Using Health Information Technology to Improve Healthcare Quality in Primary Care Practices and in Transitions Between Care Settings
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23,675
- 试验地点
- 1
- 主要终点
- Rate of HPV vaccination among girls actively cared for at participating sites
研究概览
简要总结
This study will test the effectiveness of clinician-focused health IT-based decision support, family-focused health IT-based decision support, and a combination of both efforts, in increasing HPV and other adolescent vaccine rates among adolescent girls. We hypothesize that a combination of clinician-focused clinical decision support and family-focused decision support will be most effective.
详细描述
- Clinician-focused intervention includes an electronic health record-based decision support mechanism including reminders, education, audit and feedback on vaccination success.
- Family-focused intervention includes vaccine reminders and informational telephone calls prompted by the electronic health record.
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 17 Years（Child）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •All clinicians practicing at participating sites
- •Parents with an eligible adolescent girl
- •Adolescent girls
- •Ages 11-17
- •Has a visit at one of the primary care centers within the last 15 months.
- •Has not completed the teen vaccine series
排除标准
- 未提供
研究组 & 干预措施
Family Decision Support
Families will receive informational vaccine reminder telephone calls.
干预措施: Family Decision Support (Behavioral)
Clinical Decision Support
In this treatment arm, clinicians receive the decision support at the point of care within an electronic health record.
干预措施: Clinician Decision Support (Behavioral)
Family DS+ Clinician DS
Families will receive informational vaccine reminder calls and their clinicians will receive electronic health record-based decision support for immunizations.
干预措施: Family Decision Support (Behavioral)
Family DS+ Clinician DS
Families will receive informational vaccine reminder calls and their clinicians will receive electronic health record-based decision support for immunizations.
干预措施: Clinician Decision Support (Behavioral)
Family DS+ Clinician DS
Families will receive informational vaccine reminder calls and their clinicians will receive electronic health record-based decision support for immunizations.
干预措施: Family Decision Support and Clinician Decision Support (Other)
Control
This group will receive regular primary care with no decision support.
干预措施: Control (Other)
结局指标
主要结局
Rate of HPV vaccination among girls actively cared for at participating sites
时间窗: Monthly, up to 1 year
The outcome will be assessed monthly, until study completion (1 year).
次要结局
- Rates of meningococcal and tetanus, diphtheria, and pertussis vaccines among girls in the study(Monthly, up to 1 year)