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Testing the Use of Prompts to Increase Adolescent Immunization Rates (AIMHi)

Primary Purpose

Vaccine Preventable Diseases, Meningococcal Disease, Human Papillomavirus

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Point-of-Care Prompt
Sponsored by
University of California, Los Angeles
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Vaccine Preventable Diseases focused on measuring Adolescent Immunization Rates, Provider prompts

Eligibility Criteria

11 Years - 18 Years (Child, Adult)All SexesDoes not accept 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

Sites / Locations

  • University of Arkansas - Arkansas Children's Hospital
  • Wilmington Hospital Health Center
  • University of Florida
  • Children's Memorial Hospital - Northwestern University
  • University of Iowa Hospital
  • Boston Children's
  • University of Michigan
  • St. Louis University - School of Medicine
  • Oak Orchard Community Health Center
  • Honeoye Falls Family Medicine
  • Mendon Pediatrics
  • Long Pond Pediatrics
  • Goodman Pediatrics
  • Parkway Pediatrics
  • English Road Pediatrics
  • 12 Corner Pediatrics
  • Westside Pediatrics
  • Ridgewood Med-Peds
  • Nationwide Children's Hospital
  • Baylor College of Medicine, Texas Children's Hospital
  • University of Texas - Houston
  • University of Washington Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Point-of-Care Prompt

Control

Arm Description

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.

Outcomes

Primary Outcome Measures

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

Full Information

First Posted
November 7, 2013
Last Updated
April 28, 2017
Sponsor
University of California, Los Angeles
Collaborators
Centers for Disease Control and Prevention
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1. Study Identification

Unique Protocol Identification Number
NCT01984125
Brief Title
Testing the Use of Prompts to Increase Adolescent Immunization Rates
Acronym
AIMHi
Official Title
Adolescent Vaccination in the Medical Home
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
April 2011 (undefined)
Primary Completion Date
January 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of California, Los Angeles
Collaborators
Centers for Disease Control and Prevention

4. Oversight

Data Monitoring Committee
No

5. 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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vaccine Preventable Diseases, Meningococcal Disease, Human Papillomavirus, Pertussis, Influenza
Keywords
Adolescent Immunization Rates, Provider prompts

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
7040 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Point-of-Care Prompt
Arm Type
Experimental
Arm Description
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.
Arm Title
Control
Arm Type
No Intervention
Intervention Type
Other
Intervention Name(s)
Point-of-Care Prompt
Primary Outcome Measure Information:
Title
Adolescent Immunization Rates
Description
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.
Time Frame
One Year
Secondary Outcome Measure Information:
Title
Missed Opportunities
Description
A hierarchical logistic regression model will evaluate the intervention effect on rates of missed opportunities.
Time Frame
One Year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
11 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
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
Facility Information:
Facility Name
University of Arkansas - Arkansas Children's Hospital
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72202
Country
United States
Facility Name
Wilmington Hospital Health Center
City
Wilmington
State/Province
Delaware
ZIP/Postal Code
19801
Country
United States
Facility Name
University of Florida
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32608
Country
United States
Facility Name
Children's Memorial Hospital - Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
University of Iowa Hospital
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Boston Children's
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
University of Michigan
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
St. Louis University - School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States
Facility Name
Oak Orchard Community Health Center
City
Brockport
State/Province
New York
ZIP/Postal Code
14420
Country
United States
Facility Name
Honeoye Falls Family Medicine
City
Honeoye Falls
State/Province
New York
ZIP/Postal Code
14472
Country
United States
Facility Name
Mendon Pediatrics
City
Mendon
State/Province
New York
ZIP/Postal Code
14506
Country
United States
Facility Name
Long Pond Pediatrics
City
Rochester
State/Province
New York
ZIP/Postal Code
14606
Country
United States
Facility Name
Goodman Pediatrics
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
Parkway Pediatrics
City
Rochester
State/Province
New York
ZIP/Postal Code
14612
Country
United States
Facility Name
English Road Pediatrics
City
Rochester
State/Province
New York
ZIP/Postal Code
14616
Country
United States
Facility Name
12 Corner Pediatrics
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
Westside Pediatrics
City
Rochester
State/Province
New York
ZIP/Postal Code
14624
Country
United States
Facility Name
Ridgewood Med-Peds
City
Rochester
State/Province
New York
ZIP/Postal Code
14626
Country
United States
Facility Name
Nationwide Children's Hospital
City
Columbus
State/Province
Ohio
ZIP/Postal Code
42338
Country
United States
Facility Name
Baylor College of Medicine, Texas Children's Hospital
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
University of Texas - Houston
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
University of Washington Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
25748976
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.
Results Reference
result

Learn more about this trial

Testing the Use of Prompts to Increase Adolescent Immunization Rates

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