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Study of Adolescent Immunization Recall Systems

Not Applicable
Completed
Conditions
Reminder Systems
Immunization
Interventions
Other: Parent Only Phone Call
Other: Parent and Adolescent Phone Call
Registration Number
NCT01390363
Lead Sponsor
Boston Children's Hospital
Brief Summary

The purpose of this study is to determine whether contacting the parents of adolescents overdue for routine vaccines or contacting both the parents AND adolescents overdue to routine vaccines improves immunization rates as compared to usual care.

Detailed Description

This randomized controlled trial is a 3-armed study designed to evaluate an immunization recall system in adolescents. In the control arm (Group 1), the adolescents will receive usual care, in which they will primarily receive immunizations at annual physical exams, or as recommended by providers at urgent care visits. In one intervention arm (Group 2), the parent/guardian will receive a telephone call informing them that the adolescent is overdue for one or more immunizations (conjugated Neisseria meningitidis (MCV4) vaccine, tetanus-diphtheria-pertussis (Tdap) booster, and/or the second varicella (VZV) vaccine). In the second intervention arm (Group 3), both the parent/guardian and the adolescent will receive a telephone call informing them that the adolescent is overdue for one or more immunizations. Immunization rates will be compared between the 3 groups at a four week and a twelve month follow up period.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
420
Inclusion Criteria
  • at least 13 years of age and under 18 years of age
  • had a billing code for an annual physical exam in the past 3 years at the Adolescent/Young Adult Medical Practice at Children's Hospital Boston
  • immunization record shows one of the following: no tetanus containing vaccine in the previous 5 years; no MCV4 vaccine; and/or has received the 1st VZV vaccine but not the 2nd VZV vaccine and has no documented history of the chicken pox
Exclusion Criteria
  • immunization record shows no vaccines or only influenza vaccines
  • sibling enrolled in the study
  • in the custody of the Department of Youth Services
  • in the custody of the Department of Child and Family Services

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Parent Only GroupParent Only Phone CallParent Only Phone Call
Parent and Adolescent GroupParent and Adolescent Phone CallParent and Adolescent Phone Call
Primary Outcome Measures
NameTimeMethod
receipt of vaccine of interest at 28 days28 days

Vaccination records are assessed 28 days after the intervention to see if Tdap, MCV4, or the 2nd VZV vaccine were administered.

Secondary Outcome Measures
NameTimeMethod
receipt of vaccine of interest at 1 year1 year

Immunization records are assessed 1 year after the intervention to assess for receipt of Tdap, MCV4, and/or the 2nd VZV vaccine.

receipt of other vaccines at 28 days28 days

Immunization records are assessed 28 days after the intervention to assess for receipt of any vaccine other than Tdap, MCV4, and the 2nd VZV.

receipt of other vaccines at 1 year1 year

Immunization records are assessed 1 year after the intervention to assess for receipt of any vaccine other than Tdap, MCV4, and the 2nd VZV.

receipt of prior vaccines at 28 days28 days

We will assess the immunization record at 28 days to see if it has been updated with vaccines given prior to the enrollment date to see if we successfully obtained copies of immunization records at other healthcare sites.

receipt of prior vaccines at 1 year1 year

We will assess the immunization record at 1 year to see if it has been updated with vaccines given prior to the enrollment date to see if we successfully obtained copies of immunization records at other healthcare sites.

Trial Locations

Locations (1)

Children's Hospital Boston

🇺🇸

Boston, Massachusetts, United States

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