Evidence map›Paper›PMID 34059372›Full record

Trial reportVaccine2021

Addressing logistical barriers to childhood vaccination using an automated reminder system and online resource intervention: A randomized controlled trial.

Nicole M Wagner, Amanda F Dempsey, Komal J Narwaney, Kathy S Gleason, Courtney R Kraus, Jennifer Pyrzanowski, Jason M Glanz

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Enhancing vaccine stability in transdermal microneedle platforms.Drug delivery and translational research · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Nicole M WagnerInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO, United States; Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO, United States. Electronic address: Nicole.wagner@cuanschutz.edu.
Amanda F DempseyAdult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO, United States; Department of Pediatrics, School of Medicine, University of Colorado, Aurora, CO, United States.
Komal J NarwaneyInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO, United States.
Kathy S GleasonInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO, United States.
Courtney R KrausInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO, United States.
Jennifer PyrzanowskiAdult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO, United States.
Jason M GlanzInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO, United States; Department of Epidemiology, School of Public Health, University of Colorado, Aurora, CO, United States.
Kaiser Permanente · USOutcomes Research Consortium · US

Funding

IMPlementation to Achieve Clinical Transformation (IMPACT): The Colorado Training ProgramK12HL137862 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI GLASGOW, RUSSELL E, HAVRANEK, EDWARD PAUL · 2017 to 2021
$2.9M
The REDIVAC Study - Reducing Delay In Vaccination of Children StudyR01HD079457 · NICHD · UNIVERSITY OF COLORADO DENVER · PI DEMPSEY, AMANDA F, GLANZ, JASON M · 2014 to 2018
$2.6M
NHLBI NIH HHS K12 HL137862NICHD NIH HHS R01 HD079457
6 · The paper itself

Abstract

backgroundAs the rates of vaccination decline in children with logistical barriers to vaccination, new strategies to increase vaccination are needed. The goal of this study was to develop and evaluate the effectiveness of the Vaccines For Babies (VFB) intervention, an automated reminder system with online resources to address logistical barriers to vaccination in caregivers of children enrolled in an integrated healthcare system. Effectiveness was evaluated in a randomized controlled trial.

methodsQualitative interviews were conducted with parents of children less than two years old to identify logistical barriers to vaccination that were used to develop the VFB intervention. VFB included automated reminders to schedule the 6- and 12-month vaccine visit linking caregivers to resources to address logistic barriers, sent to the preferred mode of outreach (text, email, and/or phone). Parents of children between 3 and 10 months of age with indicators of logistical barriers to vaccination were randomized to receive VFB or usual well child care (UC). The primary outcome was percentage of days undervaccinated at 2 years of life. A difference in differences analysis was conducted.

resultsQualitative interviews with 6 parents of children less than 2 years of age identified transportation, scheduling challenges, and knowledge of vaccine timing as logistical barriers to vaccination. We enrolled 250 participants in the trial, 45% were loss to follow-up. There were no significant differences in vaccination uptake between those enrolled in UC or the VFB intervention (0.51%, p = 0.86). In Medicaid enrolled participants, there was a modest decrease in percentage of days undervaccinated in the VFB intervention compared to UC (6.3%, p = 0.07).

conclusionAutomated Reminders and with links to heath system resources was not shown to increase infant vaccination uptake demonstrating additional resources are needed to address the needs of caregivers experiencing logistical barriers to vaccination.

Indexed as

Reminder SystemsText MessagingHumansInfantMotivationParentsVaccinationAutomated remindersLogistical BarriersQualitative interviewsRandomized controlled trial

Identifiers

PMID34059372
PMCPMC8237696
OpenAlexW3164858920

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.