Evidence map›Paper›PMID 42051244›Full record

SynthesisPublic health reviews2026

Interventions Addressing Vaccine Hesitancy in the WHO European Region and in North America (United States and Canada): A Systematic Review.

Flavia Pennisi, Carlo Lunetti, Chiara Barbati, Luca Viviani, Anna Carole D'Amelio, Anabela da Conceição Pereira, Tiago Correia, Anna Odone, Carlo Signorelli

Abstract readSystematic Review
In one paragraph

Synthesis in Public health reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Flavia PennisiFaculty of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Carlo LunettiFaculty of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Chiara BarbatiPhD National Programme in One Health Approaches to Infectious Diseases and Life Science Research, Department of Public Health, Experimental and Forensic Medicine, Universita di Pavia, Pavia, Italy.
Luca VivianiPhD National Programme in One Health Approaches to Infectious Diseases and Life Science Research, Department of Public Health, Experimental and Forensic Medicine, Universita di Pavia, Pavia, Italy.
Anna Carole D'AmelioFaculty of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Anabela da Conceição PereiraCIES-Iscte-IUL, Center for Research and Studies in Sociology, Iscte-University Institute of Lisbon, Lisbon, Portugal.
Tiago CorreiaGlobal Health and Tropical Medicine, Associate Laboratory in Translation and Innovation Towards Global Health, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal.
Anna OdonePhD National Programme in One Health Approaches to Infectious Diseases and Life Science Research, Department of Public Health, Experimental and Forensic Medicine, Universita di Pavia, Pavia, Italy.
Carlo SignorelliFaculty of Medicine, Vita-Salute San Raffaele University, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Vaccine hesitancy threatens optimal immunization coverage. This review systematically identified and evaluated interventions addressing vaccine hesitancy in the WHO European Region and in North America (United States and Canada). Methods: A systematic search was conducted across PubMed, Scopus, PsycInfo, Cochrane Library, and Embase from inception to 17 January 2024. Eligible studies evaluated interventions targeting vaccine hesitancy. Data extraction and risk-of-bias assessment followed the methodological guidance of the Cochrane Handbook, and reporting adhered to PRISMA 2020 guidelines. The review protocol was registered in PROSPERO (CRD42024565588). Interventions were categorized as educational, communicational, policy-based, organizational, or digital. Results: A total of 59 studies met the inclusion criteria. Effective approaches included multicomponent strategies, community engagement, reminder and recall systems, educational campaigns, and legislative measures. Digital interventions yielded promising but heterogeneous results. The effectiveness of interventions was often enhanced when tailored to specific population needs and local contexts. Conclusion: Multifaceted interventions adapted to the sociocultural context appear most effective in reducing vaccine hesitancy in Europe and North America. Further high-quality studies are needed to refine implementation strategies and evaluate long-term impacts. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024565588, identifier CRD42024565588.

Indexed as

Canadahealthcommunicationimmunization programssystematic reviewUnited States

Identifiers

PMID42051244
PMCPMC13112373

What OpenQuestion holds

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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.