Evidence map›Paper›PMID 34754706›Full record

ArticleCureus2021

Reducing COVID-19 Vaccine Hesitancy by Implementing Organizational Intervention in a Primary Care Setting in Bahrain.

Rabih Abou Leila, Mustafa Salamah, Sarah El-Nigoumi

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Vaccine hesitancy in an allergy and immunology clinic in an underserved community.The journal of allergy and clinical immunology. Global · 2025
    Article
  4. Article
  5. Article
  6. Article
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

3 authors at 1 institution in 2 countries.

Rabih Abou LeilaFamily Medicine, American Mission Hospital, Manama, BHR.
Mustafa SalamahFamily Medicine, American Mission Hospital, Manama, BHR.
Sarah El-NigoumiPediatrics, American Mission Hospital, Manama, BHR.
Mission Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRefusal to receive the COVID-19 vaccine or hesitancy is a global threat. Hence, reducing vaccine hesitancy is the next challenge for policymakers and the healthcare system. However, people trust healthcare professionals more than any other source of information. Accordingly, planning for an effective process and competent healthcare professional to elicit and address the patient's concerns is an imperative measure. This quality improvement project aimed to improve physicians' COVID-19 vaccine advice to reduce vaccine hesitancy.

methodsThe study used judgmental sampling and involved 665 hesitant patients over 19 weeks. The team utilized the Plan-Do-Study-Act method to implement COVID-19 vaccine physicians' reminders and upgrades physicians' communication skills to conduct an effective tailored communication that addresses the patient's concerns toward COVID-19 vaccines. The team used pre-post design to evaluate the impact of counseling on the hesitancy rate of patients before and after the intervention over time. The main outcomes were the percentage of physicians' COVID-19 vaccine advice for patients and the percentage of hesitancy rate before and after implementation.

resultsThere were 665 hesitant patients before intervention. However, after the intervention, the number decreased to 193 patients, and the control chart revealed a reliable process. The percentage of recommendations by physicians has increased from 1% to 51% after 19 weeks of implementation and with a controlled process.

conclusionThe study has found that rectifying process barriers and upgrading physicians' skills would improve the COVID-19 vaccine counseling rate and introducing tailored communication would reduce the hesitancy rate. Nevertheless, the study was constrained by a lack of information on the impact of social media and national measures on patients' decisions. Additional studies with more emphasis on other patients' behavior determinants are necessary.

Indexed as

covid-19 vaccineherd immunitypatient counselingpatient educationvaccine hesitancy

Identifiers

PMID34754706
PMCPMC8570316
OpenAlexW3214493247

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.