Topic

Recommended (sufficient evidence)

October 2002

Audience

Adolescents and Young Adults

Adults

Children/Infants

Decision-makers

Healthcare Providers

Older Adults

Parents/Caregivers

Setting

Clinical/Health Systems

Community

Rural

Urban

Strategy

Case Management

Community Organizing/Community-based

Economic Strategies

Health Education

Multicomponent

Organizational Changes

Outreach

Policy Development

Social Marketing/Media

Targeted Vaccinations: Multiple Interventions Implemented in Combination - Inactive

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Snapshot

Summary of CPSTF Finding

The Community Preventive Services Task Force recommends interventions that include the combination of interventions as indicated below, based on strong evidence of their effectiveness in increasing targeted vaccination coverage.

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

Most of the available evidence on effectiveness identified in our reviews of interventions to increase targeted vaccine coverage came from studies that evaluated multiple interventions in combination. These studies evaluated a wide variety of intervention combinations.

CPSTF Finding and Rationale Statement

Read the Task Force Finding [PDF - 410 kB].

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What the CPSTF Found

About The Systematic Review

Twenty-three qualifying studies provided 26 study arms evaluating 22 different combinations of interventions for 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

There is no information for this section.

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

An economic review of this intervention did not find any relevant studies.

Applicability

No content is available for this section.

Evidence Gaps

No content is available for this section.

Study Characteristics

No content is available for this section.

Publications

Ndiaye SM, Hopkins DP, Shefer AM, et al. Interventions to improve influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among high-risk adults: a systematic review. American Journal of Preventive Medicine. 2005;28(5S):248-79.

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?. The Guide to Community Preventive Services: What Works to Promote Health? Atlanta (GA): Oxford University Press; 2005:223-303.

Supporting Materials

Analytic Framework

Analytic Framework [PDF - 728 kB] - see Figure 1 on page 251.

Summary Evidence Table

No content is available for this section.

Included Studies

Content is in development.

Additional Materials

There is no information for this section.

Search Strategies

No content is available for this section.

Review References

There is no information for this section.

Considerations for Implementation

Content is in development.

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Targeted Vaccinations: Multiple Interventions Implemented in Combination - Inactive

Tabs

Summary of CPSTF Finding

Intervention

CPSTF Finding and Rationale Statement

Users who viewed this also viewed

About The Systematic Review

Context

Summary of Results

Summary of Economic Evidence

Applicability

Evidence Gaps

Study Characteristics

Publications

Analytic Framework

Summary Evidence Table

Included Studies

Additional Materials

Search Strategies

Review References

Considerations for Implementation

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