Evidence map›Paper›PMID 39173545›Full record

Trial reportPublic health2024

Pediatric practice experiences with second dose influenza vaccination: An AAP Pediatric Research in Office Settings (PROS) Study.

C S Wynn, M S Stockwell, E Nekrasova, A Torres, M Griffith, S S Kumar, L P Shone, R Localio, J Shults, R Unger and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

C S WynnDivision of Child and Adolescent Health, Department of Pediatrics, Columbia University, New York, NY, USA.
M S StockwellDivision of Child and Adolescent Health, Department of Pediatrics, Columbia University, New York, NY, USA; Department of Population and Family Health, Columbia University, New York, NY, USA. Electronic address: mss2112@cumc.columbia.edu.
E NekrasovaDepartment of Pediatrics, Clinical Futures, & Division of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
A TorresDepartment of Research, American Academy of Pediatrics, Itasca, IL, USA.
M GriffithDepartment of Research, American Academy of Pediatrics, Itasca, IL, USA.
S S KumarDepartment of Pediatrics, Clinical Futures, & Division of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
L P ShoneDepartment of Research, American Academy of Pediatrics, Itasca, IL, USA.
R LocalioDepartment of Biostatistics, Epidemiology & Informatics, University of Pennsylvania, Philadelphia, PA, USA.
J ShultsDepartment of Biostatistics, Epidemiology & Informatics, University of Pennsylvania, Philadelphia, PA, USA.
R UngerNorthwestern Children's Practice, Chicago, IL, USA.
L A WareBuilding Blocks Pediatrics, Pleasanton, TX, USA.
A G FiksDepartment of Pediatrics, Clinical Futures, & Division of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Flu2Text: A Multi-Site Study assessing an Intervention for 2nd Dose of Influenza VaccineR01HD086045 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FIKS, ALEXANDER GABRIEL, STOCKWELL, MELISSA S · 2016 to 2019
$2.4M
NICHD NIH HHS R01 HD086045
6 · The paper itself

Abstract

objectivesExplore pediatric staff experiences administering the second influenza vaccine dose. STUDY

designQualitative focus groups/interviews.

methodsAs part of the National Institutes of Health-funded Flu2Text randomized control trial of text message reminders for second influenza vaccine dose, we conducted seven focus groups and four individual interviews (n = 39 participants total) with clinicians and staff from participating practices from the American Academy of Pediatrics' Pediatric Research in Office Settings (PROS) Network. Of 37 participating practices, 10 were selected through stratified sampling of practices with highest (n = 5) and lowest (n = 5) randomized controlled trial effect sizes. A semi-structured discussion guide included questions that addressed parental, practice, and health system barriers/facilitators to second influenza vaccine dose administration. Using the Systems Model of Clinical Preventive Care as a conceptual framework, two investigators independently coded transcripts (Κ = 0.86, high agreement) with NVivo 12 Plus. Coding inconsistencies were resolved by consensus.

resultsClinicians/staff reported that administering the second influenza vaccine dose in a season was more complex than other childhood vaccines. They highlighted parental uncertainty about the need for the second dose and the difficulty and inconvenience of bringing children back to the office as important barriers. Caregiver-staff relationships were perceived as helpful in getting children vaccinated with their second dose and vaccine reminders were seen as important cues-to-action.

conclusionsEnsuring receipt of two doses of the influenza vaccine in a given season presents unique challenges. Themes identified provide a framework for understanding opportunities to bolster second dose receipt, including explaining why two doses are needed, offering flexible hours for vaccination, and sending vaccine reminders.

Indexed as

Focus GroupsInfluenza, HumanInfluenza VaccinesPediatricsChildFemaleHumansInterviews as TopicMaleQualitative ResearchReminder SystemsUnited StatesInfluenza VaccinesChildhood vaccineInfluenza clinicsInfluenza vaccinePediatric primary carePROSVaccine education

Identifiers

PMID39173545
PMCPMC11568930

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.