August 20, 2012
Reminding both teens and their parents about missed shots may help increase vaccination rates, a new study suggests. Teens in the study were ages 13 through 17. All of them were missing at least 1 recommended shot. They were randomly divided into 3 groups. One group received reminder phone calls to parents from the doctor's office. Another group received reminders for both the parents and the teens. People in the third group were not contacted. Vaccination rates increased in the next month for teens who received reminders for themselves and their parents. The other groups did not show this improvement. But any differences were gone a year later. Doctors also had problems reaching many of the teens and their parents. The journal Pediatrics published the study online August 20.
By Henry H. Bernstein, D.O.
Harvard Medical School
What Is the Doctor's Reaction?
Immunization rates for teenagers are well below where they should be. As children get older, their protection from early vaccines may begin to wear off. Some teens also may be at higher risk for certain infections because of their age or health status. The infections include meningitis, which affects the coverings of the brain.
Taking time out of their schedules to get vaccines is not a high priority for most teens. Between friends, school, after-school activities and homework, teenagers are busy.
So how can we be sure teens have received all the vaccines they need? Experts are always looking for ways to improve.
A new study in the journal Pediatrics looks at the effects of one program. Researchers tried contacting teens, their parents or both about the shots the teens had missed. The idea was that immunization rates might increase when both the parent and the child were contacted.
Teens in this study were 13 to 17 years old. Each one was missing at least one recommended vaccine. The teens were divided into 3 groups:
The researchers found better vaccine rates in Group 3 than in the other 2 groups. Making contact with both the parent and the child increased the likelihood of the child getting the missing vaccine dose within 4 weeks. However, this improvement did not last long. The improved rates were not seen a year later.
Although calling the parent and the teen worked, researchers also found a problem with it. Many parents and teens could not be reached, even after four tries. This shows how important it is for pediatric offices to keep up-to-date contact information for all patients and their parents.
What Changes Can I Make Now?
Make sure your teen is up to date with his or her vaccines. The newest recommendations include:
What Can I Expect Looking to the Future?
Expect to hear more about teen vaccines from your child's doctor. It is very important that every teen be protected against these serious diseases.
All teens need an increasing number of vaccines, so doctors are likely to bring up vaccines at each visit to the office. You may even receive a phone call if your child is missing some recommended vaccines.
Researchers also are studying other ways to contact patients about missing vaccines. Newer ways include e-mail, texting, social media and school-based outreach.