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

April 28, 2017 updated by: Peter G Szilagyi, MD MPH, University of California, Los Angeles

Adolescent Vaccination in the Medical Home

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

7040

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Arkansas
      • Little Rock, Arkansas, United States, 72202
        • University of Arkansas - Arkansas Children's Hospital
    • Delaware
      • Wilmington, Delaware, United States, 19801
        • Wilmington Hospital Health Center
    • Florida
      • Gainesville, Florida, United States, 32608
        • University of Florida
    • Illinois
      • Chicago, Illinois, United States, 60611
        • Children's Memorial Hospital - Northwestern University
    • Iowa
      • Iowa City, Iowa, United States, 52242
        • University of Iowa Hospital
    • Massachusetts
      • Boston, Massachusetts, United States, 02115
        • Boston Children's
    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • University of Michigan
    • Missouri
      • Saint Louis, Missouri, United States, 63104
        • St. Louis University - School of Medicine
    • New York
      • Brockport, New York, United States, 14420
        • Oak Orchard Community Health Center
      • Honeoye Falls, New York, United States, 14472
        • Honeoye Falls Family Medicine
      • Mendon, New York, United States, 14506
        • Mendon Pediatrics
      • Rochester, New York, United States, 14606
        • Long Pond Pediatrics
      • Rochester, New York, United States, 14609
        • Goodman Pediatrics
      • Rochester, New York, United States, 14612
        • Parkway Pediatrics
      • Rochester, New York, United States, 14616
        • English Road Pediatrics
      • Rochester, New York, United States, 14618
        • 12 Corner Pediatrics
      • Rochester, New York, United States, 14624
        • Westside Pediatrics
      • Rochester, New York, United States, 14626
        • Ridgewood Med-Peds
    • Ohio
      • Columbus, Ohio, United States, 42338
        • Nationwide Children's Hospital
    • Texas
      • Houston, Texas, United States, 77030
        • University of Texas - Houston
      • Houston, Texas, United States, 77030
        • Baylor College of Medicine, Texas Children's Hospital
    • Washington
      • Seattle, Washington, United States, 98105
        • University of Washington Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

11 years to 18 years (ADULT, CHILD)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: HEALTH_SERVICES_RESEARCH
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
NO_INTERVENTION: Control
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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
One Year

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Missed Opportunities
Time Frame: One Year
A hierarchical logistic regression model will evaluate the intervention effect on rates of missed opportunities.
One Year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of California, Los Angeles

Collaborators

Centers for Disease Control and Prevention

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

April 1, 2011

Primary Completion (ACTUAL)

January 1, 2013

Study Completion (ACTUAL)

December 1, 2013

Study Registration Dates

First Submitted

November 7, 2013

First Submitted That Met QC Criteria

November 7, 2013

First Posted (ESTIMATE)

November 14, 2013

Study Record Updates

Last Update Posted (ACTUAL)

May 2, 2017

Last Update Submitted That Met QC Criteria

April 28, 2017

Last Verified

April 1, 2017

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IP000312

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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