Tags

Type your tag names separated by a space and hit enter

Effect of telephone reminder/recall on adolescent immunization and preventive visits: results from a randomized clinical trial.
Arch Pediatr Adolesc Med. 2006 Feb; 160(2):157-63.AP

Abstract

OBJECTIVE

To measure the effect of telephone-based reminder/recall on immunization and well-child care (WCC) visit rates among adolescents in urban practices.

DESIGN

Randomized clinical trial of telephone-based reminder/recall over 18 months.

SETTING

Four urban primary care practices.

PARTICIPANTS

Adolescents aged 11 to 14 years.Intervention Adolescents within practices were randomized to study (n = 1496) or control groups (n = 1510). The study group was sent audiotaped telephone reminders about a scheduled or needed immunization or WCC visit. Households were called weekly if there was no response; telephone numbers were updated weekly. Controls received standard care.

RESULTS

Baseline demographics and immunization and WCC visit rates were similar for study and control groups. The intervention was largely ineffective in improving immunization or WCC visit rates. Although at the end of the study, the study group had slightly higher hepatitis B coverage (3 vaccinations) (62% vs 57.8%; P = .02), WCC visits were the same (53% and 54%), and impact on other vaccinations was minimal. The effect of reminder/recall was equivalent across demographic subgroups (e.g., age, race/ethnicity, insurance). The major factor limiting intervention effectiveness was inaccurate telephone numbers. Seventy-one percent of study subjects with single telephone numbers throughout the study had a WCC visit vs 25% of study subjects with multiple/changed telephone numbers and 54% of controls (P<.001).

CONCLUSIONS

An intensive telephone reminder and recall system was only minimally successful in improving immunization and WCC visit rates among urban adolescents. Lack of success was largely owing to changed or inaccurate telephone numbers.

Authors+Show Affiliations

Departments of Pediatrics and Emergency Medicine, University of Rochester School of Medicine and Dentistry, Strong Children's Research Center, Strong Memorial Hospital, Box 632, Rochester, NY 14642, USA. peter_szilagyi@urmc.rochester.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

16461871

Citation

Szilagyi, Peter G., et al. "Effect of Telephone Reminder/recall On Adolescent Immunization and Preventive Visits: Results From a Randomized Clinical Trial." Archives of Pediatrics & Adolescent Medicine, vol. 160, no. 2, 2006, pp. 157-63.
Szilagyi PG, Schaffer S, Barth R, et al. Effect of telephone reminder/recall on adolescent immunization and preventive visits: results from a randomized clinical trial. Arch Pediatr Adolesc Med. 2006;160(2):157-63.
Szilagyi, P. G., Schaffer, S., Barth, R., Shone, L. P., Humiston, S. G., Ambrose, S., & Averhoff, F. (2006). Effect of telephone reminder/recall on adolescent immunization and preventive visits: results from a randomized clinical trial. Archives of Pediatrics & Adolescent Medicine, 160(2), 157-63.
Szilagyi PG, et al. Effect of Telephone Reminder/recall On Adolescent Immunization and Preventive Visits: Results From a Randomized Clinical Trial. Arch Pediatr Adolesc Med. 2006;160(2):157-63. PubMed PMID: 16461871.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of telephone reminder/recall on adolescent immunization and preventive visits: results from a randomized clinical trial. AU - Szilagyi,Peter G, AU - Schaffer,Stanley, AU - Barth,Richard, AU - Shone,Laura P, AU - Humiston,Sharon G, AU - Ambrose,Sandra, AU - Averhoff,Francisco, PY - 2006/2/8/pubmed PY - 2006/3/22/medline PY - 2006/2/8/entrez SP - 157 EP - 63 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 160 IS - 2 N2 - OBJECTIVE: To measure the effect of telephone-based reminder/recall on immunization and well-child care (WCC) visit rates among adolescents in urban practices. DESIGN: Randomized clinical trial of telephone-based reminder/recall over 18 months. SETTING: Four urban primary care practices. PARTICIPANTS: Adolescents aged 11 to 14 years.Intervention Adolescents within practices were randomized to study (n = 1496) or control groups (n = 1510). The study group was sent audiotaped telephone reminders about a scheduled or needed immunization or WCC visit. Households were called weekly if there was no response; telephone numbers were updated weekly. Controls received standard care. RESULTS: Baseline demographics and immunization and WCC visit rates were similar for study and control groups. The intervention was largely ineffective in improving immunization or WCC visit rates. Although at the end of the study, the study group had slightly higher hepatitis B coverage (3 vaccinations) (62% vs 57.8%; P = .02), WCC visits were the same (53% and 54%), and impact on other vaccinations was minimal. The effect of reminder/recall was equivalent across demographic subgroups (e.g., age, race/ethnicity, insurance). The major factor limiting intervention effectiveness was inaccurate telephone numbers. Seventy-one percent of study subjects with single telephone numbers throughout the study had a WCC visit vs 25% of study subjects with multiple/changed telephone numbers and 54% of controls (P<.001). CONCLUSIONS: An intensive telephone reminder and recall system was only minimally successful in improving immunization and WCC visit rates among urban adolescents. Lack of success was largely owing to changed or inaccurate telephone numbers. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/16461871/Effect_of_telephone_reminder/recall_on_adolescent_immunization_and_preventive_visits:_results_from_a_randomized_clinical_trial_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.160.2.157 DB - PRIME DP - Unbound Medicine ER -