Ignite Creation Date:
2024-05-06 @ 1:47 AM
Last Modification Date:
2024-10-26 @ 11:09 AM
Study NCT ID:
NCT01899365
Status:
COMPLETED
Last Update Posted:
2020-01-23
First Post:
2013-07-04
Brief Title:
An Incitative Multifaceted PROcedure for Pneumococcal Vaccination at the Emergency Department
Sponsor:
Centre Hospitalier Princesse Grace
Organization:
Centre Hospitalier Princesse Grace
Study Overview
Official Title:
An Incitative Multifaceted PROcedure for Pneumococcal Vaccination at the Emergency Department A Multicenter Prospective Randomized Open Trial The IMPROVED Project
Status:
COMPLETED
Status Verified Date:
2017-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
IMPROVED
Brief Summary:
Background
Community-acquired pneumonia CAP is a threat in industrialized countries It represents the 6th cause of death CAP also frequently associates with other disorders responsible for admission and death Among bacteria responsible for CAP Streptococcus pneumonia is a major pathogen that is commonly involved and frequently leads to severe infection and admission Categories at risk for this pathogen have been determined and can be proposed anti-pneumococcal vaccination APV that efficiently and safely protects from this microorganism
In the context of US health services monocenter pilot experiences have reported improvement of pneumococcal prophylaxis implementing vaccination procedure at ED A study that set in New Mexico 2003 reported a significant increase in APV from 18 to 84 when patients at risk were proposed vaccination at ED To obtain these results medical students were specifically trained and dedicated to screen and vaccinate against St pneumoniae Another single center trial Tennessee 2007 for APV at ED obtained an improvement from 388 to 454 when physicians were alerted for pneumococcal risk by the software they usually utilized at bedside However these experiences remain sparse as additional dedicated resources are required or patients and attending ED physicians can be reluctant to proceed to vaccination at ED
Mobile phone and derived communication modalities are current vectors to deliver information in several fields including education and medicine Initially used in developing countries short-message services SMS have improved behaviour of patients in various medical areas In France the investigators have observed that most patients above 50 years of age admitted after ED visit are equipped with mobile phone and can receive alerts by SMS
These observations prompt us to propose a multifaceted procedure to improve APV after ED visit in at-risk patients combining structured oral interview written information and SMS as reminders
Purpose The investigators hypothesized that
a multifaceted intervention to promote anti-pneumococcal vaccination combining a structured oral interview a written information to patient and hisher general practitioner and a series of 3 SMS
improves anti-pneumococcal vaccination at 6 months
in at-risk patients 65 years visiting the emergency department In order to answer this question the investigators designed an interventional prospective multicenter randomized study cluster
Community-acquired pneumonia CAP is a threat in industrialized countries It represents the 6th cause of death CAP also frequently associates with other disorders responsible for admission and death Among bacteria responsible for CAP Streptococcus pneumonia is a major pathogen that is commonly involved and frequently leads to severe infection and admission Categories at risk for this pathogen have been determined and can be proposed anti-pneumococcal vaccination APV that efficiently and safely protects from this microorganism
In the context of US health services monocenter pilot experiences have reported improvement of pneumococcal prophylaxis implementing vaccination procedure at ED A study that set in New Mexico 2003 reported a significant increase in APV from 18 to 84 when patients at risk were proposed vaccination at ED To obtain these results medical students were specifically trained and dedicated to screen and vaccinate against St pneumoniae Another single center trial Tennessee 2007 for APV at ED obtained an improvement from 388 to 454 when physicians were alerted for pneumococcal risk by the software they usually utilized at bedside However these experiences remain sparse as additional dedicated resources are required or patients and attending ED physicians can be reluctant to proceed to vaccination at ED
Mobile phone and derived communication modalities are current vectors to deliver information in several fields including education and medicine Initially used in developing countries short-message services SMS have improved behaviour of patients in various medical areas In France the investigators have observed that most patients above 50 years of age admitted after ED visit are equipped with mobile phone and can receive alerts by SMS
These observations prompt us to propose a multifaceted procedure to improve APV after ED visit in at-risk patients combining structured oral interview written information and SMS as reminders
Purpose The investigators hypothesized that
a multifaceted intervention to promote anti-pneumococcal vaccination combining a structured oral interview a written information to patient and hisher general practitioner and a series of 3 SMS
improves anti-pneumococcal vaccination at 6 months
in at-risk patients 65 years visiting the emergency department In order to answer this question the investigators designed an interventional prospective multicenter randomized study cluster
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 2013-A00943-42 | OTHER | ANSM | None |