A novel household-based patient outreach pilot program to boost late-season influenza vaccination rates during the COVID-19 pandemic
Loiacono, Matthew M
UMass Chan AffiliationsPediatrics
Document TypeJournal Article
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AbstractBackground: The objective of this study was to test a novel household-based approach to improve late-season influenza vaccine uptake during the 2020-2021 season, using Epic's MyChart patient portal messages and/or interactive voice response telephone calls. Methods: This study was a non-blinded, quality improvement program using a block randomized design conducted among patients from Reliant Medical Group clinics residing in a traditional household (≥2 individuals clinically active in the Reliant system living at the same address). Households were randomized 1:1:1 into intervention arms: non-tailored communication (messaging based on CDC's seasonal influenza vaccination campaign), tailored communication (comprehensive communication including reinforcement of the importance of influenza vaccination for high-risk individuals), and standard-of-care control. Influenza vaccination during the program was captured via medical records, and the odds of vaccination among communication arms versus the control arm were assessed. A survey assessing influenza vaccination drivers was administered using MyChart. Results: Influenza vaccination increased by 3.3% during the program period, and no significant differences in vaccination were observed in intervention arms relative to the control arm. Study operationalization faced substantial challenges related to the concurrent COVID-19 pandemic. Compared with vaccinated survey respondents, unvaccinated respondents less frequently reported receiving a recommendation for influenza vaccination from their healthcare provider (15.8% vs. 42.3%, p < 0.001) or awareness that vaccination could protect themselves and higher risk contacts (82.3% vs. 92.6%, p < 0.001). Conclusions: No significant effects of the interventions were observed. Survey results highlighted the importance of healthcare provider recommendations and the need for increased education around the benefits of vaccination.
SourceFisher L, Loiacono MM, Payne N, Kelley T, Greenberg M, Charpentier M, Leblanc C, Sundaresan D, Bancroft T, Steffens A, Paudel M. A novel household-based patient outreach pilot program to boost late-season influenza vaccination rates during the COVID-19 pandemic. Influenza Other Respir Viruses. 2022 Nov;16(6):1141-1150. doi: 10.1111/irv.13041. Epub 2022 Sep 13. PMID: 36098249; PMCID: PMC9530505.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/51219
Rights© 2022 The Authors. Influenza and Other Respiratory Viruses published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.; Attribution 4.0 International
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Except where otherwise noted, this item's license is described as © 2022 The Authors. Influenza and Other Respiratory Viruses published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.