Impact of patient education on influenza vaccine uptake among community-dwelling elderly: a randomized controlled trial.

Published

Journal Article

This randomized controlled trial aimed to test the effectiveness of brief face-to-face patient education in increasing influenza vaccination rate among elderly in the community. Recruitment and intervention were conducted at two general outpatient clinics in Hong Kong. 529 eligible patients were randomly assigned to intervention or control group with 1:1 allocation ratio. Patients in the intervention group received 3-min one-on-one verbal education by medical students and a pamphlet regarding influenza vaccination. Neither verbal health education nor pamphlet was given to the control group. Intention-to-treat analysis showed significantly higher vaccination rate in the intervention group compared with the control group (33.6 versus 25.0%) and the adjusted relative risk was 1.34 (95% CI 1.04-1.72; P = 0.021). Hence, brief face-to-face patient education was effective in increasing influenza vaccine uptake rate of community-dwelling elderly patients. Participants who were undecided whether to receive vaccination seemed to demonstrate larger beneficial effect (RR = 7.84; 95% CI 1.06-57.76) compared with patients who were certain of either receiving (RR = 1.16; 95% CI 0.90-1.48) or not receiving (RR = 2.18; 95% CI 0.68-6.99) the vaccine. The study also revealed that patients' intention for vaccination may not translate into action, reasons for which should be explored in future research.

Full Text

Duke Authors

Cited Authors

  • Leung, KC; Mui, C; Chiu, WY; Ng, YY; Chen, MHY; Ho, PH; Kwok, CP; Lam, SSM; Wong, CY; Wong, KY; Pang, HH

Published Date

  • October 2017

Published In

Volume / Issue

  • 32 / 5

Start / End Page

  • 455 - 464

PubMed ID

  • 28931164

Pubmed Central ID

  • 28931164

Electronic International Standard Serial Number (EISSN)

  • 1465-3648

International Standard Serial Number (ISSN)

  • 0268-1153

Digital Object Identifier (DOI)

  • 10.1093/her/cyx053

Language

  • eng