Preventive Care Clinical Trial
This study will examine whether the implementation of an outreach program that employs a tracking/reminder/recall/home visiting strategy will have any impact on receipt of immunizations and preventive care among urban adolescents.
Outreach workers will be placed at 9 primary care pediatric and family medicine practices
throughout one urban area. Adolescent patients at these 9 practices will be identified and
then randomized into two groups; (1) those receiving outreach intervention during Year 1 of
the study and (2) those receiving outreach intervention during Year 2 of the study.
Randomization will be stratified by practice site, patient age, and patient gender.
After randomization, the list of Year 1 subjects will be distributed to the appropriate
outreach worker. The outreach worker will track the immunization status of 11-15yo patients
within their practice, identify patients who are eligible for but have not yet received
immunizations recommended for their age group (MMR, Varicella, Hepatitis B, HPV,
Meningococcal Conjugate, Tdap) and/or a well child visit within the past year, and then
attempt to connect these patients with medical care through three levels of outreach
activity. First level of outreach activity involves contacting the parent/guardian of the
patient by telephone. Outreach workers will attempt to inform patient's parent/guardian of
needed immunizations/preventive visit and facilitate the scheduling of a medical
appointment. If unable to successfully complete the task through telephone contact, outreach
workers will initiate the second level of outreach activity - contact by mail. If contact by
mail is unsuccessful, the third and most intense level of outreach activity will be
implemented. The outreach worker will attempt to notify the patient's parent/guardian of
need for immunization/preventive appointment by visiting the patient's listed home address.
During this visit, the outreach worker will attempt to inform the parent/guardian of
recommended immunizations, provide information pertaining to these immunizations, facilitate
appointment scheduling, and assist patient in compliance with scheduled medical appointment
Interventions directed towards the subjects of the Year 1 group will cease after 15 months
of outreach activity. A chart review of intervention and control groups will be conducted to
determine immunization and well child visit rates within the two groups. At this time, the
tracking/reminder/recall/home visiting strategy employed with the Year 1 group will be
repeated for Year 2 subjects.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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