Clinical trial NCT03950986: Increasing Vaccine Uptake Among Veterans at the Atlanta VA Health Care System
Official title: Increasing Vaccine Uptake Among Veterans at the Atlanta VA Health Care System Through a Randomized Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Influenza
Tetanus
Diphtheria
Pertussis
Pneumonia
Keywords: Vaccination
EHR Reminders
Nudge
Electronic Medical Records
Behavioral Economics
Lead sponsor: Atlanta VA Medical Center
Sponsor class: FED
Collaborators: name: General Services Administration (GSA)
name: Emory University
First posted: 2019-05-15
Enrollment: 67000
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Intervention is designed to target patients of primary care providers (physicians, physician assistants and nurse practitioners) in the Atlanta VA Medical System. Primary care providers will be assigned to a provider-side treatment (modified vaccine reminders in the electronic health record (EHR) system) or to control (existing vaccine reminders). Outcomes will be tracked for patients who have appointments with these providers.
Primary purpose: PREVENTION

Brief summary: The Office of Evaluation Sciences is collaborating with Emory University and the Atlanta VA Health Care System to increase adult immunizations uptake among veterans. The intervention targets patients of primary care providers (physicians, physician assistants and nurse practitioners) through a modification of the existing reminders in the VA electronic health record system. The team will evaluate the intervention using a randomized controlled trial.

Detailed description: The Office of Evaluation Sciences is collaborating with Emory University and the Atlanta VA Health Care System to increase adult immunizations uptake among veterans. The intervention targets patients of primary care providers (physicians, physician assistants and nurse practitioners) through a modification of the existing reminders in the VA electronic health record system.

The intervention includes a bundled vaccination reminder for influenza, pneumococcal and TDap vaccines, an immunization dashboard that relays a patient's vaccination status and history, and talking points for providers to use in their dialogues with patients. This intervention was designed to mitigate potential bottlenecks to vaccination, based on conversations and observations with facility clinicians.

The team will evaluate the intervention using a randomized controlled trial.

Eligibility criteria: Inclusion Criteria:

* All patients must have appointments with active primary care providers (physicians, physician assistants and nurse practitioners) in the Atlanta VA Health Care System

Primary outcomes:
measure: Percent of patients receiving one of more vaccines of interest when due for these vaccines
timeFrame: 6 months
measure: Percent of patients receiving the influenza vaccine when due for the vaccine
timeFrame: 6 months
Secondary outcomes:
measure: Percent of patients receiving Tdap/Td or pneumococcal vaccines when due
timeFrame: 6 months
measure: Cost per additional individual vaccinated
timeFrame: 6 months
Other outcomes:
Locations:
city: Decatur
country: United States
facility: Atlanta VA Medical Center
state: Georgia
Study officials:
affiliation: Office of Evaluation Sciences, U.S. General Services Administration
name: Pompa Debroy, MS
role: PRINCIPAL_INVESTIGATOR
affiliation: Office of Evaluation Sciences, U.S. General Services Administration
name: Russ Burnett, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Emory University
name: Saad Omer, MBBS, MPH, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Atlanta VA Health Care System
name: Joseph M Wallace
role: PRINCIPAL_INVESTIGATOR
affiliation: Atlanta VA Health Care System, Emory University
name: Vincent Marconi, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Debroy P, Balu R, Burnett R, Johnson RA, Kappes HB, Wallace JM, Marconi VC. A cluster randomized controlled trial of a modified vaccination clinical reminder for primary care providers. Health Psychol. 2023 Mar;42(3):195-204. doi: 10.1037/hea0001218. Epub 2022 Oct 13.