NCT01146899

Brief Summary

Childhood influenza coverage rates are far below rates for the other childhood vaccinations. Increasing influenza vaccine coverage rates is important not only for the health of the child, but for that of the child's household and community. Yet,influenza vaccine delivery rates at pediatric clinics are low, even when the vaccine is available. The proposed project will take advantage of existing health information technology to tailor, implement and evaluate influenza vaccine alerts in the electronic health record (EHR) for pediatric providers to help improve health care decision making.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
6,145

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2009

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2009

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

June 16, 2010

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 22, 2010

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2013

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2013

Completed
Last Updated

June 24, 2014

Status Verified

June 1, 2014

Enrollment Period

3.2 years

First QC Date

June 16, 2010

Last Update Submit

June 22, 2014

Conditions

Keywords

influenza, vaccine, clinical decision support

Outcome Measures

Primary Outcomes (1)

  • influenza vaccination

    September through March 2011-2012

Secondary Outcomes (1)

  • Documentation of reason for vaccine refusal

    Sept 2011-March 2012

Study Arms (2)

Provider Alert

EXPERIMENTAL

Provider receives alert for patient visit

Other: Provider Alert

No Alert

NO INTERVENTION

No alert provided

Interventions

Provider influenza vaccine alert

Also known as: alert for provider in electronic health record
Provider Alert

Eligibility Criteria

Age6 Months - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Medical (medical doctor/nurse practitioner (MD/NP)) or nursing providers (registered nurse, licensed practical nurse (RN/LPN)) at participating practices
  • Parents of a child 6 months - 18 years who is a patient at one of the participating ACN practice
  • Parents fluent in English or Spanish
  • Children 6 months- 18 years with visit to participating practice during influenza season

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Columbia University Medical Center/ NewYork Presbyterian Hospital Ambulatory Care Network

New York, New York, 10032, United States

Location

Related Publications (1)

  • Stockwell MS, Catallozzi M, Camargo S, Ramakrishnan R, Holleran S, Findley SE, Kukafka R, Hofstetter AM, Fernandez N, Vawdrey DK. Registry-linked electronic influenza vaccine provider reminders: a cluster-crossover trial. Pediatrics. 2015 Jan;135(1):e75-82. doi: 10.1542/peds.2014-2616.

MeSH Terms

Conditions

Influenza, Human

Interventions

CaffeineElectronic Health Records

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsOrthomyxoviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

XanthinesAlkaloidsHeterocyclic CompoundsPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingMedical Records Systems, ComputerizedMedical RecordsRecordsData CollectionEpidemiologic MethodsInvestigative TechniquesOrganization and AdministrationHealth Services AdministrationHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Melissa S Stockwell, MD MPH

    Columbia University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Asst Prof of Pediatrics and Population and Family Health

Study Record Dates

First Submitted

June 16, 2010

First Posted

June 22, 2010

Study Start

December 1, 2009

Primary Completion

March 1, 2013

Study Completion

June 1, 2013

Last Updated

June 24, 2014

Record last verified: 2014-06

Locations