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QUESTION: In people ≥75 years of age, what is the effectiveness of 2 services (a home based health check combined with influenza vaccination and a personal letter of invitation to attend an influenza vaccination clinic) for maximising uptake of influenza vaccination?
Design
Randomised (unclear allocation concealment), blinded {data collectors}*, controlled trial with follow up of approximately 14 weeks.
Setting
A primary care practice in Melton Mowbray, Leicestershire, UK.
Patients
2052 adults ≥75 years of age (median age 79 y, 61% women) who were registered at a primary care practice. Adults living in residential care, nursing homes, or sheltered accommodation were excluded. Follow up was 100%.
Intervention
680 patients were allocated to an offer for a health check (including assessment of physical and mental health) given by a practice nurse in the patient’s home combined with an offer for influenza vaccination (health check group). 1372 patients were allocated to receive a personalletter of invitation to attend an influenza vaccination clinic (personal letter group). The letter stressed the importance of vaccination and reassured patients that there were few vaccination …
Footnotes
↵* Information provided by author.
For correspondence: Dr A J Arthur, School of Nursing, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.tony.arthur{at}nottingham.ac.uk
Source of funding: Melton, Rutland, and Harborough Primary Care Group and Leicestershire Health.