural competence training) and Policy (e.g. protected funding) levels of the Social Ecological Model.

Conclusions: The “upstream” nature of the five interventions reinforces the key role of GP practices, frontline workers and wider NHS systems on improving immunisation uptake. All five interventions have potentially broader applicability than GRTs. We believe that their impact would be enhanced if delivered as a combined package. The robust intervention development and co production methods described could usefully be applied to other communities where poor uptake of immunisation is a concern.

Citation

Dyson, L., Bedford, H., Condon, L., Emslie, C., Ireland, L., Mytton, J., …Jackson, C. (2020). Identifying interventions with Gypsies, Roma and Travellers to promote immunisation uptake: methodological approach and findings. BMC Public Health, 20(1), Article 1574. https://doi.org/10.1186/s12889-020-09614-4

Journal Article Type Article
Acceptance Date Sep 25, 2020
Online Publication Date Oct 20, 2020
Publication Date Oct 20, 2020
Deposit Date Dec 14, 2020
Publicly Available Date Mar 28, 2024
Journal BMC Public Health
Electronic ISSN 1471-2458
Publisher BioMed Central
Peer Reviewed Peer Reviewed
Volume 20
Issue 1
Article Number 1574
DOI https://doi.org/10.1186/s12889-020-09614-4
Keywords Public Health, Environmental and Occupational Health
Public URL https://uwe-repository.worktribe.com/output/6811971
Additional Information Received: 12 November 2019; Accepted: 27 September 2020; First Online: 20 October 2020; : The National Research Ethics Service Committee Yorkshire and The Humber – Leeds East approved the study (13/YH/025). Prior to commencing each workshop the researcher went through the study information sheet and each item on the consent form with the participant. Participants were subsequently asked to mark or initial the item(s) to which they consented.; : Not applicable.; : HB sits on the National Institute for Health and Care Excellence (NICE) Committee that is developing guidance on vaccine uptake in the general population. The other authors declare that they have no competing interests.

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