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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
7,040
University of Arkansas - Arkansas Children's Hospital
Little Rock, Arkansas, United States
Wilmington Hospital Health Center
Wilmington, Delaware, United States
University of Florida
Gainesville, Florida, United States
Children's Memorial Hospital - Northwestern University
Chicago, Illinois, United States
University of Iowa Hospital
Iowa City, Iowa, United States
Boston Children's
Boston, Massachusetts, United States
University of Michigan
Ann Arbor, Michigan, United States
St. Louis University - School of Medicine
St Louis, Missouri, United States
Oak Orchard Community Health Center
Brockport, New York, United States
Honeoye Falls Family Medicine
Honeoye Falls, New York, United States
...and 12 more locations
Adolescent Immunization Rates
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.
Time frame: One Year
Missed Opportunities
A hierarchical logistic regression model will evaluate the intervention effect on rates of missed opportunities.
Time frame: One Year
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