Effect of Varied Outreach Methods on Appointment Scheduling, Appointment Completion, and Receipt of MMR Vaccination

Study Overview
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Brief Summary
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Our objective is to determine the effectiveness of varied outreach methods (e.g. automated reminder calls/text messages with or without personalized calls/texts) to children age 12-14 months or 4 years old who are due for a WCC visit and don't have one scheduled in the next 45 days on the outcomes of appointment scheduling, appointment completion, and receipt of the MMR vaccination.

Official Title
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Effect of Varied Outreach Methods on Appointment Scheduling, Appointment Completion, and Receipt of MMR Vaccination

Conditions
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Preventable Disease, Vaccine, Health Care Utilization

Intervention / Treatment
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* Other: 1 automated message
* Other: 2 automated messages
* Other: No personal contact attempt
* Other: 1 personal contact attempt


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age: 12-14 months old OR 4 years old Has not yet received first MMR (for 12-14 month olds) OR second MMR (for 4 year olds) Has not had a well child check in past 365 days (for 4 year olds) No appointment scheduled in the next 45 days Parent preferred language = English or Spanish Exclusion Criteria: Phone number not available in electronic medical record

Ages Eligible for Study
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Minimum Age: 12 Months
Maximum Age: 4 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm 1<br> | Other: 1 automated message<br>* Parents of eligible patients will receive 1 HIPAA compliant automated call or text reminder (based on preference recorded in EHR) that their child is due for a checkup and information on how to schedule an appointment.<br>Other: No personal contact attempt<br>* No personal contact attempts will be made.<br>|
| Experimental: Arm 2<br> | Other: 2 automated messages<br>* Parents of eligible patients will receive 2 HIPAA compliant automated call or text reminders (based on preference recorded in EHR) that their child is due for a checkup and information on how to schedule an appointment.<br>Other: No personal contact attempt<br>* No personal contact attempts will be made.<br>|
| Experimental: Arm 3<br> | Other: 1 automated message<br>* Parents of eligible patients will receive 1 HIPAA compliant automated call or text reminder (based on preference recorded in EHR) that their child is due for a checkup and information on how to schedule an appointment.<br>Other: 1 personal contact attempt<br>* Parents of eligible patients will receive a text from a medical assistant informing them that their child is due for a check up. This will be followed by personal call from the medical assistant to assist the parent with scheduling an appointment.<br>|
| Experimental: Arm 4<br> | Other: 2 automated messages<br>* Parents of eligible patients will receive 2 HIPAA compliant automated call or text reminders (based on preference recorded in EHR) that their child is due for a checkup and information on how to schedule an appointment.<br>Other: 1 personal contact attempt<br>* Parents of eligible patients will receive a text from a medical assistant informing them that their child is due for a check up. This will be followed by personal call from the medical assistant to assist the parent with scheduling an appointment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Receipt of MMR vaccination | MMR administered to child (Yes or No) based on electronic health record documentation | By 15 months of age (for children who are 12-14 months old), or within 3 months of receiving intervention (for children age 4 years old) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Appointment scheduled | Appointment scheduled (Yes or No) based on electronic health record documentation | Within 2 weeks of receiving intervention | 
| Appointment completed | Appointment completed (Yes or No) based on electronic health record documentation | Within 8 weeks of receiving intervention |