A nurse-delivered brief health education intervention to improve pneumococcal vaccination rate among older patients with chronic diseases: A cluster randomized controlled trial

Sophia S.C. Chan, Doris Y.P. Leung, Yee Man Angela Leung, Cindy Lam, Ivan Hung, Daniel Chu, Chi Kuen Chan, Janice Johnston, Shao Haei Lius, Raymond Liang, Tai Hing Lam, Kwok Yung Yuen

Research output: Journal article publicationJournal articleAcademic researchpeer-review

9 Citations (Scopus)

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 languageEnglish
Pages (from-to)317-324
Number of pages8
JournalInternational Journal of Nursing Studies
Volume52
Issue number1
DOIs
Publication statusPublished - 1 Jan 2015
Externally publishedYes

Keywords

  • Interventions
  • Older patients
  • Pneumococcal vaccination
  • Randomized controlled trial

ASJC Scopus subject areas

  • Nursing(all)

Cite this