Evid Based Nurs 6:52 doi:10.1136/ebn.6.2.52
  • Treatment

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

 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?


Randomised (unclear allocation concealment), blinded {data collectors}*, controlled trial with follow up of approximately 14 weeks.


A primary care practice in Melton Mowbray, Leicestershire, UK.


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%.


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 associated adverse effects.

Main outcome measures

Proportion of patients receiving the influenza vaccination.

Main results

Analysis was by intention to treat. Among the 680 patients in the health check group, 468 (69%) actually received the health …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article