{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T14:31:10Z","timestamp":1781706670986,"version":"3.54.5"},"reference-count":34,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,6,1]]},"abstract":"\n OBJECTIVE:<\/jats:title>\n To assess the effectiveness of reminder\/recall (R\/R) for immunizing adolescents in private pediatric practices and to describe the associated costs and revenues.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n We conducted a randomized controlled trial in 4 private pediatric practices in metropolitan Denver. In each practice, 400 adolescents aged 11 to 18 years who had not received 1 or more targeted vaccinations (tetanus-diphtheria-acellular pertussis, meningococcal conjugate, or first dose of human papillomavirus vaccine for female patients) were randomly selected and randomized to intervention (2 letters and 2 telephone calls) or control (usual care) groups. Primary outcomes were receipt of &gt;1 targeted vaccines and receipt of all targeted vaccines 6 months postintervention. We calculated net additional revenue for each additional adolescent who received at least 1 targeted vaccine and for those who received all targeted vaccines.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n Eight hundred adolescents were randomized to the intervention and 800 to the control group. Baseline rates of having already received tetanus-diphtheria-acellular pertussis, meningococcal conjugate, and first dose of human papillomavirus vaccine before R\/R ranged from 33% to 54%. Postintervention, the intervention group had significantly higher proportions of receipt of at least 1 targeted vaccine (47.1% vs 34.6%, P &lt; .0001) and receipt of all targeted vaccines (36.2% vs 25.2%, P &lt; .0001) compared with the control group. Three practices had positive net revenues from R\/R; 1 showed net losses.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n R\/R was successful at increasing immunization rates in adolescents and effect sizes were comparable to those in younger children. Practices conducting R\/R may benefit financially if they can generate additional well-child care visits and keep supply costs low.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2011-1714","type":"journal-article","created":{"date-parts":[[2012,5,8]],"date-time":"2012-05-08T01:24:59Z","timestamp":1336440299000},"page":"e1437-e1445","source":"Crossref","is-referenced-by-count":88,"title":["Effectiveness and Net Cost of Reminder\/Recall for Adolescent Immunizations"],"prefix":"10.1542","volume":"129","author":[{"given":"Christina A.","family":"Suh","sequence":"first","affiliation":[{"name":"Children\u2019s Outcomes Research Program, Children\u2019s Hospital Colorado, Aurora, Colorado;"},{"name":"Departments of Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Saville","sequence":"additional","affiliation":[{"name":"Children\u2019s Outcomes Research Program, Children\u2019s Hospital Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew F.","family":"Daley","sequence":"additional","affiliation":[{"name":"Children\u2019s Outcomes Research Program, Children\u2019s Hospital Colorado, Aurora, Colorado;"},{"name":"Departments of Pediatrics and"},{"name":"Colorado Health Outcomes Program, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith E.","family":"Glazner","sequence":"additional","affiliation":[{"name":"Colorado School of Public Health, University of Colorado School of Medicine, Denver, Colorado; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Barrow","sequence":"additional","affiliation":[{"name":"Children\u2019s Outcomes Research Program, Children\u2019s Hospital Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Stokley","sequence":"additional","affiliation":[{"name":"Immunization Services Division, the Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran","family":"Dong","sequence":"additional","affiliation":[{"name":"Children\u2019s Outcomes Research Program, Children\u2019s Hospital Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Beaty","sequence":"additional","affiliation":[{"name":"Children\u2019s Outcomes Research Program, Children\u2019s Hospital Colorado, Aurora, Colorado;"},{"name":"Colorado Health Outcomes Program, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. Miriam","family":"Dickinson","sequence":"additional","affiliation":[{"name":"Colorado Health Outcomes Program, and"},{"name":"Family Medicine,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Kempe","sequence":"additional","affiliation":[{"name":"Children\u2019s Outcomes Research Program, Children\u2019s Hospital Colorado, Aurora, Colorado;"},{"name":"Departments of Pediatrics and"},{"name":"Colorado Health Outcomes Program, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,6,1]]},"reference":[{"key":"2021120903320730700_B1","first-page":"1","article-title":"Preventing tetanus, diphtheria, and pertussis among adolescents: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccines recommendations of the Advisory Committee on Immunization Practices (ACIP).","volume":"55","author":"Broder","year":"2006","journal-title":"MMWR Recomm