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Vaccination Programs: Clinic-Based Client Education when Used Alone

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What the CPSTF Found

About The Systematic Review

The CPSTF finding is based on evidence from a Community Guide systematic review completed in 2011 (4 studies with 6 study arms, search period 1980-2009) combined with more recent evidence (1 study, search period 2009-2012). The finding updates and replaces the 2011 finding for Clinic-Based Client Education When Used Alone pdf icon [PDF - 496 kB].

This review was conducted on behalf of the CPSTF by a team of specialists in systematic review methods, and in research, practice and policy related to increasing appropriate vaccination.

Context

There is no information for this section.

Summary of Results

Detailed results from the systematic review are available in the CPSTF Finding and Rationale Statement pdf icon [PDF - 486 kB].

Five studies were included in the review; four provided a common measurement of changes in vaccination rates.

  • Overall vaccination rates increased by a median of 10 percentage points (4 studies with 6 study arms).
    • This estimate was based largely on three related study arms focused on increasing pneumococcal polysaccharide vaccinations among older adult patients in one clinical setting.
    • Changes in vaccination rates from the other three study arms were inconsistent and smaller in magnitude.
  • One study did not evaluate changes in vaccination rates, and found only a very small change in the number of vaccinations administered.

Summary of Economic Evidence

An economic review of this intervention was not conducted because the CPSTF did not have enough information to determine if the intervention works.

Applicability

Applicability of this intervention across different settings and populations was not assessed because the CPSTF did not have enough information to determine if the intervention works.

Evidence Gaps

Additional research and evaluation are needed to answer the following questions and fill existing gaps in the evidence base.

  • Is this educational approach applicable to a wider range of vaccines and populations?

Study Characteristics

  • Two studies focused on increasing pneumococcal polysaccharide vaccinations among older adult patients in one clinical setting