Publications by authors named "S Humiston"
Background And Objectives: Human papillomavirus (HPV) vaccination rates are suboptimal, and missed vaccination opportunities are common. We hypothesized that a bundled intervention improves missed HPV vaccination opportunities.
Methods: We used a pre-post design to assess differences in HPV vaccine missed opportunities (visits when vaccine-eligible adolescents are not vaccinated).
Article Synopsis
- The study aimed to compare the effectiveness of electronic health record (EHR)-based portal reminders and text message reminders in increasing influenza vaccination rates in a health system.
- Conducted as a randomized clinical trial from September 2022 to April 2023 at UCLA, the trial included over 262,000 patients across different reminder strategies.
- Results showed differences in vaccination rates based on the type of reminder sent, indicating that tailored reminders could enhance public health efforts to improve flu vaccination participation.
Article Synopsis
- * The intervention involved training clinicians with online modules and providing reminders, but despite efforts, missed vaccination opportunities worsened overall during the study period.
- * However, at well child visits, the intervention practices saw a smaller increase in missed initial HPV vaccinations compared to control, indicating some effectiveness, while challenges like understaffing were highlighted as barriers to success.
Purpose: The Coronavirus Disease 2019 pandemic disrupted healthcare, but the impact on vaccination missed opportunities (MOs, vaccine-eligible visits without vaccination) is unknown. We evaluated pandemic-related trends in MOs at adolescent well-care visits for three vaccines: human papillomavirus; quadrivalent meningococcal conjugate; and tetanus, diphtheria, and acellular pertussis (Tdap).
Methods: We analyzed electronic health record data from 24 pediatric primary care practices in 13 states from 1/1/2018 to 12/31/2021.