Clinical trial NCT01984125: Testing the Use of Prompts to Increase Adolescent Immunization Rates
Official title: Adolescent Vaccination in the Medical Home
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Vaccine Preventable Diseases
Meningococcal Disease
Human Papillomavirus
Pertussis
Influenza
Keywords: Adolescent Immunization Rates
Provider prompts
Lead sponsor: University of California, Los Angeles
Sponsor class: OTHER
Collaborators: name: Centers for Disease Control and Prevention
First posted: 2013-11-14
Enrollment: 7040
Sex: ALL
Minimum age (years): 11
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* Adolescents aged 11 - 18 who had a visit to their primary care provider during the 12 month intervention period

Exclusion Criteria:

* Adolescent is pregnant during intervention time period

Primary outcomes:
measure: Adolescent Immunization Rates
timeFrame: One Year
Secondary outcomes:
measure: Missed Opportunities
timeFrame: One Year
Other outcomes:
Locations:
city: Little Rock
country: United States
facility: University of Arkansas - Arkansas Children's Hospital
state: Arkansas
city: Wilmington
country: United States
facility: Wilmington Hospital Health Center
state: Delaware
city: Gainesville
country: United States
facility: University of Florida
state: Florida
city: Chicago
country: United States
facility: Children's Memorial Hospital - Northwestern University
state: Illinois
city: Iowa City
country: United States
facility: University of Iowa Hospital
state: Iowa
city: Boston
country: United States
facility: Boston Children's
state: Massachusetts
city: Ann Arbor
country: United States
facility: University of Michigan
state: Michigan
city: Saint Louis
country: United States
facility: St. Louis University - School of Medicine
state: Missouri
city: Brockport
country: United States
facility: Oak Orchard Community Health Center
state: New York
city: Honeoye Falls
country: United States
facility: Honeoye Falls Family Medicine
state: New York
city: Mendon
country: United States
facility: Mendon Pediatrics
state: New York
city: Rochester
country: United States
facility: Long Pond Pediatrics
state: New York
city: Rochester
country: United States
facility: Goodman Pediatrics
state: New York
city: Rochester
country: United States
facility: Parkway Pediatrics
state: New York
city: Rochester
country: United States
facility: English Road Pediatrics
state: New York
city: Rochester
country: United States
facility: 12 Corner Pediatrics
state: New York
city: Rochester
country: United States
facility: Westside Pediatrics
state: New York
city: Rochester
country: United States
facility: Ridgewood Med-Peds
state: New York
city: Columbus
country: United States
facility: Nationwide Children's Hospital
state: Ohio
city: Houston
country: United States
facility: Baylor College of Medicine, Texas Children's Hospital
state: Texas
city: Houston
country: United States
facility: University of Texas - Houston
state: Texas
city: Seattle
country: United States
facility: University of Washington Medical Center
state: Washington
Study officials:
References:
citation: Szilagyi PG, Serwint JR, Humiston SG, Rand CM, Schaffer S, Vincelli P, Dhepyasuwan N, Blumkin A, Albertin C, Curtis CR. Effect of provider prompts on adolescent immunization rates: a randomized trial. Acad Pediatr. 2015 Mar-Apr;15(2):149-57. doi: 10.1016/j.acap.2014.10.006.