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Int J Nurs Stud. 2015 Jan;52(1):317-24. doi: 10.1016/j.ijnurstu.2014.06.008. Epub 2014 Jun 19.

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

Author information

1
School of Nursing, The University of Hong Kong, 4/F, William MW Mong Block, LKS Faculty of Medicine, 21 Sassoon Road, Pokfulam, Hong Kong. Electronic address: nssophia@hkucc.hku.hk.
2
The Nethersole School of Nursing, The Chinese University of Hong Kong, Room 830, Ester Lee Building, Sha Tin, Hong Kong.
3
School of Nursing, The University of Hong Kong, 4/F, William MW Mong Block, LKS Faculty of Medicine, 21 Sassoon Road, Pokfulam, Hong Kong.
4
Family Medicine Unit, Department of Medicine, LKS Faculty of Medicine, The University of Hong Kong, 3/F, 161 Main Street, Ap Lei Chau Clinic, Ap Lei Chau, Hong Kong.
5
Department of Medicine, The University of Hong Kong, 4/F, Professorial Block, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.
6
Family Medicine & Primary Healthcare Services, Hong Kong East Cluster, Hospital Authority, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong.
7
Queen Mary Hospital, 1/F., Block A, Pokfulam Road.
8
School of Public Health, The University of Hong Kong, 5/F, William MW Mong Block, LKS Faculty of Medicine, 21 Sassoon Road, Pokfulam, Hong Kong.
9
Quality & Safety Division, Hospital Authority, Hospital Authority Building, 147B Argyle Street, Kowloon, Hong Kong.
10
Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital Compound, Pokfulam, Hong Kong.

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.

KEYWORDS:

Interventions; Older patients; Pneumococcal vaccination; Randomized controlled trial

PMID:
25012957
DOI:
10.1016/j.ijnurstu.2014.06.008
[Indexed for MEDLINE]
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