Educational content and the effectiveness of influenza vaccination reminders.

Journal Article (Clinical Trial;Journal Article)


To determine if a mailed patient education brochure (addressing demonstrated reasons for vaccination refusal) would result in a higher rate of influenza vaccination than a mailed postcard reminder without educational content.


Randomized, controlled trial.


Urban, predominantly African-American, low-income community.


There were 740 community-dwelling individuals aged 65 years and older in the study.


Receipt of influenza vaccination and beliefs about influenza and influenza vaccination were measured by telephone survey self-report.

Main results

We successfully contacted 202 individuals (69.9%) who received the postcard reminder and 229 individuals (71.1%) who received the educational brochure. People receiving the educational brochure were more likely to report influenza vaccination during the previous vaccination season than those who received the postcard reminder (66.4% vs 56.9%, p =.04). They also reported more interest in influenza vaccination in the coming year. (66.5% vs 57.1%, p =.05).


A mailed educational brochure is more effective than a simple reminder in increasing influenza vaccination rates among inner-city, elderly patients.

Full Text

Duke Authors

Cited Authors

  • Armstrong, K; Berlin, M; Schwartz, JS; Propert, K; Ubel, PA

Published Date

  • November 1999

Published In

Volume / Issue

  • 14 / 11

Start / End Page

  • 695 - 698

PubMed ID

  • 10571718

Pubmed Central ID

  • PMC1496760

Electronic International Standard Serial Number (EISSN)

  • 1525-1497

International Standard Serial Number (ISSN)

  • 0884-8734

Digital Object Identifier (DOI)

  • 10.1046/j.1525-1497.1999.11098.x


  • eng