AIMHi: Testing the Use of Prompts to Increase Adolescent Immunization Rates

Sponsor

University of California, Los Angeles (Other)

Overall Status

Completed

CT.gov ID

NCT01984125

Collaborator

Centers for Disease Control and Prevention (U.S. Fed)

7,040

Enrollment

Locations

Arms

Duration (Months)

320

Patients Per Site

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Vaccine Preventable Diseases Meningococcal Disease Human Papillomavirus Pertussis Influenza	Other: Point-of-Care Prompt	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

7040 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

Adolescent Vaccination in the Medical Home

Study Start Date :

Apr 1, 2011

Actual Primary Completion Date :

Jan 1, 2013

Actual Study Completion Date :

Dec 1, 2013

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Point-of-Care Prompt A prompt, either electronically or by a nurse, will notify a provider if an adolescent is due for a vaccination. This prompt will appear at any type of visit where the patient is seen by a health provider.	Other: Point-of-Care Prompt
No Intervention: Control

Arm

Intervention/Treatment

Experimental: Point-of-Care Prompt

A prompt, either electronically or by a nurse, will notify a provider if an adolescent is due for a vaccination. This prompt will appear at any type of visit where the patient is seen by a health provider.

Other: Point-of-Care Prompt

No Intervention: Control

Outcome Measures

Primary Outcome Measures

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 Outcome Measures

Missed Opportunities [One Year]
A hierarchical logistic regression model will evaluate the intervention effect on rates of missed opportunities.

Eligibility Criteria

Criteria

Ages Eligible for Study:

11 Years to 18 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of Arkansas - Arkansas Children's Hospital	Little Rock	Arkansas	United States	72202
2	Wilmington Hospital Health Center	Wilmington	Delaware	United States	19801
3	University of Florida	Gainesville	Florida	United States	32608
4	Children's Memorial Hospital - Northwestern University	Chicago	Illinois	United States	60611
5	University of Iowa Hospital	Iowa City	Iowa	United States	52242
6	Boston Children's	Boston	Massachusetts	United States	02115
7	University of Michigan	Ann Arbor	Michigan	United States	48109
8	St. Louis University - School of Medicine	Saint Louis	Missouri	United States	63104
9	Oak Orchard Community Health Center	Brockport	New York	United States	14420
10	Honeoye Falls Family Medicine	Honeoye Falls	New York	United States	14472
11	Mendon Pediatrics	Mendon	New York	United States	14506
12	Long Pond Pediatrics	Rochester	New York	United States	14606
13	Goodman Pediatrics	Rochester	New York	United States	14609
14	Parkway Pediatrics	Rochester	New York	United States	14612
15	English Road Pediatrics	Rochester	New York	United States	14616
16	12 Corner Pediatrics	Rochester	New York	United States	14618
17	Westside Pediatrics	Rochester	New York	United States	14624
18	Ridgewood Med-Peds	Rochester	New York	United States	14626
19	Nationwide Children's Hospital	Columbus	Ohio	United States	42338
20	Baylor College of Medicine, Texas Children's Hospital	Houston	Texas	United States	77030
21	University of Texas - Houston	Houston	Texas	United States	77030
22	University of Washington Medical Center	Seattle	Washington	United States	98105

Sponsors and Collaborators

University of California, Los Angeles
Centers for Disease Control and Prevention

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Peter G Szilagyi, MD MPH, Chief, Division of General Pediatrics, University of Rochester

ClinicalTrials.gov Identifier:

NCT01984125

Other Study ID Numbers:

IP000312

First Posted:

Nov 14, 2013

Last Update Posted:

May 2, 2017

Last Verified:

Apr 1, 2017

Keywords provided by Peter G Szilagyi, MD MPH, Chief, Division of General Pediatrics, University of Rochester

Adolescent Immunization Rates

Provider prompts

Additional relevant MeSH terms:

Meningococcal Infections

Vaccine-Preventable Diseases

Study Results

No Results Posted as of May 2, 2017