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. 2010 Sep 7;182(12):E542–E548. doi: 10.1503/cmaj.091304

Table 2.

Characteristics of studies included for analysis

Study Population Ascertainment Intervention group Comparison group
Nonhospital setting
Cluster randomized controlled trials
Dey et al.14
  • Nurses

  • Administrators

  • Ancillary staff

Vaccine provider submitted claim forms for reimbursement for vaccine
  • Campaign components as for comparison group

  • Nurse raised awareness, and provided education and promotional material

  • Letter about free vaccine

  • Free vaccine from general practitioner

Hayward et al.15
  • Full- and part-time employees

Not reported
  • New influenza vaccine policy

  • Lead nurses trained as advocates

  • Education letter for staff

  • Three vaccine clinics with night shift

  • Letter explaining that adults with chronic disease should be vaccinated

  • No active vaccine promotion

Kimura et al.16
  • Nurses

  • Nurse assistants

  • Housekeeping

  • Rehabilitation therapists

Self-administered questionnaire to all health care workers
  • Arm 1: educational video and information

  • Arm 2: publicized free vaccine day

  • Arm 3: interventions of both arm 1 and arm 2

  • No intervention

Lemaitre et al.17
  • Caregivers

  • Technicians

  • Administrators

  • Intervention group: interview with study team

  • Comparison group: self-administered questionnaire

  • Promotional posters, leaflets

  • Information meeting with study team

  • Face-to-face interview with all staff

  • Routine information on vaccine

Before-and-after with control
Tannenbaum et al.18
  • Nurses

  • Nurses’ aides

  • Other professions

  • Orderies

  • Housekeeping staff

  • Public health data

  • Tracked on-site vaccination

  • Self-administered questionnaire for off-site vaccination

  • 5 information sessions by doctors

  • Informational memos, posters

  • 3 vaccine clinics over 2 wk

  • No intervention

Hospital setting
Randomized controlled trial
Doratotaj et al.19*
  • Medical residents

  • Nurses

  • Physicians

Vaccination rates reported by on-site vaccine clinics Comparison campaign plus one or more of the following:
  • Letter from infectious diseases department

  • Raffle ticket for $3000 vacation

  • Educational poster or newsletter

  • Department meetings

  • Extra vaccine clinics

Randomized controlled trial
Ohrt and McKinney20
  • Medical residents

Nurses recorded vaccination rates Comparison campaign plus one or more of the following:
  • Letter from chief of infectious diseases

  • Personalized phone call

  • Mailed educational memo

  • Multiple vaccine clinics

Before-and-after with control
Harbarth et al.21
  • Physicians

  • Nurses’ aides

  • Nurses

  • Housekeeping staff

  • Other

Not reported Comparison campaign plus:
  • Educational conferences on issues identified by staff questionnaire

  • Mobile vaccine cart

  • Newsletters and posters

  • Email reminders

  • Personal letter with paycheck

  • Free vaccine

Polgreen et al.22
  • Medical residents

Not reported Comparison campaign plus:
  • Directors given feedback on rates

  • Vaccines offered at meetings

  • Free vaccine for 4 wk + extra 4 wk

  • Email/poster advertising

Zimmerman et al.23
  • Staff with direct patient contact

  • Staff with indirect patient contact

  • Business and administrative staff

Records from paper logs at each site Comparison campaign plus one or more of the following:
  • Incentive (e.g., lottery gift card, party)

  • Mobile vaccine carts

  • Free vaccine

  • Promotional material, letter to chief executives

  • Peer vaccination

  • Vaccine champion

Interrupted time series
Bertin et al.24
  • Paid workers

  • Volunteers

Rates (as captured by declination forms) reported by vaccine clinics After Oct. 17, 2005:
  • Mandatory intranet declination

  • Feedback on rates

  • Letter from upper management

Before intervention (1997–2005):
  • Paper declination

  • Senior staff support or champion

  • Promotion of vaccination by physicians

Wicker25
  • Nurses

  • Physicians

  • Other staff

Not reported After Jan 7, 2009 — comparison campaign plus:
  • Mandatory masks for unvaccinated workers

2003/2004 to Jan 7, 2009:
  • Education and publicity

  • Free vaccine

  • Mobile vaccine carts

*

Nonsignificant differences across comparison groups (p = 0.66).

The authors reported two campaigns, in 2004 and 2005. Only the 2005 campaign, for which the authors compared the difference in coverage rates between 2005 and the previous 9-year period, was considered for the current analysis.