Instrument Design

Review by expert panel for face and construct validity: This questionnaire is relevant to the stakeholders, and this scenario will help us gather information that expresses how the old adults feels about the flu vaccine program

Conduct at least 2 rounds of panel reviews: It will also help us to determine any changes that they might want to see in the program to be more efficient. I choose to compose questions in a simple language and a format that is easy to comprehend

Conduct a pilot test: The questionnaires will include individuals' brief general information, their opinion in regards to the program, and their proposal for the improvement of the program.

Establish reliability of measure: Having 20 participants use the mail service to answers our survey will ensures that the document will come directly to us.

Establish construct validity (confirmatory factor analysis): By utilizing mail service is the best way to get a response back from the target population.

Establish criterion validity: Getting a general information like their gender, race is also important and also by asking if they have an internet will an individual can complete the survey during his or her leisure time it can also be sent to us promptly, it can be obtained everywhere, and there will be slight chances of losing or misplacing the data.

Methods

A cross-sectional survey will be performed at pharmacies arbitrarily chosen crosswise throughout Lebanon. A 10-question survey will be utilized to record flu vaccination status, learning, and dispositions towards the flu vaccination among the overall Lebanese public. The instrument will be utilized to record flu vaccination status and evaluate vaccination history. Yearly antibody beneficiaries will be named as the "normal flu vaccination" group, and people who have never received the vaccine or those who have only got it once in a while will be the "unpredictable flu vaccination" group. Information about learning and attitudes concerning the antibody among the Lebanese populace will also be gathered.

Along these lines, the focus is on the population of ambulating Lebanese patients who are 45 years or older. Members of this population will be selected from a random sample of community pharmacies across various parts of Lebanon. So as to guarantee a representative test of such adults, 30 pharmacy stores will be chosen crosswise over Lebanese governorates. In every pharmacy store, a pharmacy assistant will talk candidly to around 20 subjects and will record some information about their immunization status. Since pharmacy stores do not keep records about such matters as vaccination, the patients' immunization status and insights into and mentalities regarding the flu antibody will be self-announced through a survey.

Results:

The survey's reaction rate was 93%. Among the participating members, the general flu vaccination rate was 27.6%. The lion's share of members revealed an unpredictable take-up of the antibody. The multivariate examination revealed that elderly individuals with advanced education, those who were more active physically (or fundamentally higher than 1 for all classes), and those who had perpetual respiratory maladies were all the more routinely immunized. Meanwhile, those individuals who visited the specialist "just when required" and those who drank more than seven beverages per week received inoculations less consistently. While acquainting information and state-of-mind factors with the model, "imagining that the immunization was not required" was the main corresponding factor that exhibited a critical converse relationship with standard flu vaccination.

Discussion

The outcomes from our investigation uncovered a general vaccination rate of 27.6%. This scope may be an overestimation of the real pervasiveness of inoculation in the adult Lebanese populace since our subjects were met in group pharmacy stores. Low vaccination rates are an overall general medical issue. Constant endeavors to outline and actualize quality change intercessions for expanding the rates of flu vaccination are being analyzed among different countries.

Dear Lebanon participant

Greetings and best regards. I would like to thank you for taking the time to participate in our survey. A non-profit organization organized a flu vaccine program for adults of ages between 65 and above across the area. The goal of this program is to provide flu vaccine to old adult’s s to help them enhance their education and employment opportunities, set goals for their lives, and consider how the decisions they make today will affect them tomorrow including decisions about how to get flu shot or any other forms of flu vaccine. It is vital that we receive some information, feedback, and data from the Lebanon city to ensure what needs to be done to make the program more efficient. It would be appreciated if you could complete this brief survey design below. Once again, thank you for your time and effort.

1. Which year did you received the influenza (flu) VACCINE (select all that apply):

2007

2008

2009

2010

2011

I have not had the flu vaccine during any of the above years

2. During which year you had the influenza (flu) VIRUS (select all that apply):

2007

2008

2009

2010

2011

I have not had the flu virus during any of the above years

3. Have you already had the influenza (flu) vaccine for the current (2015 - 2016) flu season? (Please circle your answer).

Yes

No

4. If yes to already having had the flu vaccine, were you required by an employer to get the vaccine?

Yes

No

5. Have you ever gotten a flu vaccination in the past? (Please circle your answer.)

a. Yes

b. No

If yes, how many times have you taken sex education classes? Put a check mark next to the appropriate response

If no, continue to the next question

6. Please state your opinions on the flu vaccination program on each of the six scales below. Put one cross mark into the box that best describes your response of the question.

Example below.

7. Flu vaccination should be taken every year ( Please circle your answer)

a. Strongly Agree

b. Agree

c. Neutral

d. Strongly Disagree

e. Disagree

8. Rank the form of communication you frequently use to contact people ( 1 = Most commonly Used, 4 = Least commonly Used)

a. telephone

b. Writing letter

c. Mail

d. Person to person

9. In general, how likely do you think it is that one or more vaccines may cause long-term, negative side effects?

a. Not at all likely

b. Somewhat likely

c. Quite likely

d. Totally likely

e. Not sure / it depends

Why do you feel this way?

10. In general, how concerned are you that you may contract a vaccine-preventable disease and suffer a serious reaction to the disease?

a. Not at all concerned

b. Somewhat concerned

c. Quite concerned

d. Totally concerned

e. Not sure / it depends

Why do you feel this way?

Reference

Romani M.H., Musharrafieh U.M., Lakkis N.A., Hamade G.N. Family physicians beliefs and attitudes regarding adult pneumococcal and influenza immunization in Lebanon. Fam. Pract. 2011;28:632–637. doi: 10.1093/fampra/cmr038. [PubMed]

Central Administration of Statistics in Lebanon Population Characteristics in 2009; Available online: http://www.cas.gov.lb/index.php/demographic-and-social-en/population-en.

Jacobson V.J., Szilagyi P. Patient reminder and patient recall systems to improve immunization rates. Cochrane Database Syst. Rev. 2005;20 doi: 10.1002/14651858.CD003941.pub2. [PubMed]

Buffington J., Bell K.M., LaForce F.M. Genesee Hospital Medical Staff. A target-based model for increasing influenza immunizations in private practice. J. Gen. Intern. Med. 1991;6:204–209. doi: 10.1007/BF02598961. [PubMed]