Clinical trial NCT01622608: Adolescent Vaccination Kiosk Project
Official title: Adolescent Vaccination Kiosk Project
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Adolescent Vaccination Status
Keywords: Adolescent vaccination
Immunization rates
Informational kiosk
Tailored health messaging
Barriers to vaccination
Attitudes
Intentions
Lead sponsor: University of Colorado, Denver
Sponsor class: OTHER
Collaborators: name: Society for Adolescent Health & Medicine
First posted: 2012-06-19
Enrollment: 42
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of this study is to determine whether implementation of a web-based educational intervention using a "vaccine information kiosk" placed in primary care practice waiting rooms can reach a large number of parents and have a measurable impact on adolescent vaccination rates, specifically for Tdap, HPV, meningococcal, and influenza vaccines.

Detailed description: Adolescents are a reservoir population for a variety of vaccine preventable diseases (VPDs). Despite this, adolescent vaccination rates lag substantially behind national goals of 80% coverage for adolescent vaccines set forth by Healthy People 2020. This has been particularly the case for the vaccines most recently recommended for adolescents, such as the human papillomavirus (HPV) and seasonal influenza (flu) vaccines; national coverage levels in 2010 for HPV were 32% (for series completion among females only) and 35% for flu vaccine. Uptake levels for the two other adolescent-targeted vaccines, tetanus-diphtheria-acellular pertussis (Tdap) and meningococcal conjugate (MCV4) vaccines are currently at 69% and 63%, respectively.

A major barrier to increased adolescent vaccination levels is the lack of parental and provider recognition that an adolescent is due for vaccine doses. For providers, there are the dual challenges of getting adolescents to come in for annual preventive care visits and also minimizing "missed opportunities" for vaccination (i.e. clinical interactions with a patient where a needed vaccine could have been provided but was not). Reminder/recall systems are one mechanism to help address both of these challenges for providers while also informing parents about the need for adolescent vaccines.

Eligibility criteria: Inclusion Criteria:

* Parents of adolescents (11-17 years) attending one of 3 participating pediatric practices.
* able to read and converse in English.

Exclusion Criteria:

* Parent age \< 18 years,
* prisoners,
* decisionally challenged participants.

Primary outcomes:
measure: Utilization of vaccine information kiosks by parents/patients.
timeFrame: 12 months
measure: Usefulness of vaccine information kiosks
timeFrame: 12 months (provider survey) & 3 months (parent survey)
measure: Proportion of adolescents who had a change in their vaccination status in kiosk users compared to non-users.
timeFrame: 12 months
Secondary outcomes:
Other outcomes:
Locations:
city: Centennial
country: United States
facility: Pediatrics 5280
state: Colorado
city: Thornton
country: United States
facility: Mountainland Pediatrics
state: Colorado
city: Wheat Ridge
country: United States
facility: Pediatrics West
state: Colorado
Study officials:
affiliation: University of colorado, Children's Hospital Colorado
name: Amanda Dempsey, MD, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Colorado Denver, Children's Hospital Colorado
name: Sean O'Leary, MD, MPH
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Michigan, Masonic Cancer Center
name: Lawrence An, MD
role: PRINCIPAL_INVESTIGATOR
References: