KEYWORD1:
Program evaluation, Health promotion, Immunization Reminders, Immunization registries

BACKGROUND:
CHILD Profile is Washington State’s immunization registry and health promotion system to ensure children from 0-6 receive needed preventive health care. CHILD Profile gives parents and providers the information they need to help make appropriate health care decisions about children. The health promotion component, using birth certificate data entered into and maintained in the registry, consists of mailed well-child checkup and immunization reminders and other health, safety and parenting information.

OBJECTIVE:
Evaluate parent satisfaction with the health promotion materials to determine:
· Usefulness, usability and readability;
· Whether materials help change attitudes and behavior and serve as reminders about immunization and other health and safety information;
· Potential computer-generated alternatives to mailed materials

METHOD:
Conduct focus groups and mailed surveys of parents of children statewide to examine satisfaction over time and possible cultural differences needing to be addressed. A total of 6,800 surveys were sent statewide. To explore survey results and provide additional qualitative information, four focus groups, including a group of “non-readers,” were also conducted. Additionally, based on survey responses, an email pilot was conducted for parents to receive materials electronically to examine its feasibility, usefulness and cost-effectiveness.

RESULT:
Results indicate significant parental satisfaction with materials. Survey results also suggest that materials are effective immunization and well-child reminders, and may help change behavior. Initial email pilot as method to receive the timely reminders deemed successful.

CONCLUSION:
Health promotion materials assist parents with raising healthy children and getting timely, age-appropriate immunizations. For next steps, additional testing and evaluation of emailed material dissemination will be undertaken.
LEARNINGOBJECTIVES:
Describe methods of evaluating parental satisfaction with health promotion materials. Understand how mailed materials may serve the function of immunization reminders for parents. Share data on registries’ multiple functions to improve immunization rates.