Rep"},{"key":"2021120903320730700_B2","first-page":"1","article-title":"Prevention and control of meningococcal disease. Recommendations of the Advisory Committee on Immunization Practices (ACIP).","volume":"54","author":"Bilukha","year":"2005","journal-title":"MMWR Recomm Rep"},{"key":"2021120903320730700_B3","first-page":"1","article-title":"Quadrivalent human papillomavirus vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP).","volume":"56","author":"Markowitz","year":"2007","journal-title":"MMWR Recomm Rep"},{"issue":"2","key":"2021120903320730700_B4","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.amepre.2008.03.034","article-title":"The promise and challenge of adolescent immunization.","volume":"35","author":"National Vaccine Advisory Committee","year":"2008","journal-title":"Am J Prev Med"},{"key":"2021120903320730700_B5","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1542\/peds.2007-1115A","article-title":"Introduction: strengthening the delivery of new vaccines for adolescents.","volume":"121","author":"McCauley","year":"2008","journal-title":"Pediatrics"},{"issue":"3","key":"2021120903320730700_B6","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1001\/archpedi.161.3.252","article-title":"National health care visit patterns of adolescents: implications for delivery of new adolescent vaccines.","volume":"161","author":"Rand","year":"2007","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"5","key":"2021120903320730700_B7","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1001\/archpedi.155.5.566","article-title":"Adolescent immunization practices: a national survey of US physicians.","volume":"155","author":"Schaffer","year":"2001","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"1","key":"2021120903320730700_B8","doi-asserted-by":"crossref","first-page":"13","DOI":"10.3122\/jabfm.18.1.13","article-title":"Barriers to adolescent immunization: a survey of family physicians and pediatricians.","volume":"18","author":"Oster","year":"2005","journal-title":"J Am Board Fam Pract"},{"key":"2021120903320730700_B9","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.1542\/peds.2007-1115C","article-title":"Delivering adolescent vaccinations in the medical home: a new era?","volume":"121","author":"Szilagyi","year":"2008","journal-title":"Pediatrics"},{"issue":"10","key":"2021120903320730700_B10","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1001\/jama.291.10.1231","article-title":"Trends in private and public health insurance for adolescents.","volume":"291","author":"Newacheck","year":"2004","journal-title":"JAMA"},{"key":"2021120903320730700_B11"},{"key":"2021120903320730700_B12","unstructured":"Guide to community preventive services. Universally recommended vaccinations: client reminder & recall systems. 2008 February. Available at: www.thecommunityguide.org\/vaccines\/universally\/clientreminder.html. Accessed November 2, 2011"},{"issue":"2","key":"2021120903320730700_B13","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1001\/archpedi.160.2.157","article-title":"Effect of telephone reminder\/recall on adolescent immunization and preventive visits: results from a randomized clinical trial.","volume":"160","author":"Szilagyi","year":"2006","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"7","key":"2021120903320730700_B14","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1001\/archfami.3.7.619","article-title":"Adolescent measles vaccination. Response rates to mailings addressed to patients vs parents.","volume":"3","author":"Harper","year":"1994","journal-title":"Arch Fam Med"},{"issue":"4","key":"2021120903320730700_B15","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1542\/peds.101.4.e3","article-title":"Effectiveness and cost-effectiveness of letters, automated telephone messages, or both for underimmunized children in a health maintenance organization.","volume":"101","author":"Lieu","year":"1998","journal-title":"Pediatrics"},{"issue":"1","key":"2021120903320730700_B16","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1111\/j.1475-6773.2008.00900.x","article-title":"What\u2019s the risk? A simple approach for estimating adjusted risk measures from nonlinear models including logistic regression.","volume":"44","author":"Kleinman","year":"2009","journal-title":"Health Serv Res"},{"key":"2021120903320730700_B17"},{"key":"2021120903320730700_B18"},{"key":"2021120903320730700_B19"},{"issue":"6","key":"2021120903320730700_B20","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1001\/archpediatrics.2011.73","article-title":"Effectiveness of a citywide patient immunization navigator program on improving adolescent immunizations and preventive care visit rates.","volume":"165","author":"Szilagyi","year":"2011","journal-title":"Arch Pediatr Adolesc Med"},{"key":"2021120903320730700_B21"},{"issue":"14","key":"2021120903320730700_B22","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.1001\/jama.284.14.1820","article-title":"Effect of patient reminder\/recall interventions on immunization rates: a 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