Effectiveness of a physician peer educator in improving the quality of immunization services for young children in primary care practices

Taylor, James A.; Rietberg, Krista; Greenfield, Lauren; Bibus, David; Yasuda, Kyle; Marcuse, Edgar K.; Duchin, Jeffrey S.

doi:10.1016/j.vaccine.2008.05.047

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…Usual care (control group)2. Provider chart remindersUTD with DTP/OPV/MMR/Hib, 1 vs. 2 net change = 3% at clinic ( P = 0.3) and −2% at health centre ( P = 0.5)Taylor et al 50 Not reportedPrivate paediatric and family clinics, King County, Washington, USA; children aged 3–19 monthsRandomized controlled trial281. Immunisation rate feedback and assessment of current immunisation procedures2.…”

Section: Provider-based Interventionsmentioning

confidence: 99%

Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review

et al. 2011

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ObjectivesTo conduct a systematic review of strategies to optimize immunisation uptake within preschool children in developed countries.DesignSystematic review.SettingDeveloped countriesParticipantsPreschool children who were due, or overdue, one or more of their routine primary immunisations.Main outcome measuresIncrease in the proportion of the target population up to date with standard recommended universal vaccinations.ResultsForty-six studies were included for analysis, published between 1980 and 2009. Twenty-six studies were randomized controlled trials, 11 were before and after trials, and nine were controlled intervention trials. Parental reminders showed a statistically significant increase in immunisation rates in 34% of included intervention arms. These effects were reported with both generic and specific reminders and with all methods of reminders and recall. Strategies aimed at immunisation providers were also shown to improve immunisation rates with a median change in immunisation rates of 7% when reminders were used, 8% when educational programmes were used and 19% when feedback programmes were used.ConclusionGeneral practitioners are uniquely positioned to influence parental decisions on childhood immunisation. A variety of strategies studied in primary care settings have been shown to improve immunisation rates, including parental and healthcare provider reminders.

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Section: Provider-based Interventionsmentioning

confidence: 99%

Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review

et al. 2011

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“…Tracking systems are computer mechanisms to identify children who have not been seen at a practice recently and/or are not up-to-date on preventive care. 31 As tested via RCT and other rigorous designs (e.g., before-after trials), provider education and feedback have shown inconsistent effects on immunization rates; 56,[76][77][78][79][80] however, when implemented in concert with other strategies as part of a multicomponent intervention, provider education and feedback have been shown to be very effective, improving rates by up to 47 percentage points over 6-month to 2-year periods. 32,34,35,52,53,[81][82][83] Additionally, the "AFIX" (Assessment, Feedback, Incentives, and eXchange of information) framework is an example of a multicomponent provider-based intervention modeled after a program in the state of Georgia that improved pediatric immunization coverage in public clinics from 40% to 91% from 1986 to 2001.…”

Section: Interventions For Providersmentioning

confidence: 99%

Interventions to increase pediatric vaccine uptake: An overview of recent findings

Frew

Lutz

2017

Human Vaccines & Immunotherapeutics

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Although much is known about factors contributing to variation in pediatric immunization uptake, there is a need for synthesis of effective vaccine promotion strategies. With growing public health concern on how to best sustain high pediatric immunization rates, and improve where the rates are suboptimal, this review offers evidence gathered from several studies on the achievement of these goals. We identified and analyzed reported findings on childhood (primarily ≤ 7 years) immunization outcomes from tested intervention strategies that focused on parents, guardians, and caregivers, as well as providers, clinics/practices, and communities. The findings suggest that targeted and tailored interventions offer substantial possibilities, especially in a combined manner. We describe promising intervention models that have been operationalized with success and provide evidence for scalability across contexts. Moreover, they are sensitive to parents' and providers' needs, are feasibly integrated in daily clinical practice, and account for broader community concerns and issues.

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Strategies for addressing vaccine hesitancy – A systematic review

Jarrett

Wilson

O’Leary

et al. 2015

Vaccine

834

710

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Across the literature, few strategies to address vaccine hesitancy were found to have been evaluated for impact on either vaccination uptake and/or changes in knowledge, awareness or attitude (only 14% of peer reviewed and 25% of grey literature). The majority of evaluation studies were based in the Americas and primarily focused on influenza, human papillomavirus (HPV) and childhood vaccines. In low- and middle-income regions, the focus was on diphtheria, tetanus and pertussis, and polio. Across all regions, most interventions were multi-component and the majority of strategies focused on raising knowledge and awareness. Thirteen relevant studies were used for the GRADE assessment that indicated evidence of moderate quality for the use of social mobilization, mass media, communication tool-based training for health-care workers, non-financial incentives and reminder/recall-based interventions. Overall, our results showed that multicomponent and dialogue-based interventions were most effective. However, given the complexity of vaccine hesitancy and the limited evidence available on how it can be addressed, identified strategies should be carefully tailored according to the target population, their reasons for hesitancy, and the specific context.

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Effectiveness of a physician peer educator in improving the quality of immunization services for young children in primary care practices

Cited by 4 publications

References 16 publications

Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review

Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review

Interventions to increase pediatric vaccine uptake: An overview of recent findings

Strategies for addressing vaccine hesitancy – A systematic review

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