Evidence map›Paper›PMID 29383550›Full record

Trial reportJournal of general internal medicine2018

Improving Rates of Outpatient Influenza Vaccination Through EHR Portal Messages and Interactive Automated Calls: A Randomized Controlled Trial.

Sarah L Cutrona, Jessica G Golden, Sarah L Goff, Jessica Ogarek, Bruce Barton, Lloyd Fisher, Peggy Preusse, Devi Sundaresan, Lawrence Garber, Kathleen M Mazor

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02266277 nacompletednot on this map

System Alignment for VaccinE Delivery (SAVED): Improving Rates of Influenza and Pneumococcal Vaccination Through Patient Outreach, Improved Medical Record Accuracy and Targeted Physician Alerts.

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2014 to 2016Enrolled30,000ConditionsInfluenza, Infections, PneumococcalArmsArm 1: E-portal message with IVR call, Arm 2: E-portal message with no IVR call, Arm 3: No e-portal message with IVR call, Arm 5: IVR call
NCT04565353 nacompletednot on this mapstarted 2020, after this paper: background citation

Testing Multiple Behavioral Science Strategies to Increase Flu-Shot Rates

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2021Enrolled74,811ConditionsInfluenza, HumanArmsFlu shot text messages
NCT04590066 nacompletednot on this mapstarted 2020, after this paper: background citation

Testing Multiple Behavioral Science Strategies to Increase Flu-Shot Rates at a Large Retail Pharmacy

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2020Enrolled734,383ConditionsInfluenza, HumanArmsFlu shot text messages
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  19. Uncertainty directed factorial clinical trials.Biostatistics (Oxford, England) · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Sarah L CutronaVeterans Health Administration, Bedford, MA, USA. Sarah.Cutrona@umassmed.edu.
Jessica G GoldenMeyers Primary Care Institute, Worcester, MA, USA.
Sarah L GoffBaystate Medical Center, Springfield, MA, USA.
Jessica OgarekBrown University, Providence, RI, USA.
Bruce BartonUniversity of Massachusetts Medical School, Worcester, MA, USA.
Lloyd FisherUniversity of Massachusetts Medical School, Worcester, MA, USA.
Peggy PreusseReliant Medical Group, Worcester, MA, USA.
Devi SundaresanReliant Medical Group, Worcester, MA, USA.
Lawrence GarberMeyers Primary Care Institute, Worcester, MA, USA.
Kathleen M MazorUniversity of Massachusetts Medical School, Worcester, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient reminders for influenza vaccination, delivered via electronic health record (EHR) patient portal messages and interactive voice response (IVR) calls, offer an innovative approach to improving patient care.

objectiveTo test the effectiveness of portal and IVR outreach in improving rates of influenza vaccination.

designRandomized controlled trial of EHR portal messages and IVR calls promoting influenza vaccination.

participantsAdults with no documented influenza vaccination 2 months after the start of influenza season (2014-2015).

interventionUsing a factorial design, we assigned 20,000 patients who were active portal users to one of four study arms: (a) receipt of a portal message promoting influenza vaccines, (b) receipt of IVR call with similar content, (c) both a and b, or (d) neither (usual care). We randomized 10,000 non-portal users to receipt of IVR call or usual care. In all intervention arms, information on pneumococcal vaccination was included if the targeted patient was overdue for pneumococcal vaccine. MAIN MEASURES: EHR-documented influenza vaccination during the 2014-2015 influenza season, measured April 2015. KEY

resultsAmong portal users, 14.0% (702) of those receiving both portal messages and calls, 13.4% (669) of message recipients, 12.8% (642) of call recipients, and 11.6% (582) of those with usual care received vaccines. On multivariable analysis of portal users, those receiving portal messages alone (OR 1.20, 95% CI 1.06-1.35) or IVR calls alone (OR 1.15 95% CI 1.02-1.30) were more likely than usual care recipients to be vaccinated. Those receiving both messages and calls were also more likely than the usual care group to be vaccinated (ad hoc analysis, using a Bonferroni correction: OR 1.29, 97.5% CI 1.13, 1.48). Among non-portal users, 8.5% of call recipients and 8.6% of usual care recipients received influenza vaccines (p = NS). Pneumococcal vaccination rates showed no significant improvement.

conclusionsOur outreach achieved a small but significant improvement in influenza vaccination rates. Registration: ClinicalTrials.gov Identifier NCT02266277 ( https://clinicaltrials.gov/ct2/show/NCT02266277 ).

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansInfluenza, HumanInfluenza VaccinesMaleMiddle AgedPatient PortalsReminder SystemsTelephoneText MessagingVaccinationYoung AdultInfluenza Vaccineselectronic health recordsinfluenza vaccinationpatient care

Identifiers

PMID29383550
PMCPMC5910339

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.