Immunization Clinical Trial
Official title:
Examining Adolescent Assessment, Feedback, Incentive, and Exchange (AFIX)
The North Carolina Immunization Branch will evaluate the use of the CDC program to improve
adolescent vaccination practices (called Assessment, Feedback, Incentives, and eXchanges, or
AFIX). This evaluation is the first of its kind in the nation and may have a profound impact
on prevention.
AFIX has four major components: 1) Assessment of a provider's current immunization practices
and vaccination levels, 2) Feedback of the assessment results and strategies to improve
coverage levels, 3) Incentives to improve coverage levels, and 4) eXchange of information
and resources necessary to facilitate improvement.
This program will evaluate the effectiveness of AFIX visits on affecting provider practices
to increase adolescent (age 11-18) immunization. Visits include discussion of that
practice's immunization rates and strategies for improving rates. The investigators will
compare the changes, from baseline to 5 months, in immunization for practices receiving
virtual visits (webinars), in-person visits, and no visits (control group). Thirty practices
will be randomly assigned to each intervention type. The main outcomes of this study are
practice-wide uptake rates of several adolescent vaccines (Tdap, HPV, and MCV4) as well as
pre- and post-AFIX visit surveys focusing on recall tactics utilized by each practice. Data
will be collected on practices with at least 200 adolescent patients (note: there is no
patient-level data collected in this study).
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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