Clinical Trial: Testing the Use of Prompts to Increase Adolescent Immunization Rates

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Adolescent Vaccination in the Medical Home

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.

Detailed Summary:
Sponsor: University of California, Los Angeles

Current Primary Outcome: Adolescent Immunization Rates [ Time Frame: One Year ]

Bivariate analysis will measure the overall change between the control and intervention groups. Vaccination rates will be summarized using descriptive statistics. As appropriate, two sample t-test or chi-square tests will be used to summarize patient level data. Odds ratio with associated 95% confidence interval will be reported within each of the 2 networks.


Original Primary Outcome: Same as current

Current Secondary Outcome: Missed Opportunities [ Time Frame: One Year ]

A hierarchical logistic regression model will evaluate the intervention effect on rates of missed opportunities.


Original Secondary Outcome: Same as current

Information By: University of California, Los Angeles

Dates:
Date Received: November 7, 2013
Date Started: April 2011
Date Completion:
Last Updated: April 28, 2017
Last Verified: April 2017