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Completed

NCT Number: NCT03950986

Increasing Vaccine Uptake Among Veterans at the Atlanta VA Health Care System

The Office of Evaluation Sciences is collaborating with Emory University and the Atlanta VA Health Care System to increase adult immunizations uptake among veterans. The intervention targets patients of primary care providers (physicians, physician assistants and nurse practitioners) through a modification of the existing reminders in the VA electronic health record system. The team will evaluate the intervention using a randomized controlled trial.

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Key information

Conditions

Influenza Actinomycetales Infections Bacterial Infections Bacterial Infections and Mycoses Bordetella Infections Clostridium Infections Corynebacterium Infections Diphtheria Gram-Negative Bacterial Infections Gram-Positive Bacterial Infections Infections Influenza, Human Lung Diseases Orthomyxoviridae Infections Pertussis Pneumonia RNA Virus Infections Respiratory Tract Diseases Respiratory Tract Infections Tetanus Virus Diseases Whooping Cough

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Atlanta VA Medical Center

Decatur, Georgia, 30033, United States

About this study

The Office of Evaluation Sciences is collaborating with Emory University and the Atlanta VA Health Care System to increase adult immunizations uptake among veterans. The intervention targets patients of primary care providers (physicians, physician assistants and nurse practitioners) through a modification of the existing reminders in the VA electronic health record system.

The intervention includes a bundled vaccination reminder for influenza, pneumococcal and TDap vaccines, an immunization dashboard that relays a patient's vaccination status and history, and talking points for providers to use in their dialogues with patients. This intervention was designed to mitigate potential bottlenecks to vaccination, based on conversations and observations with facility clinicians.

The team will evaluate the intervention using a randomized controlled trial.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All patients must have appointments with active primary care providers (physicians, physician assistants and nurse practitioners) in the Atlanta VA Health Care System

Treatment and study plan

Modified clinical reminders

Other

Clinical reminders for the vaccines of interest will be bundled into a single reminder, and other changes made to streamline the design and reduce provider burden. Other changes include an immunization dashboard that relays a patient's vaccination status and talking points for providers to use in their dialogues with patients.

Primary outcomes

  1. Percent of patients receiving one of more vaccines of interest when due for these vaccines

    Time frame: 6 months

    Percent of patients receiving of one or more of the influenza, pneumococcal (PCV13 or PPSV23) or Tdap/Td vaccines during the observation period, conditional on the patient being due for at least one of these vaccines at any appointment during the observation period

  2. Percent of patients receiving the influenza vaccine when due for the vaccine

    Time frame: 6 months

    Percent of patients receiving the influenza vaccine during the observation period, conditional on the patient being due for the influenza vaccine at any appointment during the observation period

Secondary outcomes

  1. Percent of patients receiving Tdap/Td or pneumococcal vaccines when due

    Time frame: 6 months

    Percent of patients receiving Tdap/Td or pneumococcal vaccines during the observation period, conditional on the patient being due for at least one of these vaccines at any appointment during the observation period

  2. Cost per additional individual vaccinated

    Time frame: 6 months

    Should these data be available, will assess the cost per additional individual vaccinated

Sponsors and collaborators

Lead sponsor

Atlanta VA Medical Center

Fed

Collaborators

  • Emory University
  • General Services Administration (GSA)

Registry information

Official study title

Increasing Vaccine Uptake Among Veterans at the Atlanta VA Health Care System Through a Randomized Trial

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
May 15, 2019
Registry last updated
Jan 10, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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