We evaluated a managed care organization (MCO)-generated text message reminder-recall system designed to improve human papillomavirus (HPV) vaccination coverage.We conducted a randomized controlled trial of text reminder-recall for parents of 3,812 publicly insured adolescents aged 11-16 years with no prior HPV vaccinations who were enrolled in a single MCO and were patients at one of 39 primary care practices. We determined the rate of HPV receipt for intervention versus control with the Kaplan-Meier failure function and determined hazard ratios using a clustered stratified Cox model, clustering on primary care provider and stratified on practice. We examined results for all subjects, and for those with a valid phone number, stratified by age group (11-13 years and 14-16 years) and gender. A post hoc analysis included all subjects and controlled for age and gender.HPV dose 1 vaccination rates were not significantly different when all participants were included, but for the subset of parents (54
作者:Cynthia M, Rand;Howard, Brill;Christina, Albertin;Sharon G, Humiston;Stanley, Schaffer;Laura P, Shone;Aaron K, Blumkin;Peter G, Szilagyi
来源:The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2015 年 56卷 5 Suppl期