PMID: 9529460Apr 8, 1998Paper

Reducing missed opportunities to vaccinate during child health visits. How effective are parent education and case management?

Archives of Pediatrics & Adolescent Medicine
D WoodN Halfon

Abstract

At child health visits, immunizations that are due are frequently not given. Increased parent understanding of and demand for immunizations may influence providers to not miss these opportunities. To assess, as part of a larger study of effectiveness of parent education and case management (CM) in raising immunization rates, the intervention's effectiveness at reducing missed opportunities to vaccinate during child health visits. A representative sample of African American newborns and their families from south central Los Angeles, Calif, were randomly assigned to a control or a CM group and observed during the first year of life. Case managers visited and telephoned parents, educating them on the benefits and safety of immunizations, and encouraging them to request immunizations from providers. When the children were at least 1 year of age, parents were interviewed and provider records were abstracted. Complete records were abstracted for 126 controls and 129 CM group children. For these children, 1092 visits were documented where immunizations were due. Missed opportunities to vaccinate occurred at more than 50% of visits. Case management was associated with a modest reduction in the percentage of visits with missed opportuni...Continue Reading

Citations

Jul 2, 2011·Indian Pediatrics·Mamta MuranjanAbhijit Pakhare
Oct 29, 2008·Health Promotion Practice·Julie A BoomClaudia A Kozinetz
May 8, 2018·The Cochrane Database of Systematic Reviews·Jessica KaufmanSophie Hill
Jun 4, 2013·The Cochrane Database of Systematic Reviews·Jessica KaufmanPriscilla Robinson
May 15, 2008·Journal of Paediatrics and Child Health·Nigel W Crawford, Jim P Buttery
Sep 17, 2019·Journal of Paediatrics and Child Health·Margie Danchin
Feb 13, 2003·JAMA : the Journal of the American Medical Association·Gary L FreedSarah J Clark
Dec 27, 2011·Social Science & Medicine·Mark DakuJody Heymann

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