Targeted Vaccinations: Multiple Interventions Implemented in Combination

Task Force Finding*

Most of the available evidence on effectiveness identified in our reviews of interventions to increase targeted vaccine coverage came from studies that evaluated multicomponent interventions. These studies evaluated a wide variety of intervention combinations. To make a recommendation for use of these multicomponent interventions, we developed a “menu” approach (Table 4), which is explained in detail in the accompanying article [PDF - 132KB].

On the basis of strong evidence of effectiveness, the Task Force recommends the combination of one or more interventions to enhance access to vaccination services (expanded access in healthcare settings, reduced client out-of-pocket costs) with at least one provider- or system-based intervention (standing orders, provider reminder systems, provider assessment and feedback), and/or at least one intervention to increase client demand for vaccination (client reminders, client education).

These findings should be applicable to most clients and providers, in most settings where improvements in coverage are needed. No additional benefits or harms of these interventions implemented in combination were identified, although any such effects of singlecomponent interventions may remain relevant in combination. We found no qualifying evaluations of the economic impact of these interventions.

*From the following publication:

Task Force for Community Preventive Services. Recommendations to improve targeted vaccination coverage among high-risk adults. [PDF - 97KB] Am J Prev Med 2005:28(5S);231-7.

Review completed: October 2002