Evidence map›Paper›PMID 19092551›Full record

Trial reportNursing research

Effects of a nurse-managed program on hepatitis A and B vaccine completion among homeless adults.

Adeline Nyamathi, Yihang Liu, Mary Marfisee, Steven Shoptaw, Paul Gregerson, Sammy Saab, Barbara Leake, Darlene Tyler, Lillian Gelberg

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

35 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  9. Retention of Homeless Smokers in the Power to Quit Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Adeline NyamathiSchool of Nursing, University of California Los Angeles, Los Angeles, CA 90095-1702, USA. anyamath@sonnet.ucla.edu
Yihang Liu
Mary Marfisee
Steven Shoptaw
Paul Gregerson
Sammy Saab
Barbara Leake
Darlene Tyler
Lillian Gelberg

Funding

HBV Prevention for Homeless At-Risk for HBV/HCV/HIVR01DA016147 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NYAMATHI, ADELINE M · 2003 to 2013
$6.7M
Vulnerable Populations/Health Disparities ResearchT32NR007077 · NINR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HODGE, FELICIA SCHANCHE · 1994 to 2016
$2.9M
NIDA NIH HHS DA016147NIDA NIH HHS R01 DA016147NINR NIH HHS T32 NR007077
6 · The paper itself

Abstract

backgroundHepatitis B virus (HBV) infection constitutes a major health problem for homeless persons. Ability to complete an HBV vaccination series is complicated by the need to prioritize competing needs, such as addiction issues, safe places to sleep, and food, over health concerns.

objectivesThe objectives of this study were to evaluate the effectiveness of a nurse-case-managed intervention compared with that of two standard programs on completion of the combined hepatitis A virus (HAV) and HBV vaccine series among homeless adults and to assess sociodemographic factors and risk behaviors related to the vaccine completion.

methodsA randomized, three-group, prospective, quasi-experimental design was conducted with 865 homeless adults residing in homeless shelters, drug rehabilitation sites, and outdoor areas in the Skid Row area of Los Angeles. The programs included (a) nurse-case-managed sessions plus targeted hepatitis education, incentives, and tracking (NCMIT); (b) standard targeted hepatitis education plus incentives and tracking (SIT); and (c) standard targeted hepatitis education and incentives only (SI).

resultsSixty-eight percent of the NCMIT participants completed the three-series vaccine at 6 months, compared with 61% of SIT participants and 54% of SI participants. NCMIT participants had almost 2 times greater odds of completing vaccination than those of participants in the SI program. Completers were more likely to be older, to be female, to report fair or poor health, and not to have participated in a self-help drug treatment program. Newly homeless White adults were significantly less likely than were African Americans to complete the vaccine series. DISCUSSION: The use of vaccination programs incorporating nurse case management and tracking is critical in supporting adherence to completion of a 6-month HAV/HBV vaccine. The finding that White homeless persons were the least likely to complete the vaccine series suggests that programs tailored to address their unique cultural issues are needed.

Indexed as

Ill-Housed PersonsPatient Acceptance of Health CareVaccinationAdultCase ManagementContact TracingFemaleHepatitis AHepatitis A VaccinesHepatitis BHepatitis B VaccinesHumansLogistic ModelsLos AngelesMaleMiddle AgedHepatitis A VaccinesHepatitis B VaccinestwinrixVaccines, Combined

Identifiers

PMID19092551
PMCPMC3076026

What OpenQuestion holds

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Registered trials

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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.