Evidence map›Paper›PMID 33053868›Full record

ArticleVaccines2020

Promoting Influenza Vaccination among Staff of Nursing Homes According to Behavioral Insights: Analyzing the Choice Architecture during a Nudge-Based Intervention.

Chiara Lorini, Francesca Ierardi, Claudia Gatteschi, Giacomo Galletti, Francesca Collini, Laura Peracca, Patrizio Zanobini, Fabrizio Gemmi, Guglielmo Bonaccorsi

Abstract read
In one paragraph

Article in Vaccines, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
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  6. Article
  7. A national nudge study of differently framed messages to increase COVID-19 vaccine uptake in Saudi Arabia: A randomized controlled trial.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  8. Article
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  10. Individual and Contextual Determinants of Flu Vaccination Adherence: A University Nudge Intervention.International journal of environmental research and public health · 2023
    Article
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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.

Chiara LoriniDepartment of Health Science, University of Florence, 50134 Florence, Italy.ORCID 0000-0003-3170-1857
Francesca IerardiQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Claudia GatteschiQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Giacomo GallettiQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Francesca ColliniQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Laura PeraccaQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.
Patrizio ZanobiniDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Fabrizio GemmiQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy.ORCID 0000-0002-1266-8433
Guglielmo BonaccorsiDepartment of Health Science, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-5171-4308

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Influenza vaccination uptake in nursing home (NH) workers is uncommon. The aim of this study was to understand the choice architecture of influenza vaccination acceptance or refusal among them and to promote vaccination acceptance using the nudge approach. (2) Methods: In autumn 2019, a nudge intervention with a contextual qualitative analysis of choice architecture of vaccination was performed among the staff of eight Tuscan NHs. In summer 2020, a cross-sectional study including the staff of 111 NHs (8 in the nudge, 103 in the comparison group) was conducted to assess the impact of the nudge intervention in promoting vaccination uptake. (3) Results: Macro-categories of motivations for vaccination uptake that emerged from the qualitative analysis were risk perception, value dimension, and trust, while those regarding refusal were risk perception, distrust, value dimension, and reasons related to one's health. Considering the cross-sectional study, influenza vaccination uptake in the 2018-2019 season was similar in the two groups (23.6% vs. 22.2% respectively, in the nudge and comparison group), but significantly different in the 2019-2020 season: 28% in the nudge vs. 20% in the comparison group. Also, the intention to get the vaccine in the 2020-2021 season was significantly different in the two groups: 37.9% in the nudge and 30.8% in the comparison group. (4) Conclusions: Nudge interventions-simple, fast, low cost-could be effective in promoting vaccination acceptance among NH workers and the analysis of choice architecture could be useful in improving tailored, new nudge interventions aimed at modifying irrational biased and cognitive errors.

Indexed as

choice architectureinfluenza vaccinationnudgenursing homestaff

Identifiers

PMID33053868
PMCPMC7712811

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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.