Human Papillomavirus, Influenza, Meningococcal Disease, Pertussis, Vaccine Preventable Diseases
Conditions
Keywords
Adolescent Immunization Rates, Provider prompts
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.
Interventions
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adolescent Immunization Rates | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Missed Opportunities | One Year | A hierarchical logistic regression model will evaluate the intervention effect on rates of missed opportunities. |
Countries
United States