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

Leung, Ka Chun; Mui, Carlo; Chiu, Wing Yan; Ng, Yuk Yiu; Chen, Matthew H. Y.; Ho, Pui Hung; Kwok, Chun Pong; Lam, Suki S. M.; Wong, Chun Yip; Wong, Kit Y; Pang, Herbert

doi:10.1093/her/cyx053

Cited by 28 publications

(29 citation statements)

References 18 publications

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“…15 Study done in Hong Kong by Ka Chun Leung et al demonstrated an increase of 8.6% in uptake of vaccination following a 3 minutes one-on-one verbal health education. 16 One of the limitations of institution-based study such as ours is lack of generalizability to other institutions and areas of the country. The sample size was also small which may yield skewed results.…”

Section: Discussionmentioning

confidence: 86%

Rate of influenza vaccination among patients of rheumatoid arthritis receiving immunosuppressive drugs in Islamabad.

Naseem

Zahoor

Choudhary

et al. 2020

TPMJ

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Objectives: Patients of rheumatoid arthritis (RA) receiving immunosuppressive drugs have an increased risk of infections such as influenza and are more likely to develop serious complications. WHO and other leading international health organizations recommend influenza vaccination as the most effective preventive strategy in these patients. The aim of our study was to assess the rates of influenza vaccinations in patients of rheumatoid arthritis receiving immunosuppressive drugs in a tertiary care hospital in Islamabad. Study Design: Cross-sectional study. Setting: Medical outpatient unit of the HBS General Hospital, Islamabad. Period: From October 2018 to January 2019. Material & Methods: Included 108 patients of rheumatoid arthritis selected through nonprobability purposive sampling and Patients with at least one year history of Rheumatoid arthritis currently receiving immunosuppressive therapy were included in the study. Socio-demographic details and vaccination history was collected on a pre-designed performa. Data was analyzed using SPSS version 23. Chi square test was applied to ascertain association. Results: Out of the total 108 patients, 80 were females and 28 were males. Average duration of RA among the study sample was 4.6 years. 34% of the patients reported having co-morbid medical condition(s). Only 3% of the patients had received influenza vaccination. 22% of the patients reported severe influenza infection during the preceding season. Lack of awareness about the importance of vaccination was the main reason for low vaccination rate. Conclusion: The rates of influenza vaccination in patients of rheumatoid arthritis receiving immunosuppressive drugs are extremely low in Islamabad. There is an urgent need to raise awareness on this issue among the patients as well as physicians.

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Section: Discussionmentioning

confidence: 86%

Rate of influenza vaccination among patients of rheumatoid arthritis receiving immunosuppressive drugs in Islamabad.

Naseem

Zahoor

Choudhary

et al. 2020

TPMJ

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“…Although provaccine educational materials have been previously studied, researchers have primarily assessed parental vaccine hesitancy and intent to vaccinate, 18,19,28,29 have used a different time line or mode of delivery (eg, text-message reminder), 29 or have focused on adolescent-only, adult, or pregnant women populations. [30][31][32][33][34] This study is 1 of the first studies in which an experimental design is used to evaluate the effect of an intervention with educational handouts in the clinic setting on child influenza vaccine receipt. We found that a brief educational intervention for caregivers before seeing a health care provider may have lasting effects by helping to increase pediatric vaccine uptake by the end of the season, and we found that an educational handout that is based on national data may improve influenza vaccination rates on the clinic visit day.…”

