Evidence map›Paper›PMID 41396800›Full record

ArticleAge and ageing2025

A scoping review of randomised controlled trials of vaccines that recruited care home residents: lessons for future trials.

Selvarani Subbarayan, Imogen Smith-Dodd, Gabriel Nicolson, Jennifer Kirsty Burton, Janet T Scott, Seshadri S Vasan, Susan D Shenkin, Roy L Soiza, WATCH Consortium

Abstract readScoping Review
In one paragraph

Article in Age and ageing, 2025. 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. 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

9 authors.

Selvarani SubbarayanAgeing Clinical and Experimental Research Group, The Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.ORCID 0000-0002-0322-9244
Imogen Smith-DoddAgeing Clinical and Experimental Research Group, The Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
Gabriel NicolsonAgeing Clinical and Experimental Research Group, The Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
Jennifer Kirsty BurtonAcademic Geriatric Medicine, School of Cardiovascular & Metabolic Health, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4752-6988
Janet T ScottResearch, Development and Innovation, NHS Highland, Inverness, UK.
Seshadri S VasanAberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK.ORCID 0000-0002-7326-3210
Susan D ShenkinAgeing and Health, and Advanced Care Research Centre, Usher Institute, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-7375-4776
Roy L SoizaAgeing Clinical and Experimental Research Group, The Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.ORCID 0000-0002-1397-4272
WATCH Consortium

Funding

Moderna under its Vaccine Innovation Fund VIFC2024005Widening Access to Trials in Care Homes
6 · The paper itself

Abstract

introductionOlder care home (CH) residents are particularly vulnerable to infections and often experience adverse outcomes. Despite this group being frequently prioritised for vaccinations, trials of vaccines rarely recruit CH residents. Given that the social and biological characteristics of CH residents may influence vaccine effectiveness, it is crucial to test vaccines in this population.

methodsThe Widening Access to Trials in Care Homes project was established to develop best practice guidance on designing and conducting vaccine trials in the CH population. As part of this project, a scoping review following Joanna Briggs Institute methodology was conducted to identify vaccine trials involving CH residents. Search conducted in EMBASE, MEDLINE, PsycINFO, CINAHL and Cochrane Library, from 1990 to 2025. Results presented as descriptive summaries.

resultsWe retrieved 701 articles and included 20 studies. A total of 7479 participants from 238 CHs were recruited to influenza or pneumococcal vaccine trials. The weighted mean age was 82.3 years. Screen failure averaged 70% (eight studies), primarily due to declining participation (46%) and not meeting eligibility criteria (27%). Dropout averaged 8% (11 studies), with death (21%) being the most common reason. Identified barriers include eligibility criteria and recruitment, consent and assent issues, ethical and regulatory, CH-related factors and study time frame and logistical factors. Facilitators include recruitment and data collection methods, consent and assent factors and collaboration with CHs.

conclusionOur review is the first to synthesise both quantitative and qualitative evidence on recruiting CH residents into vaccine trials and to provide suggestions for future trial design in this population.

Indexed as

Homes for the AgedInfluenza VaccinesNursing HomesPatient SelectionPneumococcal VaccinesRandomized Controlled Trials as TopicAgedAged, 80 and overFemaleHumansMaleInfluenza VaccinesPneumococcal Vaccinesbarriers and facilitatorscare home residentsnursing home residentsolder peoplerandomised controlled vaccine trialsrecruitment and retention

Identifiers

PMID41396800
PMCPMC12704422

What OpenQuestion holds

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LicenceCC BY
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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.