Increasing Influenza and Pneumococcal Vaccination Uptake in Seniors Using Point-of-Care Informational Interventions in Primary Care in Singapore: A Pragmatic, Cluster-Randomized Crossover Trial. Ho, H. J., Tan, Y., Cook, A. R., Koh, G., Tham, T. Y., Anwar, E., Hui Chiang, G. S., Lwin, M. O., & Chen, M. I. American Journal of Public Health, 109(12):1776–1783, 2019. ![Increasing Influenza and Pneumococcal Vaccination Uptake in Seniors Using Point-of-Care Informational Interventions in Primary Care in Singapore: A Pragmatic, Cluster-Randomized Crossover Trial [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Objectives. To evaluate the effectiveness of point-of-care informational interventions in general practitioner clinics to improve influenza and pneumococcal vaccination uptake among elderly patients. Methods. We conducted a pragmatic, cluster-randomized crossover trial in 22 private general practitioner clinics in Singapore, from November 2017 to July 2018. We included all patients aged 65 years or older. Clinics were assigned to a 3-month intervention (flyers and posters encouraging vaccination) plus 1-month washout period, and a 4-month control period (usual care). Primary outcomes were differences in vaccination uptake rates between periods. Secondary outcomes were identification of other factors associated with vaccination uptake. Results. A total of 4378 and 4459 patients were included in the intervention and control periods, respectively. Both influenza (5.9% vs 4.8%; P =.047) and pneumococcal (5.7% vs 3.7%; P =.001) vaccination uptake rates were higher during the intervention period compared with the control period. On multilevel logistic regression analysis, follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 was associated with uptake of both vaccines. Conclusions. Point-of-care informational interventions likely contributed to increased influenza and pneumococcal vaccination uptake. Patients on follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 were more likely to receive influenza and pneumococcal vaccination and should be actively engaged by physicians. Trial Registration. ClinicalTrials.gov Identifier: NCT03445117.
@article{ho_increasing_2019,
title = {Increasing {Influenza} and {Pneumococcal} {Vaccination} {Uptake} in {Seniors} {Using} {Point}-of-{Care} {Informational} {Interventions} in {Primary} {Care} in {Singapore}: {A} {Pragmatic}, {Cluster}-{Randomized} {Crossover} {Trial}},
volume = {109},
issn = {0090-0036},
url = {http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139529086&site=ehost-live},
doi = {10.2105/AJPH.2019.305328},
abstract = {Objectives. To evaluate the effectiveness of point-of-care informational interventions in general practitioner clinics to improve influenza and pneumococcal vaccination uptake among elderly patients. Methods. We conducted a pragmatic, cluster-randomized crossover trial in 22 private general practitioner clinics in Singapore, from November 2017 to July 2018. We included all patients aged 65 years or older. Clinics were assigned to a 3-month intervention (flyers and posters encouraging vaccination) plus 1-month washout period, and a 4-month control period (usual care). Primary outcomes were differences in vaccination uptake rates between periods. Secondary outcomes were identification of other factors associated with vaccination uptake. Results. A total of 4378 and 4459 patients were included in the intervention and control periods, respectively. Both influenza (5.9\% vs 4.8\%; P =.047) and pneumococcal (5.7\% vs 3.7\%; P =.001) vaccination uptake rates were higher during the intervention period compared with the control period. On multilevel logistic regression analysis, follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 was associated with uptake of both vaccines. Conclusions. Point-of-care informational interventions likely contributed to increased influenza and pneumococcal vaccination uptake. Patients on follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 were more likely to receive influenza and pneumococcal vaccination and should be actively engaged by physicians. Trial Registration. ClinicalTrials.gov Identifier: NCT03445117.},
number = {12},
journal = {American Journal of Public Health},
author = {Ho, Hanley J. and Tan, Yi-Roe and Cook, Alex R. and Koh, Gerald and Tham, Tat Yean and Anwar, Eve and Hui Chiang, Grace Shu and Lwin, May O. and Chen, Mark I.},
year = {2019},
keywords = {After Care, Aged, Attitude to Vaccines -- Evaluation, Comorbidity -- Evaluation, Funding Source, Human, Influenza Vaccine -- In Old Age, Logistic Regression, Outcome Assessment, Patient Education, Physicians, Family, Pneumococcal Vaccine -- In Old Age, Point-of-Care Testing, Primary Health Care -- Singapore, Professional Role, Randomized Controlled Trials, Singapore, Vaccination Coverage -- Statistics and Numerical Data},
pages = {1776--1783},
}
