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Year:: 2021
Contributor:: Gupta, Ishan (Author); Anandarajah, Gowri (Advisor); Reinstein, Sarah (Advisor); Faria, Maria (Advisor)
Subject:: outreach; immunizations; childhood vaccines; disparities
DOI: https://doi.org/10.26300/77k6-rg44

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Abstract:: Background: The childhood vaccination rate across Rhode Island is approximately 90%. At East Bay Community Action Program (EBCAP), a federally qualified health center (FQHC), the childhood vaccination rates are slightly lower than the RI mean, and thus of concern. Studies indicate that various social determinants of disease, such as racial and socioeconomic factors, can lead to disparities in vaccination rates. This project attempts to understand causes for low vaccination rates for EBCAP’s pediatric population. Methods: Design: Intervention QI Project Setting: EBCAP’s 3 clinical locations in RI Participants: 149 patients under the age of 18 who were “past-due” for vaccines as of [date]. Intervention: Each patient’s chart was examined regarding missing vaccines and patient’s parent or guardian was contacted via phone to schedule a vaccine appointment and understand any potential barriers to care. Motivational interviewing techniques were used to optimize intervention outcomes. For patients who did not answer, a letter was mailed to remind them to book an appointment. Data collection: A semi-structured interview guide was used to determine barriers to care. A Microsoft Excel spreadsheet was used to collect and analyze data. Analysis: Quantitative analysis focused on success rate of telephone intervention and qualitative analysis of patients’ comments assessed common barriers resulting in late childhood vaccinations. Results: Out of the 149 possible contacts, 129 were contacted through phone and 20 via mail due to logistical issues with the clinic telephone. Of the 129 telephone contacts, 44 parents/guardians answered the phone (34%) and 28 (64% of those who answered) agreed to getting their child vaccinated. Of the 28 parents/guardians who agreed, 18% were able to get a nurse visit, 39% were transferred to the front desk to schedule a Well-Child visit and 43% did not want to book an appointment during the call. Themes regarding barriers to care included: lack of reminders, parent forgot or busy, COVID, and more. Conclusion/Discussion: This project highlights the common barriers of parents having their children vaccinated and explains the potential low vaccination rates at EBCAP. A simple phone call intervention, can improve vaccination rates. However, a significant number of patients do not answer the phone.

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Citation

Gupta, Ishan, "Abstract for 'Impact of Telephone Outreach on Low Childhood Immunization Rates at a Federally Qualified Health Center in Rhode Island'" (2021). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/77k6-rg44

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Abstract for "Impact of Telephone Outreach on Low Childhood Immunization Rates at a Federally Qualified Health Center in Rhode Island"