Impact of Adolescent Vaccine Reminder Notices Sent Via Preferred Method of Communication on HPV Vaccination
Understanding and Addressing the Disparity in Vaccination Coverage Among U.S. Adolescents Living in Rural Versus Urban Areas
2 other identifiers
interventional
5,451
1 country
1
Brief Summary
Vaccine uptake in the United States is lower in rural areas, especially for HPV vaccine. Reminder/recall has been identified as an effective strategy to increase vaccination rates. This study will assess the impact by rurality of vaccine reminder notices sent via the parent's preferred method of communication on HPV vaccination among 12 year-old patients in a regional healthcare system.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2021
Longer than P75 for not_applicable
1 active site
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
August 12, 2021
CompletedFirst Submitted
Initial submission to the registry
November 16, 2021
CompletedFirst Posted
Study publicly available on registry
December 8, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 2, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2026
ExpectedNovember 21, 2025
November 1, 2025
1.2 years
November 16, 2021
November 18, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Number of patients that received 1 dose of HPV vaccine during follow-up based on electronic health data
Receipt of 1 dose of HPV vaccine within 90 days of receipt of reminder (yes/no) will be assessed using vaccination data available from the Marshfield Clinic Health System electronic health record, which includes vaccinations administered outside of MCHS through data exchanges with the Wisconsin Immunization Registry. Specifically patients will be classified as having received 1 dose of HPV vaccine if they have record of receipt of HPV vaccine with a vaccination date during the 90-day follow-up period.
90 days
Study Arms (2)
Enhanced Reminder
EXPERIMENTALStandard of Care
OTHERInterventions
Parents of 12 year-old patients due for ≥1 adolescent vaccine will receive a vaccine reminder notice every other month via their preferred method of communication (text message, email, mailed letter) until the adolescent receives all recommended vaccines, opts out of reminders, or turns 13.
Parents of 12 year-old patients due for ≥1 adolescent vaccine will receive a mailed vaccine reminder letter every other month until the adolescent receives all recommended vaccines, opts out of reminders, or turns 13.
Eligibility Criteria
You may qualify if:
- Marshfield Clinic Health System patient aged 12 years with at least one preventive visit or two evaluation \& management visits with a Marshfield Clinic Health System provider in the last 36 months
- Due for at least one adolescent vaccine (HPV, MenACWY, Tdap)
You may not qualify if:
- Primary care provider is not affiliated with Marshfield Clinic Health System
- Opted out of Marshfield Clinic Health System vaccine reminder notifications
- Missing or invalid contact information
- Deceased
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Huong Nguyen, PhDlead
- Centers for Disease Control and Preventioncollaborator
Study Sites (1)
Marshfield Clinic Health System
Marshfield, Wisconsin, 54449, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Huong McLean, PhD
Marshfield Clinic Research Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Senior Research Scientist
Study Record Dates
First Submitted
November 16, 2021
First Posted
December 8, 2021
Study Start
August 12, 2021
Primary Completion
November 2, 2022
Study Completion (Estimated)
December 1, 2026
Last Updated
November 21, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share