• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of brjgenpracRCGP homepageJ R Coll Gen Pract at PubMed CentralBJGP at RCGPBJGP at RCGP
Br J Gen Pract. Sep 2002; 52(482): 717-8, 720-2.
PMCID: PMC1314411

Improving uptake of influenza vaccination among older people: a randomised controlled trial.

Abstract

BACKGROUND: The uptake of influenza vaccination among older people is suboptimal. Contact with a doctor or nurse is associated with older people deciding to accept influenza vaccination. AIM: To compare different forms of approach in improving uptake of influenza vaccination among patients aged 75 years and over in primary care. DESIGN OF STUDY: Randomised controlled trial. SETTING: One large rural general practice serving the town and surrounding area of Melton Mowbray, Leicestershire. METHOD: All 2,052 patients aged 75 years and over, registered with the practice and not living in nursing/residential homes or sheltered accommodation, were included in the study. One-third of patients were randomised to receive an offer of influenza vaccination as part of an over-75 health check administered by a practice nurse in the patient's home, and two-thirds of patients were randomised to receive a personal letter of invitation to attend an influenza vaccination clinic held at the surgery. The main outcome measure was uptake of influenza vaccination. RESULTS: Six hundred and eighty patients were randomised to the health check arm of the trial and 1,372 were randomised to receive a personal letter. Of those randomised to the health check arm, 468 received the health check from the nurse. Overall, the difference in influenza vaccination uptake was 6.4% (95% confidence interval [CI] = 2.2% to 10.4%) with 67.9% (n = 932) of those who were sent a personal letter actually receiving the vaccine, compared with 74.3% (n = 505) of those offered a combined health check and influenza vaccination (P = 0.003). CONCLUSION: Combining home-based over- 75 health checks with influenza vaccination can improve uptake among older patients. However this intervention is likely to be costly and its effect on influenza vaccination rates is modest. The difference in uptake is greater among those who do not routinely comeforwardfor vaccination and a more viable option may be to target these patients.

Full Text

The Full Text of this article is available as a PDF (70K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Govaert TM, Thijs CT, Masurel N, Sprenger MJ, Dinant GJ, Knottnerus JA. The efficacy of influenza vaccination in elderly individuals. A randomized double-blind placebo-controlled trial. JAMA. 1994 Dec 7;272(21):1661–1665. [PubMed]
  • Gross PA, Hermogenes AW, Sacks HS, Lau J, Levandowski RA. The efficacy of influenza vaccine in elderly persons. A meta-analysis and review of the literature. Ann Intern Med. 1995 Oct 1;123(7):518–527. [PubMed]
  • Whiting P, Joseph CA, Zambon M, Nunn M, Fleming D, Watson JM. Influenza activity in England and Wales: October 1998 to June 1999. Commun Dis Public Health. 1999 Dec;2(4):273–279. [PubMed]
  • Morgan R, King D, Turnbull CJ. Influenza vaccination: do the aged reap the benefit? Postgrad Med J. 1995 Jan;71(831):22–23. [PMC free article] [PubMed]
  • Cornford CS, Morgan M. Elderly people's beliefs about influenza vaccination. Br J Gen Pract. 1999 Apr;49(441):281–284. [PMC free article] [PubMed]
  • Honkanen PO, Keistinen T, Kivela SL. Factors associated with influenza vaccination coverage among the elderly: role of health care personnel. Public Health. 1996 May;110(3):163–168. [PubMed]
  • van Essen GA, Kuyvenhoven MM, de Melker RA. Why do healthy elderly people fail to comply with influenza vaccination? Age Ageing. 1997 Jul;26(4):275–279. [PubMed]
  • Igoe G, Bedford D, Howell F, Collins S. How to improve the uptake of influenza vaccination in older persons at risk. Ir J Med Sci. 1999 Apr-Jun;168(2):107–108. [PubMed]
  • Puech M, Ward J, Lajoie V. Postcard reminders from GPs for influenza vaccine: are they more effective than an ad hoc approach? Aust N Z J Public Health. 1998 Apr;22(2):254–256. [PubMed]
  • Armstrong K, Berlin M, Schwartz JS, Propert K, Ubel PA. Educational content and the effectiveness of influenza vaccination reminders. J Gen Intern Med. 1999 Nov;14(11):695–698. [PMC free article] [PubMed]
  • McDowell I, Newell C, Rosser W. Comparison of three methods of recalling patients for influenza vaccination. CMAJ. 1986 Nov 1;135(9):991–997. [PMC free article] [PubMed]
  • Duclos P, Hatcher J. Epidemiology of influenza vaccination in Canada. Can J Public Health. 1993 Sep-Oct;84(5):311–315. [PubMed]
  • van Haastregt JC, Diederiks JP, van Rossum E, de Witte LP, Crebolder HF. Effects of preventive home visits to elderly people living in the community: systematic review. BMJ. 2000 Mar 18;320(7237):754–758. [PMC free article] [PubMed]
  • Chew CA, Wilkin D, Glendinning C. Annual assessments of patients aged 75 years and over: views and experiences of elderly people. Br J Gen Pract. 1994 Dec;44(389):567–570. [PMC free article] [PubMed]
  • Jagger C, Clarke M, O'Shea C, Gannon M. Annual visits to patients over the age of 75--who is missed? Fam Pract. 1996 Feb;13(1):22–27. [PubMed]
  • Moran WP, Nelson K, Wofford JL, Velez R, Case LD. Increasing influenza immunization among high-risk patients: education or financial incentive? Am J Med. 1996 Dec;101(6):612–620. [PubMed]
  • Brown K, Boot D, Groom L, Williams E. Problems found in the over-75s by the annual health check. Br J Gen Pract. 1997 Jan;47(414):31–35. [PMC free article] [PubMed]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles
  • Substance
    Substance
    PubChem Substance links

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...