OBJECTIVES: Prior research has shown that older African Americans are at particularly high risk for decreased trust in the healthcare system due to historical incidence of racism, prejudice, and discriminatory practices.  The primary objective of this study was to assess the effect of the Pharmacists’ Pneumonia Prevention Program (PPPP) on older adults’ beliefs about pneumonia vaccination (PV). METHODS: PPPP was delivered at Philadelphia senior centers and other community-based venues eight times in 2014, and consisted of: 1) formal presentation, 2) live skit, 3) small group action planning, and 4) optional PV. First, pharmacists delivered a 30-minute formal presentation on pneumococcal disease.  Community senior center actors then performed a culturally-sensitive skit highlighting the value of vaccination.  Next, participants met with a pharmacist in small group action planning sessions, then were offered a voluntary, no cost PV.  A belief instrument consisting of 5 Likert items ( 1=completely agree, 4= completely disagree) was constructed using the results of a pilot survey and literature.  The instrument was administered at baseline, post-test, and 3 months and assessed participants’ beliefs in the following domains:  pharmacists as immunizers, physicians as immunizers, PV, and pneumonia awareness and importance.  Primary study outcomes were changes in mean belief responses (baseline vs. post-test).  Paired sample t-tests were used to measure changes in mean belief scores.  RESULTS: