Evidence map›Paper›PMID 37452283›Full record

ArticleBMC primary care2023

A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany - a study protocol with a mixed methods design.

Sarah A K Uthoff, Anna Zinkevich, Dominika Franiel, Maike Below, Helene Splieth, Julia Iwen, Marc Biedermann, Dorothee Heinemeier, Lena Ansmann

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06489236 (Effectiveness of an Intervention on Vaccine Hesitancy Among Pediatric Nurses and Pediatricians), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT06489236 nacompletednot on this map

Effectiveness of an Intervention on Vaccine Hesitancy Among Pediatric Nurses and Pediatricians: A Mixed Methods Study

TypeinterventionalSponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant PauRan2023 to 2024Enrolled142ConditionsVaccination Hesitancy, Pediatric ALL, Presumptive Communication, Motivational InterviewingArmsVaccine Confidence: Skills to Promote Vaccination in the Pediatric Consultations
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

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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 at 5 institutions in 1 country.

Sarah A K Uthoff *Department of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Ammerlaender Heerstrasse 140, 29123, Oldenburg, Germany. sarah.uthoff@uni-oldenburg.de.
Anna Zinkevich *Department of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Ammerlaender Heerstrasse 140, 29123, Oldenburg, Germany.
Dominika FranielCentral Research Institute of Ambulatory Health Care in Germany, Salzufer 8, 10587, Berlin, Germany.
Maike BelowCentral Research Institute of Ambulatory Health Care in Germany, Salzufer 8, 10587, Berlin, Germany.
Helene SpliethAssociation of Substitute Health Funds (Vdek) e.V, Askanischer Platz 1, 10963, Berlin, Germany.
Julia IwenAssociation of Substitute Health Funds (Vdek) e.V, Askanischer Platz 1, 10963, Berlin, Germany.
Marc BiedermannThe National Association of Statutory Health Insurance Physicians, Herbert-Lewin-Platz 2, 10623, Berlin, Germany.
Dorothee HeinemeierCommunication Lab Erfurt, Bahnhofstraße. 16/Büßleber Gasse, 99084, Erfurt, Germany.
Lena AnsmannDepartment of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Ammerlaender Heerstrasse 140, 29123, Oldenburg, Germany.
Central Institute of Mental Health · DEGerman Medical Association · DEUniversity Hospital Cologne · DECarl von Ossietzky Universität Oldenburg · DENational Association of Statutory Health Insurance Physicians · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current uptake of many vaccinations recommended for persons aged 60 and older is unsatisfactory in Germany. Lack of confidence in the safety and efficacy of vaccinations, lack of knowledge and insecurities about possible side effects, and numerous pragmatic barriers are just some of the reasons to be mentioned. General practitioners (GPs) play a central role in the vaccination process. Therefore, effective interventions in this context are needed to address the various barriers and improve the vaccination uptake rates.

methodsA complex intervention will be implemented and evaluated in 1057 GPs' practices in two German federal states. The components include trainings for GPs and medical assistants on communication psychology, medical aspects, and organisational vaccination processes. The primary outcome influenza vaccination rate and the secondary outcomes vaccination uptake rate of other vaccinations as well as vaccine literacy of patients will be examined. The intervention will be evaluated in a mixed methods study with a controlled design. Survey data will be analysed descriptively and by using mean comparisons as well as multivariable multilevel analyses. The qualitative data will be analysed with qualitative content analysis. The secondary data will be analysed by using descriptive statistics, a pre-post comparison by performing mean comparisons, cluster analysis, and subgroup analyses. DISCUSSION: In this study, a complex intervention to improve vaccination rates in GP practices for the vaccinations recommended for people aged 60 years and older will be implemented and evaluated. Additionally, improvements in patients' vaccine-related health literacy and knowledge, and patients' intention to get vaccinated are expected. The mixed methods design can deliver results that can be used to improve preventive health care for elderly people and to gain more knowledge on vaccination uptake and the intervention's effectiveness.

trial registrationTrial registration number: DRKS00027252 (retrospectively registered).

Indexed as

General PractitionersInfluenza, HumanInfluenza VaccinesAgedAllied Health PersonnelClinical Trials as TopicHumansMiddle AgedVaccinationInfluenza VaccinesElderly careGeneral practiceInfluenza vaccinationPreventive healthPrimary careVaccination uptake

Identifiers

PMID37452283
PMCPMC10349490
OpenAlexW4384282030

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.