Background: Although reminder/recall has been shown to improve Iz rates in young children in office-based settings, effectiveness for adolescents in school-based health center (SBHC) settings has not been examined.
Objectives: To assess 1) Iz rates achievable with reminder/recall by SBHCs among 6th grade females needing Tdap, MCV4 or the first HPV (demonstration study) and 2) the effectiveness of SBHC-based reminder/recall among 6th grade males in increasing rates of receipt of Tdap and MCV4 (randomized controlled trial, RCT).
Methods: During 10/2008-3/2009 we conducted 2 studies among eligible 6th graders enrolled in 4
Results: At the end of the demonstration study, 72% of females had received at least one vaccine and 45% had received all needed vaccines. Rates of receipt of each vaccine among females were 68% for Tdap, 57% for MCV4 and 59% for the first HPV. Twenty-five percent received 2 HPV shots during the study. At the end of the RCT, 64% of recalled males had received at least one vaccine and 59% had received all needed, compared with 40% and 36% respectively of the control group (p<0.001).
Conclusions: Recall by a SBHC was effective in improving Iz rates for all adolescent vaccines, with effects sizes exceeding those achieved with younger children in practice settings. The
See more of: Submissions