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. 2014 Jul 7;2014(7):CD005188. doi: 10.1002/14651858.CD005188.pub3

Mullooly 1987

Methods Purpose: to compare personalised letter with no intervention Design: RCT, individuals randomised Duration of study: interval between intervention and when outcome was measured: "Kaiser Permanente ...operates seasonal influenza clinics."  Power computation: not performed Statistics: percentages
Participants Country: USA Setting: Kaiser Permanente Northeast Region HMO in Portland, Oregon/Vancouver and Washington metropolitan area Eligible participants: (health status): ≥ 65, discharged alive from hospital October 1983 to September 1984 with diagnoses of cardiovascular, pulmonary, renal, metabolic/nutritional, neurologic or malignant diseases Age: ≥ 65 Gender: intervention 48.1% f; control 52.7% f
Interventions Intervention 1: personalised recommendation to obtain influenza vaccination, and information about where and when to obtain vaccination Control: no intervention
Outcomes Outcome measured: % influenza vaccination Time points from the study that are considered in the review or measured or reported in the study: not stated: "Kaiser Permanente ...operates seasonal influenza clinics."  % vaccinated by; not stated
Notes Funding: not stated; we e‐mailed the author for influenza vaccination uptake in the year before the intervention but no reply
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "The study group population was randomised into intervention and control groups based on a pseudo random digit of the individual membership ID number."
Allocation concealment (selection bias) Unclear risk No statement
Blinding (performance bias and detection bias) All outcomes Unclear risk No statement: "Medical records were retrospectively reviewed at the end of the study period to ascertain whether subjects had received influenza vaccine"
Incomplete outcome data (attrition bias) All outcomes Unclear risk "Medical records were retrospectively reviewed at the end of the study period to ascertain whether subjects had received influenza vaccine ..."
Selective reporting (reporting bias) Low risk No selective reporting