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September 2001, Vol 91, No. 9 | American Journal of Public Health 1507-1511
© 2001 American Public Health Association

RESEARCH

Registry-Driven, Community-Based Immunization Outreach: A Randomized Controlled Trial

Sarah A. Wilcox, PhD, Christopher P. Koepke, PhD, Robert Levenson, MBA and Judith C. Thalheimer

Sarah A. Wilcox is with the Department of Sociology, Kent State University, Kent, Ohio. At the time of the study, Christopher P. Koepke was with the Office of Children's Health Policy Research, Albert Einstein Medical Center, Philadelphia. Robert Levenson and Judith C. Thalheimer are with the Division of Disease Control, City of Philadelphia.

Correspondence: Requests for reprints should be sent to Christopher P. Koepke, PhD, Centers for Medicare and Medicaid Services, 7500 Security Blvd, Baltimore, MD 21244-1850 (e-mail: ckoepke{at}hcfa.gov).

Objectives. This study evaluated the effectiveness of registry-driven, community-based outreach directed toward children with immunization delays.

Methods. A sample of 1856 children aged 6 to 10 months was randomly assigned to receive either outreach or no intervention.

Results. Children in the outreach group were more likely to receive an immunization during the observation period than children in the control group (61% vs 43%). Outreach was most effective for children with multiple risks, as measured by their immunization record; it was not effective for children whose mothers had received inadequate prenatal care.

Conclusions. Registry-driven outreach can effectively identify high-risk children and bring them to care.




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