Targeted Vaccinations: Multiple Interventions Implemented in Combination – Inactive
The reviews and findings listed on this page are inactive. Inactive reviews and findings are not scheduled for an update at this time, though they may be updated in the future. Findings become inactive when reviewed interventions are no longer commonly used, when other organizations begin systematically reviewing the interventions, or as a result of conflicting priorities within a topic area.
Summary of CPSTF Finding
- An intervention to enhance access to vaccination services (expanded access in healthcare settings, reduced client out-of-pocket costs), and
- 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).
Intervention
CPSTF Finding and Rationale Statement
About The Systematic Review
These results were based on a systematic review of all available studies, conducted on behalf of the Task Force by a team of specialists in systematic review methods, and in research, practice and policy related to vaccinations to prevent diseases.
Context
Summary of Results
- Vaccination coverage: median increase of 16.5 percentage points (range: -5.9 to 67.0 percentage points; 16 studies, 19 study arms)
- These results should be applicable in most client and provider populations and most settings where improvements in coverage are needed.
- Evidence was insufficient to determine the effectiveness of other combinations of interventions in increasing coverage.
Summary of Economic Evidence
Applicability
Evidence Gaps
Study Characteristics
Publications
Task Force on Community Services. Recommendations to improve targeted vaccination coverage among high-risk adults. American Journal of Preventive Medicine 2005;28(5S):231-7.
Ndiaye SM, Hopkins DP, Smith SJ, Hinman AR, Briss PA, Task Force on Community Services. Methods for conducting systematic reviews of targeted vaccination strategies for The Guide to Community Preventive Services. American Journal of Preventive Medicine 2005;28(5S):238-47.
Centers for Disease Control and Prevention. Improving influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among adults aged <65 years at high risk. MMWR 2005;54(RR-5):1-11. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5405a1.htm.
Task Force on Community Services, Zaza S, Briss PA, Harris KW. Vaccine preventable diseases. In: The Guide to Community Preventive Services: What Works to Promote Health? Atlanta (GA): Oxford University Press; 2005:223-303.