Evidence map›Paper›PMID 12236274›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2002

Improving uptake of influenza vaccination among older people: a randomised controlled trial.

Antony J Arthur, Ruth J Matthews, Carol Jagger, Michael Clarke, Alison Hipkin, Dean P Bennison

Open access · greenAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 6 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  4. Patient reminder and recall interventions to improve immunization rates.The Cochrane database of systematic reviews · 2018
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  17. Managing alleged performance problems--are we ready?The British journal of general practice : the journal of the Royal College of General Practitioners · 2002
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Antony J ArthurSchool of Nursing, Faculty of Medicine and Health Sciences, University of Nottingham. tony.arthur@nottingham.ac.uk
Ruth J Matthews
Carol Jagger
Michael Clarke
Alison Hipkin
Dean P Bennison
University of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe uptake of influenza vaccination among older people is suboptimal. Contact with a doctor or nurse is associated with older people deciding to accept influenza vaccination.

aimTo compare different forms of approach in improving uptake of influenza vaccination among patients aged 75 years and over in primary care. DESIGN OF STUDY: Randomised controlled trial.

settingOne large rural general practice serving the town and surrounding area of Melton Mowbray, Leicestershire.

methodAll 2,052 patients aged 75 years and over, registered with the practice and not living in nursing/residential homes or sheltered accommodation, were included in the study. One-third of patients were randomised to receive an offer of influenza vaccination as part of an over-75 health check administered by a practice nurse in the patient's home, and two-thirds of patients were randomised to receive a personal letter of invitation to attend an influenza vaccination clinic held at the surgery. The main outcome measure was uptake of influenza vaccination.

resultsSix hundred and eighty patients were randomised to the health check arm of the trial and 1,372 were randomised to receive a personal letter. Of those randomised to the health check arm, 468 received the health check from the nurse. Overall, the difference in influenza vaccination uptake was 6.4% (95% confidence interval [CI] = 2.2% to 10.4%) with 67.9% (n = 932) of those who were sent a personal letter actually receiving the vaccine, compared with 74.3% (n = 505) of those offered a combined health check and influenza vaccination (P = 0.003).

conclusionCombining home-based over- 75 health checks with influenza vaccination can improve uptake among older patients. However this intervention is likely to be costly and its effect on influenza vaccination rates is modest. The difference in uptake is greater among those who do not routinely comeforwardfor vaccination and a more viable option may be to target these patients.

Indexed as

AgedEnglandFemaleHealth PromotionHome Care ServicesHumansInfluenza, HumanInfluenza VaccinesMalePatient Acceptance of Health CareRural HealthVaccinationInfluenza Vaccines

Identifiers

PMID12236274
PMCPMC1314411
OpenAlexW145543895

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.