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  • A home based health check combined with influenza vaccination improved uptake of influenza vaccination in people ≥75 years of age

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A home based health check combined with influenza vaccination improved uptake of influenza vaccination in people ≥75 years of age

https://doi.org/10.1136/ebn.6.2.52

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    Arthur AJ, Matthews RJ, Jagger C, et al. Improving uptake of influenza vaccination among older people: a randomised controlled trial.Br J Gen Pract2002 ;52:717–22OpenUrlAbstract/FREE Full Text

    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 …

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