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The impact of reminder-recall interventions on low vaccination coverage in an inner-city population.
Arch Pediatr Adolesc Med. 2004 Mar; 158(3):255-61.AP

Abstract

BACKGROUND

Reminder-recall interventions have improved immunization rates in numerous studies.

OBJECTIVE

To evaluate the impact of large-scale, registry-based reminder-recall interventions on low immunization rates in an inner-city population.

DESIGN

Randomized, controlled, effectiveness trial.

SETTING

Fulton County, Georgia.

PARTICIPANTS

A total of 3050 children (76% black, 14% Hispanic, 7% white, and 3% other or unknown; median age, 9 months; range, 1-14 months) identified in an immunization registry as receiving health care in the public sector.

INTERVENTIONS

Each child was randomly assigned to 1 of 4 groups: control (usual care), autodialer (automated telephone or mail reminder recall), outreach (in-person telephone, mail, or home visit recall), and combination (autodialer with outreach backup). Interventions continued until the child reached 24 months of age.

MAIN OUTCOME MEASURE

Completion by the age of 24 months of the 4-3-1-3 vaccination series based on intention-to-treat analysis.

RESULTS

A total of 260 (34%) of the 763 patients in the control group, 306 (40%) of the 763 in the autodialer group, 284 (37%) of the 760 in the outreach group, and 293 (38%) of 764 in the combination group completed the vaccination series.

CONCLUSION

Large-scale, registry-based reminder-recall interventions produced only small improvements in low immunization rates of an inner-city population.

Authors+Show Affiliations

National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. clebaron@cdc.govNo 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

14993085

Citation

LeBaron, Charles W., et al. "The Impact of Reminder-recall Interventions On Low Vaccination Coverage in an Inner-city Population." Archives of Pediatrics & Adolescent Medicine, vol. 158, no. 3, 2004, pp. 255-61.
LeBaron CW, Starnes DM, Rask KJ. The impact of reminder-recall interventions on low vaccination coverage in an inner-city population. Arch Pediatr Adolesc Med. 2004;158(3):255-61.
LeBaron, C. W., Starnes, D. M., & Rask, K. J. (2004). The impact of reminder-recall interventions on low vaccination coverage in an inner-city population. Archives of Pediatrics & Adolescent Medicine, 158(3), 255-61.
LeBaron CW, Starnes DM, Rask KJ. The Impact of Reminder-recall Interventions On Low Vaccination Coverage in an Inner-city Population. Arch Pediatr Adolesc Med. 2004;158(3):255-61. PubMed PMID: 14993085.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of reminder-recall interventions on low vaccination coverage in an inner-city population. AU - LeBaron,Charles W, AU - Starnes,Debi M, AU - Rask,Kimberly J, PY - 2004/3/3/pubmed PY - 2004/3/31/medline PY - 2004/3/3/entrez SP - 255 EP - 61 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 158 IS - 3 N2 - BACKGROUND: Reminder-recall interventions have improved immunization rates in numerous studies. OBJECTIVE: To evaluate the impact of large-scale, registry-based reminder-recall interventions on low immunization rates in an inner-city population. DESIGN: Randomized, controlled, effectiveness trial. SETTING: Fulton County, Georgia. PARTICIPANTS: A total of 3050 children (76% black, 14% Hispanic, 7% white, and 3% other or unknown; median age, 9 months; range, 1-14 months) identified in an immunization registry as receiving health care in the public sector. INTERVENTIONS: Each child was randomly assigned to 1 of 4 groups: control (usual care), autodialer (automated telephone or mail reminder recall), outreach (in-person telephone, mail, or home visit recall), and combination (autodialer with outreach backup). Interventions continued until the child reached 24 months of age. MAIN OUTCOME MEASURE: Completion by the age of 24 months of the 4-3-1-3 vaccination series based on intention-to-treat analysis. RESULTS: A total of 260 (34%) of the 763 patients in the control group, 306 (40%) of the 763 in the autodialer group, 284 (37%) of the 760 in the outreach group, and 293 (38%) of 764 in the combination group completed the vaccination series. CONCLUSION: Large-scale, registry-based reminder-recall interventions produced only small improvements in low immunization rates of an inner-city population. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/14993085/The_impact_of_reminder_recall_interventions_on_low_vaccination_coverage_in_an_inner_city_population_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.158.3.255 DB - PRIME DP - Unbound Medicine ER -