Section: Discussionmentioning

confidence: 99%

Office-Based Educational Handout for Influenza Vaccination: A Randomized Controlled Trial

et al. 2019

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OBJECTIVES: To assess the impact of a parent educational intervention about influenza disease on child vaccine receipt. METHODS: A convenience sample of parents of children $6 months old with a visit at 2 New York City pediatric clinics between August 2016 and March 2017 were randomly assigned (1:1:1) to receive either usual care, an educational handout about influenza disease that was based on local data, or an educational handout about influenza disease that was based on national data. Parents received the handout in the waiting room before their visit. Primary outcomes were child influenza vaccine receipt on the day of the clinic visit and by the end of the season. A multivariable logistic regression was used to assess associations between intervention and vaccination, with adjustment for variables that were significantly different between arms. RESULTS: Parents who received an intervention (versus usual care) had greater odds of child influenza vaccine receipt by the end of the season (74.9% vs 65.4%; adjusted odds ratio 1.68; 95% confidence interval: 1.06-2.67) but not on the day of the clinic visit. Parents who received the national data handout (versus usual care) had greater odds of child influenza vaccine receipt on the day of the clinic visit (59.0% vs 52.6%; adjusted odds ratio 1.79; 95% confidence interval: 1.04-3.08) but not by the end of the season. CONCLUSIONS: Providing an educational intervention in the waiting room before a pediatric provider visit may help increase child influenza vaccine receipt.

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“…The study designs are divided into 34 cross-sectional studies of which 13 studies were developed by means of a secondary analysis of already existing data [11, 12, 14, 15, 19-21, 28-30, 38, 39, 41] and two cross-sectional studies following a qualitative study design [26,32], four randomized controlled trials [43][44][45][46], two systematic reviews [47,48], two cohort studies [49,50] and two theoretical reviews [51,52].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The number of participants older than 65 years of study samples ranges from 11% to 100% of all initially included study participants (n= 19.604.711) from across the globe in countries from four continents and in following care settings: Community-dwelling or non-institutionalized citizens [9, 15, 21, 23, 27-31, 33, 36, 39, 42, 48, 50], nursing homes [12,38], combined settings [32,37], outpatient clinics [44], hospitals [18,22], primary care centres/clinics or practices [24,26,43,45], home-based primary care settings [10] and data bases such as the Medicare registry, national vaccine industry or settings of health services/insurance authorities [13,40,46]. In 12 studies, details about the care setting of the participants were not indicated [11,14,16,17,19,20,25,34,35,41,47,49].…”

Section: Study Characteristicsmentioning

confidence: 99%

The role of health determinants in the influenza vaccination uptake among older adults (65+): a scope review

Roller‐Wirnsberger

Lindner

Kolosovski

et al. 2020

Preprint

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Background: Although the burden of influenza infection is the highest in older adults, vaccination coverage remains low, despite this age group being more vulnerable than others. Aims: Given the current pandemic of SARS-CoV-2, it was the aim of this scope review to update knowledge on factors affecting seasonal influenza vaccine uptake among older adults in order to strengthen prevention approaches in the context of an overall burden of infectious diseases.Methods: We searched bibliographic databases from 2012 to 2019. All studies reviewed one or more social determinant of health listed by WHO, or factors affecting the decision-making process whether to accept influenza vaccine or not.Results: Overall, 44 studies were included, 41 determinants were extracted and summarized into six categories. Older age and constitutional factors including multiple chronic diseases as well as preventive lifestyle and frequent routine healthcare utilization positively affected vaccination uptake (VU). Living and working conditions are also researched determinants of influenza vaccine uptake. A small number of studies explored the role of social inclusion and system-based interventions. Discussion and Conclusions: This scope review provides a comprehensive overview on factors affecting seasonal influenza vaccination uptake among older citizens. The review also clearly shows gaps for evidence on system-based level or political strategies to improve vaccination uptake.

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

Cited by 28 publications

References 18 publications

Rate of influenza vaccination among patients of rheumatoid arthritis receiving immunosuppressive drugs in Islamabad.

Rate of influenza vaccination among patients of rheumatoid arthritis receiving immunosuppressive drugs in Islamabad.

Office-Based Educational Handout for Influenza Vaccination: A Randomized Controlled Trial

The role of health determinants in the influenza vaccination uptake among older adults (65+): a scope review

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