Testing the Use of Prompts to Increase Adolescent Immunization Rates

Not Applicable

Completed

• Conditions: Vaccine Preventable Diseases; Meningococcal Disease; Pertussis; Human Papillomavirus; Influenza
• Interventions: Other: Point-of-Care Prompt

• Registration Number: NCT01984125
• Lead Sponsor: University of California, Los Angeles

Brief Summary

Although most US adolescents visit their primary care doctor, their immunization rates are low. Primary care practices from two networks, one in upstate New York as well as a national network of pediatric clinics were surveyed to ask what they thought was the best strategy to increase immunization rates. Point-of-care prompts (either by an electronic health record message or by a nurse) when an adolescent patient comes in for any type of visit and is due for a vaccine was chosen. This study will determine if these prompts will increase immunization rates after a 12-month intervention period.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2011-04
• Primary Completion: 2013-01
• Study First Submitted: 2013-11-07
• Study First Submitted QC: 2013-11-07
• Study First Posted: 2013-11-14
• Study Completion: 2013-12
• Status Verified: 2017-04
• Last Update Submitted: 2017-04-28
• Last Update Posted: 2017-05-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 7040

Inclusion Criteria

• Adolescents aged 11 - 18 who had a visit to their primary care provider during the 12 month intervention period

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Exclusion Criteria

• Adolescent is pregnant during intervention time period

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Point-of-Care Prompt	Point-of-Care Prompt	A prompt, either electronically or by a nurse, will notify a provider if an adolescent is due for a vaccination. This prompt will appear at any type of visit where the patient is seen by a health provider.

Primary Outcome Measures

Name	Time	Method
Adolescent Immunization Rates	One Year	Bivariate analysis will measure the overall change between the control and intervention groups. Vaccination rates will be summarized using descriptive statistics. As appropriate, two sample t-test or chi-square tests will be used to summarize patient level data. Odds ratio with associated 95% confidence interval will be reported within each of the 2 networks.

Secondary Outcome Measures

Name	Time	Method
Missed Opportunities	One Year	A hierarchical logistic regression model will evaluate the intervention effect on rates of missed opportunities.

Trial Locations

Locations (22)

Mendon Pediatrics; 🇺🇸 Mendon, New York, United States

Oak Orchard Community Health Center; 🇺🇸 Brockport, New York, United States

St. Louis University - School of Medicine; 🇺🇸 Saint Louis, Missouri, United States

Parkway Pediatrics; 🇺🇸 Rochester, New York, United States

English Road Pediatrics; 🇺🇸 Rochester, New York, United States

12 Corner Pediatrics; 🇺🇸 Rochester, New York, United States

Westside Pediatrics; 🇺🇸 Rochester, New York, United States

University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States

University of Arkansas - Arkansas Children's Hospital; 🇺🇸 Little Rock, Arkansas, United States

Wilmington Hospital Health Center; 🇺🇸 Wilmington, Delaware, United States

Children's Memorial Hospital - Northwestern University; 🇺🇸 Chicago, Illinois, United States

Nationwide Children's Hospital; 🇺🇸 Columbus, Ohio, United States

University of Florida; 🇺🇸 Gainesville, Florida, United States

Baylor College of Medicine, Texas Children's Hospital; 🇺🇸 Houston, Texas, United States

Boston Children's; 🇺🇸 Boston, Massachusetts, United States

Goodman Pediatrics; 🇺🇸 Rochester, New York, United States

Ridgewood Med-Peds; 🇺🇸 Rochester, New York, United States

Honeoye Falls Family Medicine; 🇺🇸 Honeoye Falls, New York, United States

University of Texas - Houston; 🇺🇸 Houston, Texas, United States

Long Pond Pediatrics; 🇺🇸 Rochester, New York, United States

University of Iowa Hospital; 🇺🇸 Iowa City, Iowa, United States

University of Washington Medical Center; 🇺🇸 Seattle, Washington, United States