Understanding uptake of Immunisations in TravellIng and Gypsy communities (UNITING) A qualitative interview study

C. Jackson, L. Dyson, H. Bedford, F.M. Cheater, L. Condon, A. Crocker, Carol Emslie, Lana Ireland, P. Kemsley, Susan Kerr, H. Lewis, J. Mytton, K. Overend, S. Redsell, Z. Richardson, C. Shepherd, L. Smith

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Abstract

Background
Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations.

Aims
(1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study.

Methods
Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions.


Original languageEnglish
JournalHealth Technology Assessment
Volume20
Issue number72
Early online date29 Sep 2016
DOIs
Publication statusPublished - Sep 2016

Keywords

  • immunisation
  • gypsy
  • traveller
  • qualitative study

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    Jackson, C., Dyson, L., Bedford, H., Cheater, F. M., Condon, L., Crocker, A., Emslie, C., Ireland, L., Kemsley, P., Kerr, S., Lewis, H., Mytton, J., Overend, K., Redsell, S., Richardson, Z., Shepherd, C., & Smith, L. (2016). Understanding uptake of Immunisations in TravellIng and Gypsy communities (UNITING) A qualitative interview study. Health Technology Assessment, 20(72). https://doi.org/10.3310/hta20720