Definition of inclusion criteria | Exclusion criteria | |
---|---|---|
Population of interest | Adults ≥65 years old, irrespective of setting | Adults < 65 years old |
Children | ||
Studies that only include specific subpopulations irrelevant for study aim (i.e. diabetes, HIV) | ||
Intervention of interest | Seasonal influenza vaccination | Interventions not related to seasonal influenza, (AH1N1, pandemic or epidemic periods, vaccine shortage) |
Actions to address barriers against vaccination (i.e. advertising, provider mailings, patient and staff education, visiting nurses) | ||
Comparisons of interest | Not been immunized | Different vaccines |
Populations without access to immunization | ||
Outcome measures of periods before seasonal immunization campaigns | ||
Populations or groups without the intervention that promote immunization or avoid barriers | ||
Exposures of interest | Barriers against vaccination | |
Social determinants of health | ||
• Socio-economic & political context: governance, policy (macroeconomic, social, health), cultural and societal norms and values | ||
• Social position: education, occupation, income, gender, ethnicity/race | ||
• Material circumstances, social cohesion, psychosocial factors, beliefs, behaviours, biological factors | ||
• Health care system, distribution of health and well-being | ||
Outcome of interest | Vaccine coverage | Pharmacological aspects of the vaccine |
Study designs | Qualitative (case-studies, ethnography, grounded theory, phenomenology; or specific techniques as focus groups, in-depth interviews, surveys, participant observation) | Reviews, cost-effectiveness or economic analyses |
Quantitative (descriptive, cross sectional, case–control, cohort, randomized controlled trial), mixed-methods |