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.
“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 CIIS—three 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.
The University of Colorado Denver offers more than 120 degrees and programs in 13 schools and colleges and serves more than 28,000 students. For more information, visit the UC Denver Newsroom.
Contact: Caitlin Jenney, 303-315-6376, firstname.lastname@example.org
Caitlin Jenney | EurekAlert!
Rutgers-led innovation could spur faster, cheaper, nano-based manufacturing
14.02.2018 | Rutgers University
New study from the University of Halle: How climate change alters plant growth
12.01.2018 | Martin-Luther-Universität Halle-Wittenberg
Breakthrough provides a new concept of the design of molecular motors, sensors and electricity generators at nanoscale
Researchers from the Institute of Organic Chemistry and Biochemistry of the CAS (IOCB Prague), Institute of Physics of the CAS (IP CAS) and Palacký University...
For photographers and scientists, lenses are lifesavers. They reflect and refract light, making possible the imaging systems that drive discovery through the microscope and preserve history through cameras.
But today's glass-based lenses are bulky and resist miniaturization. Next-generation technologies, such as ultrathin cameras or tiny microscopes, require...
Scientists from the University of Zurich have succeeded for the first time in tracking individual stem cells and their neuronal progeny over months within the intact adult brain. This study sheds light on how new neurons are produced throughout life.
The generation of new nerve cells was once thought to taper off at the end of embryonic development. However, recent research has shown that the adult brain...
Theoretical physicists propose to use negative interference to control heat flow in quantum devices. Study published in Physical Review Letters
Quantum computer parts are sensitive and need to be cooled to very low temperatures. Their tiny size makes them particularly susceptible to a temperature...
Let’s say the armrest is broken in your vintage car. As things stand, you would need a lot of luck and persistence to find the right spare part. But in the world of Industrie 4.0 and production with batch sizes of one, you can simply scan the armrest and print it out. This is made possible by the first ever 3D scanner capable of working autonomously and in real time. The autonomous scanning system will be on display at the Hannover Messe Preview on February 6 and at the Hannover Messe proper from April 23 to 27, 2018 (Hall 6, Booth A30).
Part of the charm of vintage cars is that they stopped making them long ago, so it is special when you do see one out on the roads. If something breaks or...
15.02.2018 | Event News
13.02.2018 | Event News
12.02.2018 | Event News
16.02.2018 | Information Technology
16.02.2018 | Health and Medicine
16.02.2018 | Physics and Astronomy