Using Health Information Technology to Improve Healthcare Quality in Primary Care Practices and in Transitions Between Care Settings
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 23,675
- Locations
- 1
- Primary Endpoint
- Rate of HPV vaccination among girls actively cared for at participating sites
Study Overview
Brief Summary
This study will test the effectiveness of clinician-focused health IT-based decision support, family-focused health IT-based decision support, and a combination of both efforts, in increasing HPV and other adolescent vaccine rates among adolescent girls. We hypothesize that a combination of clinician-focused clinical decision support and family-focused decision support will be most effective.
Detailed Description
- Clinician-focused intervention includes an electronic health record-based decision support mechanism including reminders, education, audit and feedback on vaccination success.
- Family-focused intervention includes vaccine reminders and informational telephone calls prompted by the electronic health record.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 11 Years to 17 Years (Child)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All clinicians practicing at participating sites
- •Parents with an eligible adolescent girl
- •Adolescent girls
- •Ages 11-17
- •Has a visit at one of the primary care centers within the last 15 months.
- •Has not completed the teen vaccine series
Exclusion Criteria
- Not provided
Arms & Interventions
Family Decision Support
Families will receive informational vaccine reminder telephone calls.
Intervention: Family Decision Support (Behavioral)
Clinical Decision Support
In this treatment arm, clinicians receive the decision support at the point of care within an electronic health record.
Intervention: Clinician Decision Support (Behavioral)
Family DS+ Clinician DS
Families will receive informational vaccine reminder calls and their clinicians will receive electronic health record-based decision support for immunizations.
Intervention: Family Decision Support (Behavioral)
Family DS+ Clinician DS
Families will receive informational vaccine reminder calls and their clinicians will receive electronic health record-based decision support for immunizations.
Intervention: Clinician Decision Support (Behavioral)
Family DS+ Clinician DS
Families will receive informational vaccine reminder calls and their clinicians will receive electronic health record-based decision support for immunizations.
Intervention: Family Decision Support and Clinician Decision Support (Other)
Control
This group will receive regular primary care with no decision support.
Intervention: Control (Other)
Outcomes
Primary Outcomes
Rate of HPV vaccination among girls actively cared for at participating sites
Time Frame: Monthly, up to 1 year
The outcome will be assessed monthly, until study completion (1 year).
Secondary Outcomes
- Rates of meningococcal and tetanus, diphtheria, and pertussis vaccines among girls in the study(Monthly, up to 1 year)