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| Name | Class |
|---|---|
| General Services Administration (GSA) | FED |
| Emory University | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Providers assigned to the control group will receive unmodified vaccine reminders (as they already appear in the VA EHR system). Separate reminders will appear for the different vaccines of interest. | |
| Treatment | Experimental | Providers in the treatment group will receive modified clinical reminders for the vaccines of interest. Reminders for the different 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of patients receiving one of more vaccines of interest when due for these vaccines | 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 | 6 months |
| Percent of patients receiving the influenza vaccine when due for the vaccine | 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 | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of patients receiving Tdap/Td or pneumococcal vaccines when due | 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 | 6 months |
| Cost per additional individual vaccinated |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pompa Debroy, MS | Office of Evaluation Sciences, U.S. General Services Administration | Principal Investigator |
| Russ Burnett, PhD | Office of Evaluation Sciences, U.S. General Services Administration | Principal Investigator |
| Saad Omer, MBBS, MPH, PhD | Emory University | Principal Investigator |
| Joseph M Wallace | Atlanta VA Health Care System | Principal Investigator |
| Vincent Marconi, MD | Atlanta VA Health Care System, Emory University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atlanta VA Medical Center | Decatur | Georgia | 30033 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36227309 | Derived | Debroy P, Balu R, Burnett R, Johnson RA, Kappes HB, Wallace JM, Marconi VC. A cluster randomized controlled trial of a modified vaccination clinical reminder for primary care providers. Health Psychol. 2023 Mar;42(3):195-204. doi: 10.1037/hea0001218. Epub 2022 Oct 13. |
| Label | URL |
|---|---|
| Project Analysis Plan | View source |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 17, 2019 | Apr 25, 2019 | SAP_000.pdf |
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| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| D013742 | Tetanus |
| D004165 | Diphtheria |
| D014917 | Whooping Cough |
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
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Intervention is designed to target patients of primary care providers (physicians, physician assistants and nurse practitioners) in the Atlanta VA Medical System. Primary care providers will be assigned to a provider-side treatment (modified vaccine reminders in the electronic health record (EHR) system) or to control (existing vaccine reminders). Outcomes will be tracked for patients who have appointments with these providers.
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Should these data be available, will assess the cost per additional individual vaccinated |
| 6 months |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| D003015 | Clostridium Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D003354 | Corynebacterium Infections |
| D000193 | Actinomycetales Infections |
| D001885 | Bordetella Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D008171 | Lung Diseases |