Context Pneumococcal immunization rates for elderly and high-risk patients are only one third to one half the target rate of 60% established by the US Public Health Service.
Limited or marginal literacy, which affects nearly 100 million Americans, especially the elderly, may contribute to these low rates of immunization.
Objective To determine whether the use of a simple, low-literacy educational tool enhances patient-physician dialogue about pneumococcal vaccination and increases rates of immunization.
Design A randomized controlled trial conducted between May and June of 1998.
Setting Ambulatory care clinic of a 900-bed public teaching hospital serving a predominantly indigent, low-literate, African American, inner-city population.
Participants Of 433 patients who presented for routine primary care, had vaccine indications (age >=65 years or chronic disease), and had not been previously vaccinated, 221 were randomly assigned to the intervention group and 212 to the control group.
Of the total patient population (mean age, 63 years), 280 (64.7%) had less than a high school education, 401 (92.6%) were African American, and 300 (69.3%) were female.
Intervention One-page, low-literacy (below fifth-grade level) educational handout encouraging patients to « ask your doctor about the pneumonia shot » vs a control group (1-page, low-literacy educational handout conveying information about nutrition). (...)
Mots-clés Pascal : Vaccination, Streptococcus pneumoniae, Streptococcaceae, Micrococcales, Bactérie, Taux, Immunisation, Education santé, Lecture, Communication information, Evaluation, Personne âgée, Homme, Etude comparative
Mots-clés Pascal anglais : Vaccination, Streptococcus pneumoniae, Streptococcaceae, Micrococcales, Bacteria, Rate, Immunization, Health education, Reading, Information communication, Evaluation, Elderly, Human, Comparative study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0449983
Code Inist : 002B30A03B. Création : 22/03/2000.