Evidence map›Paper›PMID 39026196›Full record

Trial reportBMC public health2024

The effect of adding physician recommendation in digitally-enabled outreach for COVID-19 vaccination in socially/economically disadvantaged populations.

Kamal Sumar, Lisa Blue, Gina Fatahi, Mehek Sumar, Stephanie Alvarez, Pedro Cons, Nathalie Valencia, Zachary Williams, Atiq Bhatti, Sairam Parthasarathy and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Kamal SumarAdelante Healthcare, Phoenix, AZ, USA.
Lisa BlueProvidertech LLC, Phoenix, AZ, USA.
Gina FatahiDepartment of Family and Community Medicine, Ohio State University, Columbus, OH, USA.
Mehek SumarDivision of Biological Sciences, University of California San Diego, San Diego, CA, USA.
Stephanie AlvarezAdelante Healthcare, Phoenix, AZ, USA.
Pedro ConsAdelante Healthcare, Phoenix, AZ, USA.
Nathalie ValenciaAdelante Healthcare, Phoenix, AZ, USA.
Zachary WilliamsAdelante Healthcare, Phoenix, AZ, USA.
Atiq BhattiDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Sairam ParthasarathyCollege of Medicine, University of Arizona, Tucson, AZ, USA.
Chyke A DoubeniDepartment of Family and Community Medicine, Ohio State University, Columbus, OH, USA. chyke.doubeni@osumc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeople from backgrounds that are economically/socially disadvantaged experienced disproportionately high COVID-19 death rates and had lower vaccination rates. Effective outreach strategies for increasing vaccine uptake during the pandemic are not fully known. Among patients receiving care at a Federally Qualified Health Center, we tested whether community engaged digitally-enabled outreach from a trusted clinician messenger increased COVID vaccine uptake. STUDY DESIGN, SETTING, AND

participantsA 3-parallel-arm randomized controlled trial with a hybrid effectiveness-implementation design was conducted among patients ≥ 18 years old on study enrollment during 2021 with 1,650 assigned in 3:10:20 ratio; 2,328 were later selected for two subsequent implementation rounds.

interventionsFrom April 13 to June 10, 2021, patients were proactively sent a text-messaging invitation to make an appointment for vaccination as part of the routine practice with a link to frequently asked questions (Arm 1, n = 150) with added personalized clinician recommendation alone (Arm 2, n = 500) or with enabled 2-way SMS messaging feature (Arm 3, n = 1,000). Further implementation used messaging addressing vaccine hesitancy (n = 1,323) or adverse reactions to vaccines (n = 1,005). MAIN OUTCOMES AND MEASURES: The primary outcome was the completion of the first SARS-Cov-2 vaccine dose determined at 14, 30 and 90 days after outreach.

resultsOf 1,650 patients in effectiveness Arms, 61% was female. Vaccination rates for Arms 1, 2, and 3, were 6% (n = 9), 5.4% (n = 27) and 3.3% (n = 33) at 14 days, and 11.5% (n = 17), 11.6% (n = 58), and 8.5% (n = 85) at 90 days, respectively, which were similar in pairwise comparisons. At 90 days, vaccination rates were similar across the two implementation rounds (3.9% vs. 3.6%) and were similar to the rate (3.3%) among patients who were not selected for intervention arms or implementation rounds (n = 8,671).

conclusionsDigitally-enabled outreach that included SMS messaging outreach augmented with clinician recommendations did not improve COVID-19 vaccination rates.

trial registrationThis study is registered at ClinicalTrails.gov Identifier: NC-T04952376.

Indexed as

COVID-19COVID-19 VaccinesText MessagingVulnerable PopulationsAdultAgedFemaleHumansMaleMiddle AgedSARS-CoV-2VaccinationCOVID-19 Vaccines

Identifiers

PMID39026196
PMCPMC11264853

What OpenQuestion holds

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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.