A nurse-delivered brief health education intervention to improve pneumococcal vaccination rate among older patients with chronic diseases: A cluster randomized controlled trial. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Chan, Sophia S.C.; Leung, Doris Y.P.; Leung, Angela Y.M.; Lam, Cindy; Hung, Ivan; Chu, Daniel; Chan, Chi Kuen; Johnston, Janice; Liu, Shao Haei; Liang, Raymond; Lam, Tai Hing; Yuen, Kwok Yung
• Is Part Of: International journal of nursing studies. Volume 52:Issue 1(2015:Jan.)
• Page Start: 317
• Page End: 324
• Publication Date: 2015-01
• Subjects: Nursing -- Periodicals; Nursing -- Periodicals; Soins infirmiers -- Périodiques; Nursing; Periodicals; 610.73
• DOI: 10.1016/j.ijnurstu.2014.06.008
• Languages: English
• ISSNs: 0020-7489

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Background</title> <p id="spar0005">The 23-valent pneumococcal polysaccharide vaccine is recommended for elders, especially those with chronic conditions.</p> </sec> <sec> <title id="sect0015">Objective</title> <p id="spar0010">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.</p> </sec> <sec> <title id="sect0020">Methods</title> <p id="spar0015">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.</p> </sec> <sec> <title id="sect0025">Results</title> <p id="spar0020">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).</p> </sec> <sec> <title id="sect0030">Discussion</title> <p id="spar0025">A nurse-delivered brief health education intervention was effective in increasing uptake of pneumococcal vaccination among older patients with chronic diseases.</p> </sec> </abstract>