Abstract
Background: The 23-valent pneumococcal polysaccharide vaccine is recommended for elders, especially those with chronic conditions. Objective: The aim of this study was to determine if an additional multi-component health education intervention increases the uptake rate of the pneumococcal vaccination among older patients with chronic diseases. Methods: A cluster randomized controlled trial was conducted from 3 December 2007 to 7 March 2008. The clusters were the individual weeks within five Hong Kong outpatient clinics over a 10-week period. A sample of 2517 patients aged 65 or above with chronic diseases was recruited. Intervention group received a 3-min brief telephone education intervention before and a 3-min face-to-face intervention during scheduled medical appointments at the respective clinics. All subjects received standard care including health education leaflets and/or a video show at the clinics. Pneumococcal vaccination rate and awareness of the vaccination at 3-month follow up were measured. Results: The vaccination rate was higher in the intervention group compared to the control group (57% vs 48%; relative risk = 1.20, 95% CI = 1.06-1.37), but the two groups did not differ significantly in their awareness of the vaccination at 3-month follow up (65% vs 59%, relative risk = 0.86, 95% CI = 0.69-1.07). Discussion: A nurse-delivered brief health education intervention was effective in increasing uptake of pneumococcal vaccination among older patients with chronic diseases.
| Original language | English |
|---|---|
| Pages (from-to) | 317-324 |
| Number of pages | 8 |
| Journal | International Journal of Nursing Studies |
| Volume | 52 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1 Jan 2015 |
| Externally published | Yes |
Keywords
- Interventions
- Older patients
- Pneumococcal vaccination
- Randomized controlled trial
ASJC Scopus subject areas
- General Nursing
