Cochrane · systematic review · CD003941
Patient reminder and recall interventions to improve immunization rates
Jacobson Vann, JC, Jacobson, RM, Coyne‐Beasley, T, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 7.1%Moderate 7 · 50%High 6 · 42.9%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Overview: Patient reminder or recall interventions for receipt of immunizations ‐ any kind
Population: children, adolescents, and adults with a need for routine immunizations, excluding travel immunizations
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Patient reminder or recall summary measure | RR 1.28 [1.23, 1.35] | 55 studies · 138625 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Patient telephone reminder or recall | RR 1.75 [1.2, 2.54] | 7 studies · 9120 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Patient letter reminder or recall | RR 1.29 [1.21, 1.38] | 27 studies · 81100 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Patient postcard reminder or recall | RR 1.18 [1.08, 1.3] | 8 studies · 27734 participants | High |
Patient text message reminder or recall | RR 1.29 [1.15, 1.44] | 6 studies · 7772 participants | High |
Patient autodialer message reminder or recall | RR 1.17 [1.03, 1.32] | 5 studies · 11947 participants | High |
Combination of patient mail and telephone reminder or recall | RR 1.28 [1.14, 1.45] | 8 studies · 6506 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Combination of patient reminder or recall with outreach intervention | RR 1.22 [1.1, 1.35] | 3 studies · 2701 participants | High |
Combination of patient reminder or recall with provider reminder intervention | RR 2.91 [2.67, 3.19] | 2 studies · 4120 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Summary: Patient reminder or recall interventions by type of immunization
Population: children, adolescents, and adults with a need for routine immunizations, excluding travel immunizations
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Childhood immunizations | RR 1.22 [1.15, 1.29] | 23 studies · 31099 participants | High |
Childhood influenza immunizations | RR 1.51 [1.14, 1.99] | 5 studies · 9265 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Adult immunizations ‐ other than influenza or travel ('Other adult') | RR 2.08 [0.91, 4.78] | 4 studies · 8065 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Adult influenza immunizations | RR 1.29 [1.17, 1.43] | 15 studies · 59328 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Adolescent immunizations | RR 1.29 [1.17, 1.42] | 10 studies · 30868 participants | High |