Evidence map›Paper›PMID 25936726›Full record

SynthesisVaccine2015

Promoting influenza vaccination: insights from a qualitative meta-analysis of 14 years of influenza-related communications research by U.S. Centers for Disease Control and Prevention (CDC).

Glen J Nowak, Kristine Sheedy, Kelli Bursey, Teresa M Smith, Michelle Basket

Registry-linked trialAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04706403 (If We Build It, Will They Come? A Pilot Study to Develop and Test Messages to Maximize Uptake of Coronavirus Vaccine When Available), which is not on this map. Cited by 90 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 3 pooled it
8.3field-weighted citation impact, top 2% 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.

NCT04706403 nacompletednot on this mapstarted 2021, after this paper: background citation

If We Build It, Will They Come? A Pilot Study to Develop and Test Messages to Maximize Uptake of Coronavirus Vaccine When Available

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2021 to 2021Enrolled756ConditionsCovid19ArmsCommunication from a physician about the COVID-19 Vaccine
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 3 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Perceptions About Influenza and COVID-19 Vaccines Among People With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Article
  13. Article
  14. Article
  15. Does influenza vaccination contribute to the prevention of cardiovascular events? An umbrella review.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Journal of health communication · 2025
    Article

30 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 1 country.

Glen J NowakCenter for Health and Risk Communication, Grady College of Journalism and Mass Communication, University of Georgia, 120 Hooper St, Athens, GA 30602, USA. Electronic address: gnowak@uga.edu.
Kristine SheedyCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Disease, 1600 Clifton Road, MS X-AA, Atlanta, GA 30333, USA.
Kelli BurseyOakridge Institute for Science and Education, PO Box 117, MS-10, Oak Ridge, TN 37831, USA.
Teresa M SmithCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Disease, 1600 Clifton Road, MS X-AA, Atlanta, GA 30333, USA.
Michelle BasketCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Disease, 1600 Clifton Road, MS X-AA, Atlanta, GA 30333, USA.
National Center for Immunization and Respiratory Diseases · USCenters for Disease Control and Prevention · USGrady Memorial Hospital · USOak Ridge Institute for Science and Education

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionA primary mission of the U.S. Centers for Disease Control and Prevention's (CDC) is promoting immunization against seasonal influenza. As with most education efforts, CDC's influenza-related communications are often informed by formative research.

methodsA qualitative meta-analysis of 29 unpublished, primarily qualitative CDC-sponsored studies related to flu and flu vaccination knowledge, attitudes and beliefs (KABs). The studies, undertaken between 2000 and 2013, involved focus groups, in-depth interviews, message testing and surveys. Some involved health care professionals, while others involved members of the public, including sub-populations at risk for severe illness.

findingsThe themes that emerged suggested progress in terms of KABs related to influenza and influenza vaccination, but also the persistence of many barriers to vaccine acceptance. With respect to the public, recurring themes included limited understanding of influenza and immunization recommendations, indications of greater sub-group recognition of the value of flu vaccination, continued resistance to vaccination among many, and overestimation of the effectiveness of non-vaccine measures. Seven cognitive facilitators of vaccination were identified in the studies along with six cognitive barriers. For health care providers, the analysis suggests greater knowledge and more favorable beliefs, but many misperceptions persist and are similar to those held by the public. KABs often differed by type or category of health care provider.

conclusionsThe themes identified in this qualitative analysis illustrate the difficulty in changing KABs related to influenza and influenza vaccine, particularly on the scope and scale needed to greatly improve uptake. Even with an influenza pandemic and more vaccine options available, public and some health care provider perceptions and beliefs are difficult and slow to change. This meta-analysis does, however, provide important insights from previously unpublished information that can help those who are promoting influenza vaccination to health care providers, the general public and specific populations within the general population.

Indexed as

Centers for Disease Control and Prevention, U.S.CommunicationHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesMaleMiddle AgedPatient Acceptance of Health CareTime FactorsUnited StatesVaccinationInfluenza VaccinesCommunication researchHealth communicationInfluenzaInfluenza knowledge, Attitudes and beliefs (KABs)Influenza vaccinationVaccine promotion

Identifiers

PMID25936726
PMCPMC5856146
OpenAlexW2051688746

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.