Giving Immunizations Through Vaccine Education

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Using Health Information Technology to Improve Healthcare Quality in Primary Care Practices and in Transitions Between Care Settings

Conditions
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HPV Vaccines

Intervention / Treatment
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* Behavioral: Family Decision Support
* Behavioral: Clinician Decision Support
* Other: Family Decision Support and Clinician Decision Support
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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 Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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Female

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: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Family Decision Support<br>Families will receive informational vaccine reminder telephone calls. | Behavioral: Family Decision Support<br>* Family-focused intervention includes informational vaccine reminder telephone calls prompted by an electronic health record.<br>* Other names: Family Focused Intervention;|
| Experimental: Clinical Decision Support<br>In this treatment arm, clinicians receive the decision support at the point of care within an electronic health record. | Behavioral: Clinician Decision Support<br>* Clinician-focused intervention includes an electronic health record-based decision support mechanism including reminders, education, audit and feedback on vaccination success.<br>* Other names: Clinician Focused Intervention;|
| Experimental: Family DS+ Clinician DS<br>Families will receive informational vaccine reminder calls and their clinicians will receive electronic health record-based decision support for immunizations. | Behavioral: Family Decision Support<br>* Family-focused intervention includes informational vaccine reminder telephone calls prompted by an electronic health record.<br>* Other names: Family Focused Intervention;Behavioral: Clinician Decision Support<br>* Clinician-focused intervention includes an electronic health record-based decision support mechanism including reminders, education, audit and feedback on vaccination success.<br>* Other names: Clinician Focused Intervention;Other: Family Decision Support and Clinician Decision Support<br>* This will be a combination of the family-focused decision support (telephone reminder calls) and clinician-focused decision support (clinical alerts).<br>* Other names: Clinician Decision Support;|
| Other: Control<br>This group will receive regular primary care with no decision support. | Other: Control<br>* Usual care<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of HPV vaccination among girls actively cared for at participating sites | The outcome will be assessed monthly, until study completion (1 year). | Monthly, up to 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rates of meningococcal and tetanus, diphtheria, and pertussis vaccines among girls in the study | The outcome will be assessed monthly, until study completion (1 year). | Monthly, up to 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Clinical Decision Support Systems