Adolescent Vaccination in the Medical Home
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 7,040
- 试验地点
- 22
- 主要终点
- Adolescent Immunization Rates
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 11 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adolescents aged 11 - 18 who had a visit to their primary care provider during the 12 month intervention period
排除标准
- •Adolescent is pregnant during intervention time period
研究组 & 干预措施
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.
干预措施: Point-of-Care Prompt (Other)
Control
结局指标
主要结局
Adolescent Immunization Rates
时间窗: 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.
次要结局
- Missed Opportunities(One Year)
研究者
Peter G Szilagyi, MD MPH
Chief, Division of General Pediatrics
University of Rochester