• Pengchao Li, Khezar Hayat, Minghuan Jiang, Zhaojing Pu, Xuelin Yao, Yamin Zou, Krizzia Lambojon, Yifan Huang, Jinghua Hua, Hanri Xiao, Fulei Du, Li Shi, Panpan Zhai, Wenjing Ji, Zhitong Feng, Yilin Gong, and Yu Fang.
• Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi'an Jiaotong University, Xi'an, 710061, China.
• Bmc Public Health. 2021 Jan 27; 21 (1): 222.

BackgroundInfluenza is a global health threat to older adults, and the influenza vaccine is the most effective approach to prevent influenza infection. However, influenza vaccination coverage among Chinese older adults is far less than in developed countries such as the United States (4.0% vs. 64.9%). This study aims to increase influenza vaccination coverage in Chinese adults ≥60 years using a video-led educational intervention conducted by medical students.MethodsA cluster randomized controlled trial will be conducted in 4 districts of Xi'an city, Shaanxi Province, China, using a stratified sampling approach. Adults aged ≥60 years will be recruited from 8 community hospitals. A self-administered questionnaire of knowledge, attitudes, and practices (KAP) will be employed to record the KAP score. During the 6-month interventional period, participants in the intervention group will receive educational videos focused on influenza and influenza vaccination, coupled with a group discussion conducted by the medical students. For those in the control group, no intervention will be provided. The outcomes measured in both groups will be the influenza vaccination coverage and the KAP scores of all participants.DiscussionMedical students are more likely to educate older adults about scientific knowledge of influenza and its vaccine compared to clinical practitioners, who, most of the time, remain over-occupied due to the extensive workload. Video-led counseling and education could be a useful option to optimize older adults' understanding of influenza and influenza vaccination. This eventually could improve the uptake of influenza vaccine among Chinese older adults.Trial RegistrationChinese Clinical Trial Registry; ChiCTR2000034330 ; Registered 3rd July 2019.

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