Document Type

Course Project

Publication Date

Summer 7-12-2022


Young adults ages 19 to 25 years in the United States are at increased risk for influenza because their annual flu shot adherence is the lowest out of all age groups. Their non-adherence and increased potential for illness have a very great impact on contacts, including family, friends, coworkers, their children, and people in the community. The purpose of this Doctor of Nursing Practice Project is to create an evidence- and theoretically-based questionnaire aimed at assessing flu vaccine adherence in young adults ages 19 to 25 years in a primary care practice with the future objective of reducing the overall flu illness burden in the United States. The questionnaire’s item content is based on analysis of literature in a systematized review and evidence- and theoretically-based practice citations of the Center for Disease Control and Prevention as well as three other independent studies. The questionnaire items are structured by Rogers’ Change Theory using three patterns of change: early adopter, late majority, and laggard. The questionnaire was revised based on expert healthcare providers’ judgments of item validity.

Keywords: Quality improvement, questionnaire, influenza vaccine, adherence. Young adults