Patient Portal Reminders for Pediatric Influenza Vaccinations: A Randomized Clinical Trial.
Patient Portal Reminders for Pediatric Influenza Vaccinations: A Randomized Clinical Trial.
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DOI：
10.1542/peds.2020-048413
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发表时间：
2021-08
期刊：
影响因子：
8
通讯作者：
Szilagyi PG
中科院分区：
文献类型：
--
作者：
Lerner C;Albertin C;Casillas A;Duru OK;Ong MK;Vangala S;Humiston S;Evans S;Sloyan M;Fox CR;Bogard JE;Friedman S;Szilagyi PG
在一个大型卫生系统中，我们评估了电子健康记录患者门户提醒在提高儿童流感疫苗接种率方面的有效性。我们对 53 个初级保健机构的 22 046 名 6 个月至 18 岁以下儿童进行了一项意向治疗随机临床试验。活跃门户用户的患者（或家长和/或代理人）被随机分配接收被视为收益或损失或无消息的提醒消息。他们被分别随机分配在流感季节之前接收预先承诺信息。主要结局是接受≥1次季节性流感疫苗接种。此外，应接种第二次流感疫苗的 6 个月至 3 岁以下儿童被随机分配接受第二次疫苗接种提醒或不提醒。对照组的首剂流感疫苗接种率为 56.9%，丢失框架提醒组为 58.0%（P = .07），增益框架组为 58.0%（P = .47）。预承诺组的发生率为 58.3%，对照组为 57.0% (P = .11)。与对照相比，首次接种疫苗的调整后风险比，损失框架提醒为 1.02（95% 置信区间 [CI]：1.00–1.04），增益框架提醒为 1.01（95% CI：0.98–1.05），预先承诺信息为 1.02（95% CI：1.00–1.04）。对照组第二剂疫苗接种率为44.1%，提醒组为55.0%，调整后的风险比为1.25（95% CI：1.07-1.45）。儿童流感疫苗的患者门户提醒，无论是获益还是损失，都不会增加第一剂流感疫苗接种率，但对第二剂疫苗非常有效。
In a large health system, we evaluated the effectiveness of electronic health recorda patient portal reminders in increasing pediatric influenza vaccination rates. We conducted an intention-to-treat randomized clinical trial of 22 046 children from 6 months to <18 years of age in 53 primary care practices. Patients (or parent and/or proxies) who were active portal users were randomly assigned to receive reminder messages framed as gains or losses or no messages. They were separately randomly assigned to receive a precommitment message before the influenza season. The primary outcome was receipt of ≥1 seasonal influenza vaccinations. Additionally, children 6 months to <3 years of age due for a second influenza vaccine were randomly assigned to receive a reminder or no reminder for the second vaccination. First-dose influenza vaccination rates were 56.9% in the control group, 58.0% in the loss-frame reminders group (P = .07), and 58.0% in the gain-frame group (P = .47). Rates were 58.3% in the precommitment group versus 57.0% in the control group (P = .11). Adjusted risk ratios for first vaccination were 1.02 (95% confidence interval [CI]: 1.00–1.04) for loss-frame reminders, 1.01 (95% CI: 0.98–1.05) for gain-frame reminders, and 1.02 (95% CI: 1.00–1.04) for precommitment messages versus controls. Second-dose vaccination rates were 44.1% in the control group and 55.0% in the reminder group, with an adjusted risk ratio of 1.25 (95% CI: 1.07–1.45). Patient portal reminders for influenza vaccines in children, whether framed as gains or losses, did not increase first-dose influenza vaccination rates but were highly effective for the second dose of the vaccine.
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DOI：
10.1037/h0046408
发表时间：
1955-01-01
期刊：
JOUR ABNORMAL AND SOCIAL PSYCHOL
影响因子：
--
作者：
DEUTSCH, MORTON;GERARD, HAROLD B.
通讯作者：
GERARD, HAROLD B.
影响因子：
3.1
作者：
Saville, Alison W.;Albright, Karen;Kempe, Allison
通讯作者：
Kempe, Allison
影响因子：
8
作者：
Stockwell, Melissa S.;Hofstetter, Annika M.;Camargo, Stewin
通讯作者：
Camargo, Stewin
影响因子：
1.6
作者：
Szilagyi, Peter G.;Schaffer, Stanley;Humiston, Sharon G.
通讯作者：
Humiston, Sharon G.
影响因子：
3.1
作者：
Jenssen, Brian P.;Buttenheim, Alison M.;Fiks, Alexander G.
通讯作者：
Fiks, Alexander G.