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Table 1 Strategies to improve immunization for 61 clinics receiving AFIX consultations

From: Comparing in-person and webinar delivery of an immunization quality improvement program: a process evaluation of the adolescent AFIX trial

  Baseline assessmenta No. of times chosen as improvement goal
Mean (SD)
Reducing missed opportunities   
 Use all encounters to vaccinate 3.4 (1.0) 24
 Use prompts like posters 3.0 (1.4) 13
 Standing-orders for vaccination 3.4 (1.6) 11
 Use adolescent catch-up schedule 3.9 (1.2) 7
 Train staff on contraindications 3.9 (1.1) 6
Developing a reminder/recall system   
 Use reminder/recalls 2.2 (1.1) 40
 Update patient contact information 3.5 (1.2) 12
 Schedule ‘shots only’ visits 3.1 (1.4) 6
 Schedule next visits in office 4.3 (0.8) 3
Establishing staff guidelines   
 Create immunization teams 3.2 (1.5) 15
 Vaccinate when history is in doubt 3.2 (1.4) 14
 Encourage well visits for ages 11-12 3.6 (1.4) 13
 Provide resources to hesitant parents 3.9 (1.2) 10
 Conduct immunization assessments 4.0 (1.3) 7
 Administer multiple vaccines if due 4.6 (0.7) 2
Implement data best practices   
 Measure clinic’s immunization rates 2.4 (1.3) 30
 Update parents’ vaccination records 3.8 (1.2) 14
 Flag charts for due/over-due vaccines 3.5 (1.3) 10
 Make shot record visible in chart 4.4 (0.9) 4
 Require record of historical doses 4.2 (1.1) 3
  1. Note. Use of these strategies at baseline was equally common in clinics in the in-person and webinar conditions, except for use of adolescent catch-up schedule (3.2, SD = 1.2 versus 2.5, SD = 1.3) and flag charts for due/over-due vaccines (2.2, SD = 1.4 versus 2.9, SD = 1.2) (both p < .05).
  2. aCurrent activity assessed using a five-point response scale ranging from ‘no activity’ (1) to ‘optimal’ (5).