Vaccination Coverage Amongst Children/Young People Attending the PED

Completed

• Conditions: Vaccination/Immunisation Status
• Interventions: Other: No intervention

• Registration Number: NCT04485624
• Lead Sponsor: Lancaster University

Brief Summary

In the United Kingdom (UK), most childhood vaccinations are given in the community, although uptake has decreased in recent years. A Paediatric Emergency Department (PED) attendance offers an opportunity to check the vaccination status of children and young people (CYP) and all parents/carers should be asked about this routinely. Those not up-to-date with vaccinations could then be signposted to existing services or perhaps offered a vaccine in the PED.

CYP attending the PED may also have lower vaccination coverage than their peers, so may benefit even more from interventions to increase uptake. However, recall by parents/carers is not always sufficiently accurate to identify those who have not yet received all their age-appropriate vaccinations. The most complete record of an individual's vaccination history is held within their primary care records. However, these records are often in a separate computer system that is inaccessible from the hospital's main computer system, although some information (including vaccination) may be accessed from within the hospital via a third system.

This study aims to see if CYP attending the PED are under-vaccinated compared to their peers and assess the accuracy of parent/carer recall. The results of this study will then be used to inform recommendations for developing better ways to access accurate vaccination data during a PED consultation. If such a system existed, under-vaccinated children could be identified routinely during an attendance, and an intervention offered if appropriate. This would be particularly useful if there was an outbreak of a vaccine-preventable disease such measles.

All CYP (\< 16 years old) attending a PED in a district general hospital in Manchester will be invited to participate. CYP/their parent/carer will be asked to provide consent for their vaccination records to be accessed as well as being asked if the child/young person is up-to-date with all their vaccinations. Approximately 1000 participants will be enrolled.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-07-15
• Study First Submitted QC: 2020-07-23
• Study First Posted: 2020-07-24
• Study Start: 2021-01-24
• Primary Completion: 2021-11-30
• Study Completion: 2021-11-30
• Status Verified: 2021-12
• Last Update Submitted: 2021-12-10
• Last Update Posted: 2021-12-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2693

Inclusion Criteria

• attending the study site PED; under the age of 16 at the time of attendance; able to give consent or accompanied by someone able to give consent

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Exclusion Criteria

• life threatening illness or injury

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Attendees at Paediatric Emergency Department 1 (PED1)	No intervention	These participants will be recruited from the children and young people (under the age of 16) attending the PED of a large district general hospital. There was going to be a second group recruited but COVID meant that the site was not able to support non-COVID studies by the time the necessary approvals were in place.

Primary Outcome Measures

Name	Time	Method
Percentage of children/young people attending the PED who have received all of their age-appropriate vaccinations.	Through study completion (estimated one year)	The % of children and young people attending the PED who have received all of their age-appropriate vaccinations will be compared to their peers in the local general population.

Secondary Outcome Measures

Name	Time	Method
Accuracy of parent/carer recall of the vaccination status of children/young people attending the PED.	Through study completion (estimated one year)	The accuracy of parent/carer recall of the vaccination status of children/young people attending the PED will be made by comparing their responses to electronic community records.
Percentage of children attending the PED who have received two doses of MMR by the age of 5 years.	Through study completion (estimated one year)	The % of children attending the PED who have received two doses of the Measles, Mumps, and Rubella vaccine (MMR) by the age of 5 years will be compared to their peers in the local general population.
Percentage of children attending the PED who have received at least one dose of MMR by the age of 2 years.	Through study completion (estimated one year)	The % of children attending the PED who have received at least one dose of MMR by the age of 2 years will be compared to their peers in the local general population.

Trial Locations

Locations (1)

Paediatric Emergency Department, North Manchester General Hospital; 🇬🇧 Manchester, Greater Manchester, United Kingdom