• Sophia S C Chan, Doris Y P Leung, Angela Y M Leung, Cindy Lam, Ivan Hung, Daniel Chu, Chi Kuen Chan, Janice Johnston, Shao Haei Liu, Raymond Liang, Tai Hing Lam, and Kwok Yung Yuen.
• 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.
• Int J Nurs Stud. 2015 Jan 1;52(1):317-24.

BackgroundThe 23-valent pneumococcal polysaccharide vaccine is recommended for elders, especially those with chronic conditions.ObjectiveThe 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.MethodsA 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.ResultsThe 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).DiscussionA nurse-delivered brief health education intervention was effective in increasing uptake of pneumococcal vaccination among older patients with chronic diseases.Copyright © 2014 Elsevier Ltd. All rights reserved.

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