Improving Pneumococcal Vaccination Rates in an Ambulatory Pre-surgical Testing Setting

Not Applicable

Completed

• Conditions: Community Acquired Pneumonia
• Interventions: Other: Focused Health Education

• Registration Number: NCT01787838
• Lead Sponsor: Carilion Clinic

Brief Summary

The purpose of this quality improvement project is to improve the immunization rates of an at-risk adult population seen in an ambulatory healthcare environment, through the use of targeted health education messages regarding pneumococcal immunization. Patients seen in an out-patient pre-surgical testing center will receive 1) a one-page written information sheet that outlines the benefits of pneumococcal immunization and 2) verbal reinforcement of this message, provided by the clinical staff, during the patient's interview.

At-risk adult patients (as defined by Centers for Disease Control) seen in an ambulatory healthcare environment (a pre-surgical testing center) will receive a one page, "gain-framed" message that emphasizes the benefits of pneumococcal vaccinations. This educational material will be reviewed and reinforced by clinical staff during the assessment phase of the clinical visit. Among this group, there will be increased vaccination rate compared with at-risk adult patients who did not receive this communication (prospective vs retrospective data).

Detailed Description

The purpose of this project was to improve the immunization rates of an at-risk adult population seen in an ambulatory environment, through the use of targeted and evidence-based health education messages regarding pneumococcal immunization and staff training on the use of gain-framed messaging.

We hypothesized that there would be an increase in immunization rates for at-risk adults following implementation of the intervention.

The objective of the project was to increase our local immunization rate by 30% (from 20% to 50%) and to provide tools and processes that can be utilized in other ambulatory healthcare settings.

Study Timeline

• Study Start: 2013-01
• Study First Submitted: 2013-02-04
• Study First Submitted QC: 2013-02-08
• Study First Posted: 2013-02-11
• Primary Completion: 2014-01
• Study Completion: 2014-01
• Results First Submitted: 2014-05-21
• Results First Submitted QC: 2014-08-11
• Results First Posted: 2014-08-26
• Status Verified: 2017-07
• Last Update Submitted: 2017-07-17
• Last Update Posted: 2017-07-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2509

Inclusion Criteria

• Patient seen in out-patient pre-surgical testing center
• At-risk adult patient as defined by the Centers for Disease Control (CDC)

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Exclusion Criteria

• Minors

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
health education, audit and feedback	Focused Health Education	Focused health education for staff and patients.

Primary Outcome Measures

Name	Time	Method
Improving Pneumococcal Vaccination Rates Following Focused Health Education of Staff and Patients	12 Months	Pneumococcal vaccination rates, tracked biweekly, following 1) staff education, audit and feedback of rates and 2) patient education

Trial Locations

Locations (1)

Carilion Clinic; 🇺🇸 Roanoke, Virginia, United States