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To evaluate the effectiveness of point-of-care informational interventions in general practitioner clinics to improve influenza and pneumococcal vaccination uptake among elderly patients. Methods. We conducted a pragmatic, cluster-randomized crossover trial in 22 private general practitioner clinics in Singapore, from November 2017 to July 2018. We included all patients aged 65 years or older. Clinics were assigned to a 3-month intervention (flyers and posters encouraging vaccination) plus 1-month washout period, and a 4-month control period (usual care). Primary outcomes were differences in vaccination uptake rates between periods. Secondary outcomes were identification of other factors associated with vaccination uptake. Results. A total of 4378 and 4459 patients were included in the intervention and control periods, respectively. Both influenza (5.9% vs 4.8%; P =.047) and pneumococcal (5.7% vs 3.7%; P =.001) vaccination uptake rates were higher during the intervention period compared with the control period. On multilevel logistic regression analysis, follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 was associated with uptake of both vaccines. Conclusions. Point-of-care informational interventions likely contributed to increased influenza and pneumococcal vaccination uptake. Patients on follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 were more likely to receive influenza and pneumococcal vaccination and should be actively engaged by physicians. Trial Registration. ClinicalTrials.gov Identifier: NCT03445117.","number":"12","journal":"American Journal of Public Health","author":[{"propositions":[],"lastnames":["Ho"],"firstnames":["Hanley","J."],"suffixes":[]},{"propositions":[],"lastnames":["Tan"],"firstnames":["Yi-Roe"],"suffixes":[]},{"propositions":[],"lastnames":["Cook"],"firstnames":["Alex","R."],"suffixes":[]},{"propositions":[],"lastnames":["Koh"],"firstnames":["Gerald"],"suffixes":[]},{"propositions":[],"lastnames":["Tham"],"firstnames":["Tat","Yean"],"suffixes":[]},{"propositions":[],"lastnames":["Anwar"],"firstnames":["Eve"],"suffixes":[]},{"propositions":[],"lastnames":["Hui","Chiang"],"firstnames":["Grace","Shu"],"suffixes":[]},{"propositions":[],"lastnames":["Lwin"],"firstnames":["May","O."],"suffixes":[]},{"propositions":[],"lastnames":["Chen"],"firstnames":["Mark","I."],"suffixes":[]}],"year":"2019","keywords":"After Care, Aged, Attitude to Vaccines – Evaluation, Comorbidity – Evaluation, Funding Source, Human, Influenza Vaccine – In Old Age, Logistic Regression, Outcome Assessment, Patient Education, Physicians, Family, Pneumococcal Vaccine – In Old Age, Point-of-Care Testing, Primary Health Care – Singapore, Professional Role, Randomized Controlled Trials, Singapore, Vaccination Coverage – Statistics and Numerical Data","pages":"1776–1783","bibtex":"@article{ho_increasing_2019,\n\ttitle = {Increasing {Influenza} and {Pneumococcal} {Vaccination} {Uptake} in {Seniors} {Using} {Point}-of-{Care} {Informational} {Interventions} in {Primary} {Care} in {Singapore}: {A} {Pragmatic}, {Cluster}-{Randomized} {Crossover} {Trial}},\n\tvolume = {109},\n\tissn = {0090-0036},\n\turl = {http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139529086&site=ehost-live},\n\tdoi = {10.2105/AJPH.2019.305328},\n\tabstract = {Objectives. To evaluate the effectiveness of point-of-care informational interventions in general practitioner clinics to improve influenza and pneumococcal vaccination uptake among elderly patients. Methods. We conducted a pragmatic, cluster-randomized crossover trial in 22 private general practitioner clinics in Singapore, from November 2017 to July 2018. We included all patients aged 65 years or older. Clinics were assigned to a 3-month intervention (flyers and posters encouraging vaccination) plus 1-month washout period, and a 4-month control period (usual care). Primary outcomes were differences in vaccination uptake rates between periods. Secondary outcomes were identification of other factors associated with vaccination uptake. Results. A total of 4378 and 4459 patients were included in the intervention and control periods, respectively. Both influenza (5.9\\% vs 4.8\\%; P =.047) and pneumococcal (5.7\\% vs 3.7\\%; P =.001) vaccination uptake rates were higher during the intervention period compared with the control period. On multilevel logistic regression analysis, follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 was associated with uptake of both vaccines. Conclusions. Point-of-care informational interventions likely contributed to increased influenza and pneumococcal vaccination uptake. Patients on follow-up for hypertension, diabetes mellitus, hyperlipidemia, or any combination of the 3 were more likely to receive influenza and pneumococcal vaccination and should be actively engaged by physicians. Trial Registration. ClinicalTrials.gov Identifier: NCT03445117.},\n\tnumber = {12},\n\tjournal = {American Journal of Public Health},\n\tauthor = {Ho, Hanley J. and Tan, Yi-Roe and Cook, Alex R. and Koh, Gerald and Tham, Tat Yean and Anwar, Eve and Hui Chiang, Grace Shu and Lwin, May O. and Chen, Mark I.},\n\tyear = {2019},\n\tkeywords = {After Care, Aged, Attitude to Vaccines -- Evaluation, Comorbidity -- Evaluation, Funding Source, Human, Influenza Vaccine -- In Old Age, Logistic Regression, Outcome Assessment, Patient Education, Physicians, Family, Pneumococcal Vaccine -- In Old Age, Point-of-Care Testing, Primary Health Care -- Singapore, Professional Role, Randomized Controlled Trials, Singapore, Vaccination Coverage -- Statistics and Numerical Data},\n\tpages = {1776--1783},\n}\n\n","author_short":["Ho, H. J.","Tan, Y.","Cook, A. R.","Koh, G.","Tham, T. Y.","Anwar, E.","Hui Chiang, G. S.","Lwin, M. O.","Chen, M. 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