Improving Pneumococcal Vaccination Rates in an Ambulatory Pre-surgical Testing Setting

NCT01787838 | Completed Results

• 1 other identifier: Clark_Merck_2.4.2013
• Study Type: interventional
• Target: 2,509
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this quality improvement project is to improve the immunization rates of an at-risk adult population seen in an ambulatory healthcare environment, through the use of targeted health education messages regarding pneumococcal immunization. Patients seen in an out-patient pre-surgical testing center will receive 1) a one-page written information sheet that outlines the benefits of pneumococcal immunization and 2) verbal reinforcement of this message, provided by the clinical staff, during the patient's interview. At-risk adult patients (as defined by Centers for Disease Control) seen in an ambulatory healthcare environment (a pre-surgical testing center) will receive a one page, "gain-framed" message that emphasizes the benefits of pneumococcal vaccinations. This educational material will be reviewed and reinforced by clinical staff during the assessment phase of the clinical visit. Among this group, there will be increased vaccination rate compared with at-risk adult patients who did not receive this communication (prospective vs retrospective data).

Conditions

Community Acquired Pneumonia

Keywords

Pneumococcal vaccination rates, ambulatory settings

Outcome Measures

Primary Outcomes (1)

• Improving Pneumococcal Vaccination Rates Following Focused Health Education of Staff and Patients

  Pneumococcal vaccination rates, tracked biweekly, following 1) staff education, audit and feedback of rates and 2) patient education

  12 Months

Study Arms (1)

health education, audit and feedback

OTHER

Focused health education for staff and patients.

Other: Focused Health Education

Interventions

Focused Health Education OTHER

A two-phase quality improvement study was designed to modify staff and patient behaviors. The project incorporated evidence-based strategies of staff education, feedback and incentives for performance and patient education. The staff received monthly feedback on departmental immunization rates, and incentives for performance. A one-page patient education flyer, written at 3rd grade reading level, was added to encourage patients to inquire about it.

Also known as: Patient literature and staff education, reinforcement

health education, audit and feedback

Eligibility Criteria

• Age: 18 Years - 110 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient seen in out-patient pre-surgical testing center
• At-risk adult patient as defined by the Centers for Disease Control (CDC)

You may not qualify if:

• Minors

Sponsors & Collaborators

• Carilion Clinic: lead
• Merck Sharp & Dohme LLC: collaborator

Study Sites (1)

Carilion Clinic

Roanoke, Virginia, 24014, United States

Location

MeSH Terms

Conditions

Community-Acquired Pneumonia

Condition Hierarchy (Ancestors)

Community-Acquired Infections; Infections; Pneumonia; Respiratory Tract Infections; Respiratory Tract Diseases

Results Point of Contact

• Title: Rebecca Culver Clark
• Organization: Carilion Clinic

rcclark@carilionclinic.org

540-588-8184

Study Officials

• Rebecca C Clark, PhD

  Carilion Clinic

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 4, 2013
• First Posted: February 11, 2013
• Study Start: January 1, 2013
• Primary Completion: January 1, 2014
• Study Completion: January 1, 2014
• Last Updated: July 19, 2017
• Results First Posted: August 26, 2014

Record last verified: 2017-07

Locations

US (1)