Evidence map›Paper›PMID 30648228›Full record

SynthesisClinical rheumatology2019

Interventions to improve vaccine acceptance among rheumatoid arthritis patients: a systematic review.

Vincent Gosselin Boucher, Ines Colmegna, Claudia Gemme, Sara Labbe, Sandra Pelaez, Kim L Lavoie

Erratum issuedOpen access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Vincent Gosselin BoucherDepartment of Psychology, University of Quebec at Montreal (UQAM), CP 8888, Sucursale Centre-Ville, Montreal, Quebec, H3C 3P8, Canada.
Ines ColmegnaDepartment of Medicine, Division of Rheumatology, McGill University, Montreal, Canada.
Claudia GemmeDepartment of Psychology, University of Quebec at Montreal (UQAM), CP 8888, Sucursale Centre-Ville, Montreal, Quebec, H3C 3P8, Canada.
Sara LabbeDepartment of Psychology, University of Quebec at Montreal (UQAM), CP 8888, Sucursale Centre-Ville, Montreal, Quebec, H3C 3P8, Canada.
Sandra PelaezDepartment of Educational and Counselling Psychology, McGill University, Montreal, Canada.
Kim L LavoieDepartment of Psychology, University of Quebec at Montreal (UQAM), CP 8888, Sucursale Centre-Ville, Montreal, Quebec, H3C 3P8, Canada. kiml_lavoie@yahoo.ca.
McGill University · CAUniversité du Québec à Montréal · CACentre Intégré Universitaire de Santé et de Services Sociaux du Saguenay–Lac-Saint-Jean · CAHôpital du Sacré-Cœur de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectiveNational guidelines emphasize the importance of annual immunization for patients living with rheumatoid arthritis (RA), but vaccination rates remain suboptimal in this population. Evaluating the efficacy of patient and/or provider-targeted interventions to improve vaccination uptake among RA patients could inform practice.

methodsWe conducted a systematic review (SR) to examine the efficacy of interventions (exposure) aiming to improve vaccination uptake in patients with RA (outcome). English and French language, peer-reviewed interventional studies to improve vaccination rates in RA patients published between 2009 and 2018 were included.

resultsThe search yielded a total of 450 records. Five articles met inclusion criteria. All interventions focused on changing provider behavior using some form of vaccination reminder as the primary intervention strategy, though only two studies reported provider prescribing behavior as an outcome (which was 4% and 58%). Overall, studies varied greatly regarding intervention delivery mode (e.g., educational sessions, e-mail reminders, best practice alerts), and behavior change techniques used to encourage providers to prescribe vaccination (e.g., feedback and monitoring, shaping knowledge, self-regulation). For influenza, pneumococcal and herpes zoster, post-intervention (mean 12-16 months follow-up) vaccination rates increased by a mean of 16.6% (± 15.4%).

conclusionsInterventions to enhance vaccine uptake in RA focused almost exclusively on improving provider prescription of vaccines using reminder-type interventions. Although effective in improving vaccination rates, those studies used heterogeneous interventions and behavior change techniques. Few studies measured provider prescribing behavior as an outcome. Future studies targeting providers should measure relevant provided-related outcomes and their impact on patient outcomes, to determine overall efficacy.

Indexed as

Arthritis, RheumatoidReminder SystemsHumansImmunization ProgramsVaccinationBehavioral interventionsRheumatoid arthritisSystematic reviewVaccination

Identifiers

PMID30648228
PMCPMC6544587
OpenAlexW2909237655

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.