tetano
Editor, Senior Moderator
Am J Prev Med. 2014 Aug 8. pii: S0749-3797(14)00329-8. doi: 10.1016/j.amepre.2014.07.003. [Epub ahead of print]
Increasing Childhood Influenza Vaccination: A Cluster Randomized Trial.
Nowalk MP1, Lin CJ2, Hannibal K3, Reis EC3, Gallik G4, Moehling KK2, Huang HH2, Allred NJ5, Wolfson DH6, Zimmerman RK2.
Author information
Abstract
BACKGROUND:
Since the 2008 inception of universal childhood influenza vaccination, national rates have risen more dramatically among younger children than older children and reported rates across racial/ethnic groups are inconsistent. Interventions may be needed to address age and racial disparities to achieve the recommended childhood influenza vaccination target of 70%.
PURPOSE:
To evaluate an intervention to increase childhood influenza vaccination across age and racial groups.
METHODS:
In 2011-2012, a total of 20 primary care practices treating children were randomly assigned to the intervention and control arms of a cluster randomized controlled trial to increase childhood influenza vaccination uptake using a toolkit and other strategies including early delivery of donated vaccine, in-service staff meetings, and publicity.
RESULTS:
The average vaccination differences from pre-intervention to the intervention year were significantly larger in the intervention arm (n=10 practices) than the control arm (n=10 practices); for children aged 9-18 years (11.1 pct pts intervention vs 4.3 pct pts control, p<0.05); for non-white children (16.7 pct pts intervention vs 4.6 pct pts control, p<0.001); and overall (9.9 pct pts intervention vs 4.2 pct pts control, p<0.01). In multi-level modeling that accounted for person- and practice-level variables and the interactions among age, race, and intervention, the likelihood of vaccination increased with younger age group (6-23 months); white race; commercial insurance; the practice's pre-intervention vaccination rate; and being in the intervention arm. Estimates of the interaction terms indicated that the intervention increased the likelihood of vaccination for non-white children in all age groups and white children aged 9-18 years.
CONCLUSIONS:
A multi-strategy intervention that includes a practice improvement toolkit can significantly improve influenza vaccination uptake across age and racial groups without targeting specific groups, especially in practices with large percentages of minority children.
Copyright ? 2014 American Journal of Preventive Medicine. All rights reserved.
PMID:
25113138
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/25113138
Increasing Childhood Influenza Vaccination: A Cluster Randomized Trial.
Nowalk MP1, Lin CJ2, Hannibal K3, Reis EC3, Gallik G4, Moehling KK2, Huang HH2, Allred NJ5, Wolfson DH6, Zimmerman RK2.
Author information
Abstract
BACKGROUND:
Since the 2008 inception of universal childhood influenza vaccination, national rates have risen more dramatically among younger children than older children and reported rates across racial/ethnic groups are inconsistent. Interventions may be needed to address age and racial disparities to achieve the recommended childhood influenza vaccination target of 70%.
PURPOSE:
To evaluate an intervention to increase childhood influenza vaccination across age and racial groups.
METHODS:
In 2011-2012, a total of 20 primary care practices treating children were randomly assigned to the intervention and control arms of a cluster randomized controlled trial to increase childhood influenza vaccination uptake using a toolkit and other strategies including early delivery of donated vaccine, in-service staff meetings, and publicity.
RESULTS:
The average vaccination differences from pre-intervention to the intervention year were significantly larger in the intervention arm (n=10 practices) than the control arm (n=10 practices); for children aged 9-18 years (11.1 pct pts intervention vs 4.3 pct pts control, p<0.05); for non-white children (16.7 pct pts intervention vs 4.6 pct pts control, p<0.001); and overall (9.9 pct pts intervention vs 4.2 pct pts control, p<0.01). In multi-level modeling that accounted for person- and practice-level variables and the interactions among age, race, and intervention, the likelihood of vaccination increased with younger age group (6-23 months); white race; commercial insurance; the practice's pre-intervention vaccination rate; and being in the intervention arm. Estimates of the interaction terms indicated that the intervention increased the likelihood of vaccination for non-white children in all age groups and white children aged 9-18 years.
CONCLUSIONS:
A multi-strategy intervention that includes a practice improvement toolkit can significantly improve influenza vaccination uptake across age and racial groups without targeting specific groups, especially in practices with large percentages of minority children.
Copyright ? 2014 American Journal of Preventive Medicine. All rights reserved.
PMID:
25113138
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/25113138