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Immunization recall: effectiveness and barriers to success in an urban teaching clinic.
J Pediatr. 2001 Nov; 139(5):630-5.JPed

Abstract

OBJECTIVE

To examine effectiveness of immunization recall in an urban pediatric teaching clinic and to identify barriers to recall effectiveness.

DESIGN

Randomized, controlled trial. Children aged 5 to 17 months who were not up to date (UTD) with recommended immunizations were identified and assigned to intervention (n = 294) or control groups (n = 309). The intervention consisted of a mailed postcard and up to 4 telephone calls. Two months after intervention, UTD status, visit, and probable missed opportunity rates were assessed.

RESULTS

Of the intervention group, 30% could not be reached. In 12-month-old children in the intervention group compared with those in the control group, there was a trend toward higher UTD rates (51% vs 39%, P =.07) and a higher proportion of UTD children receiving immunizations as opposed to getting more complete documentation (25% vs 10%, P =.005). Similar differences between intervention and control children were not seen in the 7-month and 19-month age categories. More children in the intervention group had a health maintenance visit (17% vs 11%, P =.03). Of children in the intervention group who were seen when not UTD, 17 of 24 (71%) of those seen for an illness visit and 5 of 24 (21%) of those seen for health maintenance probably had missed opportunities to be immunized.

CONCLUSIONS

Recall efforts were partially successful but were undermined by inability to reach the clinic population, poor documentation of immunizations, and missed opportunities.

Authors+Show Affiliations

The Children's Hospital, Denver, CO 80218, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11713438

Citation

Kempe, A, et al. "Immunization Recall: Effectiveness and Barriers to Success in an Urban Teaching Clinic." The Journal of Pediatrics, vol. 139, no. 5, 2001, pp. 630-5.
Kempe A, Lowery NE, Pearson KA, et al. Immunization recall: effectiveness and barriers to success in an urban teaching clinic. J Pediatr. 2001;139(5):630-5.
Kempe, A., Lowery, N. E., Pearson, K. A., Renfrew, B. L., Jones, J. S., Steiner, J. F., & Berman, S. (2001). Immunization recall: effectiveness and barriers to success in an urban teaching clinic. The Journal of Pediatrics, 139(5), 630-5.
Kempe A, et al. Immunization Recall: Effectiveness and Barriers to Success in an Urban Teaching Clinic. J Pediatr. 2001;139(5):630-5. PubMed PMID: 11713438.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Immunization recall: effectiveness and barriers to success in an urban teaching clinic. AU - Kempe,A, AU - Lowery,N E, AU - Pearson,K A, AU - Renfrew,B L, AU - Jones,J S, AU - Steiner,J F, AU - Berman,S, PY - 2001/11/20/pubmed PY - 2002/1/5/medline PY - 2001/11/20/entrez SP - 630 EP - 5 JF - The Journal of pediatrics JO - J. Pediatr. VL - 139 IS - 5 N2 - OBJECTIVE: To examine effectiveness of immunization recall in an urban pediatric teaching clinic and to identify barriers to recall effectiveness. DESIGN: Randomized, controlled trial. Children aged 5 to 17 months who were not up to date (UTD) with recommended immunizations were identified and assigned to intervention (n = 294) or control groups (n = 309). The intervention consisted of a mailed postcard and up to 4 telephone calls. Two months after intervention, UTD status, visit, and probable missed opportunity rates were assessed. RESULTS: Of the intervention group, 30% could not be reached. In 12-month-old children in the intervention group compared with those in the control group, there was a trend toward higher UTD rates (51% vs 39%, P =.07) and a higher proportion of UTD children receiving immunizations as opposed to getting more complete documentation (25% vs 10%, P =.005). Similar differences between intervention and control children were not seen in the 7-month and 19-month age categories. More children in the intervention group had a health maintenance visit (17% vs 11%, P =.03). Of children in the intervention group who were seen when not UTD, 17 of 24 (71%) of those seen for an illness visit and 5 of 24 (21%) of those seen for health maintenance probably had missed opportunities to be immunized. CONCLUSIONS: Recall efforts were partially successful but were undermined by inability to reach the clinic population, poor documentation of immunizations, and missed opportunities. SN - 0022-3476 UR - https://www.unboundmedicine.com/medline/citation/11713438/Immunization_recall:_effectiveness_and_barriers_to_success_in_an_urban_teaching_clinic_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(01)88945-9 DB - PRIME DP - Unbound Medicine ER -