Navigation Links
New study finds reminders for immunizations challenging for pediatric practices

AURORA, Colo. (Jan. 25, 2011) A new study led by researchers at the Children's Outcomes Research (COR) Program at The Children's Hospital and Colorado Health Outcomes Program (COHO) at the University of Colorado School of Medicine explores the barriers, facilitators and alternative approaches to providers sending reminder notices for immunization using a statewide immunization registry. Reminder or recall messages, usually in the form of postcards, letters, or phone calls, have long been regarded as an effective way to increase immunization rates within primary care settings, particularly among young children. Despite evidence of the effectiveness of recall, the study found that initiating and sustaining recall activities within private practices remains difficult.

The study, Getting under the hood: exploring the issues that affect provider-based recall using Immunization Information System, publishes today in Academic Pediatrics.

Alison W. Saville, MSPH, MSW, project manager within COR, along with Principal Investigator Allison Kempe, MD, MPH, also of COR, and their team of local and national researchers were interested in researching this to determine why recall was so underutilized by physicians in practice, despite its demonstrated effectiveness at increasing immunization rates in young children. The Colorado Immunization Information System (statewide immunization registry) offers a web-based tool to create a list of children who are behind on immunizations that can generate mailing labels or a phone list.

"This is the first study to explore the real world issues that influence private practices' decisions to implement an evidence-based intervention to increase immunizations," said Saville.

According to Saville, the objectives of the study were to assess (1) pediatric practices' use of provider-based recall using an Immunization Information System (IIS) eight months after training on the recall process; (2) find barriers to provider-based recall using an IIS; (3) come up with strategies that facilitated recall initiation; and (4) create recommendations for alternative approaches for conducting recall.

In 2008, 11 practices received training on the automatic recall function in Colorado's IIS (CIIS) for both infants and adolescents. The two-hour computer-based training provided an opportunity for attendees to run real-time recall reports with CIIS staff assistance. Eight months later, key informant interviews were conducted with 24 providers and staff from these practices.

Study results showed that eight months after training, only four out of 11 practices had implemented recall using CIISthree practices recalled children two years of age and under and one practice recalled adolescent females for the Human Papillomavirus vaccine. Resistance to using the System included lack of awareness of baseline immunization rates, distrust in the accuracy of CIIS generated data, and perceived difficulties recalling adolescents. Having unrealistic expectations about recall effectiveness was a barrier to sustainability.

Strategies that facilitated recall included having a dedicated staff person for recall efforts and recalling children two years of age and under. The majority of key informants viewed population-based recall conducted by public health departments or schools as an acceptable alternative to provider-based recall.

"Even with a promising tool to assist pediatric offices, implementing provider-based recall is challenging for pediatric practices," said Saville. Given existing barriers, providers expressed support for alternative recall methods.

Currently, there is no research comparing the effectiveness of provider-based versus population-based recall. Such research is needed in order to determine the most effective and cost-effective methods for getting children up-to-date with immunizations at the population level. Researchers at COR were recently funded by the NIH to directly compare practice-based versus centralized public health based methods of recalling children at the level of the county.


Contact: Caitlin Jenney
University of Colorado Denver

Related medicine news :

1. Elderly With Dementia, Delirium Confused by ER Visits: Study
2. Rise in Some Head and Neck Cancers Tied to Oral Sex: Study
3. Workers most invested in their jobs have highest stress levels, CAMH study shows
4. Stress of War Spurs Changes in Brain Activity, Study Finds
5. Study examines earlier use of heart pumps in growing group of heart failure patients
6. Study Finds Round Numbers Are Strong Motivators
7. Apology May Leave You Feeling Unsatisfied, Study Finds
8. Study Suggests How Music Fools the Ear
9. Case Western Reserve receives $7.8M to study manic symptoms in children
10. Childhood Last Name Predicts Whether You Buy Early, Late: Study
11. Massachusetts General Hospital leading nationwide, comparative study of common bipolar medications
Post Your Comments:
(Date:11/27/2015)... ... November 27, 2015 , ... The print component ... Today in Atlanta, Dallas, New York, Minneapolis, South Florida, with a circulation of ... distributed nationally, through a vast social media strategy and across a network of ...
(Date:11/27/2015)... , ... November 27, 2015 , ... ... the well-respected Microsoft Dynamics SL User Group (MSDSLUG). Recognized as Microsoft’s official group ... group of Microsoft Dynamics SL software users, partners, industry experts and representatives. Intellitec ...
(Date:11/27/2015)... ... ... CBD College is proud to announce that on November 20th, ... its Diagnostic Medical Sonography program. CBD College is honored to join this very short ... universities in the state of California make the cut. CBD College is officially the ...
(Date:11/27/2015)... ... November 27, 2015 , ... Indosoft Inc., ... the incorporation of Asterisk 11 LTS (Long Term Support) into its Q-Suite 5.10 ... brings Q-Suite 5.10 up-to-date with a version of Asterisk that will receive not ...
(Date:11/26/2015)... ... November 26, 2015 , ... ... Representative. As a franchise owner, Somu now offers travelers, value and care based ... packages, private cruise sales, as well as, cabin upgrades and special amenities such ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 26, 2015 ... aanpak combineert immunotherapie met Bremachlorin-photodynamische therapie voor ... ) --> ... ) Uit ... Centrum (LUMC) blijkt ...
(Date:11/26/2015)... 26, 2015 Research and Markets ( ) ... Pacemaker Market Outlook to 2019 - Rise in Cardiac Disorders ... report to their offering. Boston ... Boston scientific and others. --> ... Biotronik, Boston scientific and others. ...
(Date:11/26/2015)... Nov. 26, 2015 Research and Markets ... the "2016 Future Horizons and Growth Strategies ... Supplier Shares, Country Segment Forecasts, Competitive Intelligence, Emerging ... --> --> This ... the Japanese therapeutic drug monitoring market, including emerging ...
Breaking Medicine Technology: