Bayo C. Willis1, Daniel B. Fishbein
2, William M. Cassidy
3, Dale Moran Bell
3, Felicita David
1, and Pascale Wortley
1. (1) National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Rd, NE, MS E-52, Atlanta, GA, USA, (2) ISD-HSREB, CDC - NIP, 1600 Clifton Road, NE, MS E-52, Atlanta, GA, USA, (3) Department of Medicine/Earl K. Long Medical Center, Louisiana State University Health Sciences Center, 5825 Airline Highway, Baton Rouge, LA, USA
KEYWORD1:
Adults, Vaccination Self-Assessment, Provider Reminder
BACKGROUND:
The Advisory Committee on Immunization Practices (ACIP) recommends up to 8 different immunizations for adults, depending on specific risk factors. We developed and tested an Assessment/Reminder (A/R) tool to determine the feasibility of using this tool to improve administration of all ACIP recommended vaccines.
OBJECTIVE:
To assess the effectiveness of the A/R tool as an intervention to increase adult immunization coverage.
METHOD:
A group randomized trial was performed in two family practice study sites in Georgia and New Mexico. The self-administered A/R tool was given to 100 intervention patients, and a non-immunization related physical activity fact sheet to 100 control patients. For each of 8 vaccines, patients were asked to indicate if any of the listed vaccine risk factors were applicable. Patients who ‘needed’ a vaccine were defined as those who had risk factors for a given vaccine and were not up-to-date for the vaccine according to chart review. Vaccine receipt was compared for patients in the intervention and control groups.
RESULT:
In Georgia, the intervention group received 15 (9%) of the 160 vaccines needed, while the control group received 13 (8%) of the 168 vaccines needed. After slight modification of the protocol, the intervention group in New Mexico received 49 (19.6%) of the 249 vaccines needed, while the control group received 10 (4%) of the 240 vaccines needed (p<0.0001). There were significant increases in the administration of influenza, pneumococcal, and tetanus vaccines.
CONCLUSION:
The majority of vaccines needed in the Georgia family practice site were not administered despite indications from the A/R tool or the medical record. The New Mexico site utilized a one page summary sheet to reduce provider review time, and this method resulted in a significant increase in vaccinations in the intervention group.
LEARNINGOBJECTIVES:
Participants will understand how the "Assessment-Reminder" tool is both an assessment and a reminder for adult immunization.
See more of Increasing Adult Immunization Rates: Provider-Based Strategies in Practice
See more of The 37th National Immunization Conference
