Age-Specific Strategies for Immunization Reminders and Recalls: A Registry-Based Randomized Trial.

American journal of preventive medicine (Impact Factor: 4.53). 04/2014; 47(1). DOI: 10.1016/j.amepre.2014.02.009
Source: PubMed


Although previous studies have found reminder/recall to be effective in increasing immunization rates, little guidance exists regarding the specific ages at which it is optimal to send reminder/recall notices.
To assess the relative effectiveness of centralized reminder/recall strategies targeting age-specific vaccination milestones among children in urban areas during June 2008-June 2009.
Three reminder/recall strategies used capabilities of the Michigan Care Improvement Registry (MCIR), a statewide immunization information system: a 7-month recall strategy, a 12-month reminder strategy, and a 19-month recall strategy. Eligible children were randomized to notification (intervention) or no notification groups (control). Primary study outcomes included MCIR-recorded immunization activity (administration of ≥1 new dose, entry of ≥1 historic dose, entry of immunization waiver) within 60 days following each notification cycle.
A total of 10,175 children were included: 2,072 for the 7-month recall, 3,502 for the 12-month reminder, and 4,601 for the 19-month recall. Immunization activity was similar between notification versus no notification groups at both 7 and 12 months. Significantly more 19-month-old children in the recall group (26%) had immunization activity compared to their counterparts that did not receive a recall notification (19%).
Although recall notifications can positively affect immunization activity, the effect may vary by targeted age group. Many 7- and 12-month-olds had immunization activity following reminder/recall; however, levels of activity were similar irrespective of notification, suggesting that these groups were likely to receive medical care or immunization services without prompting.

14 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective To summarize previous adult research on behavioral economics (BE) and consider the largely unexplored relevance of BE for promoting adherence to pediatric regimens across a wide variety of illnesses. Methods Literature review. Results Default bias, loss aversion, overestimation of rare events, and social norms are four BE concepts that have not been fully incorporated in adherence research for pediatric regimens yet offer promising opportunities for novel intervention development. The possible applications of these four strategies are offered in regards to asthma, cystic fibrosis, migraines, and diabetes, respectively. Conclusions BE offers pediatric psychology not only low-intensity approaches for promoting adherence but also highly attractive ways of obtaining the attention of health care administrators and policymakers.
    Journal of Pediatric Psychology 09/2014; 39(10). DOI:10.1093/jpepsy/jsu071 · 2.91 Impact Factor

Similar Publications