An interventional study of Using Practice Facilitators to Support Physicians in Covid19 Vaccination and Vaccine Uptake, sponsored by Women's College Hospital. Completed at 1 site in Canada. Per ClinicalTrials.gov, last updated 2024-04-24.
Sponsored by Women's College Hospital · Not applicable, Interventional, and Health services research
In Ontario, approximately 6,000 family physicians can access a secure online system that provides a report that lists the COVID-19 vaccination status for each patient in their roster.
This implementation trial tests a practice facilitation intervention that aims to support family physicians to access their vaccination reports and effectively communicate with their unvaccinated patients. The facilitator will help develop action plans and offer a range of options, including co-hosted online town-halls, support for medical office assistants to coordinate patient outreach, and/or connection to trained, volunteer medical students that can help with patient outreach.
Our goal is to provide additional resources for family physicians who most need support to effectively engage with unvaccinated patients. Specifically, practice facilitators will use participatory methods incorporating lessons from change management and quality improvement methodology.
Our practice facilitators will help physicians by:
7,776 studies on the registry are indexed under COVID-19; 482 are open to participants now.
This study's enrollment of 600 is above the median of 100 across 4,176 interventional studies indexed under COVID-19.
Browse COVID-19 studies →Women's College Hospital is the lead sponsor of 87 studies on the registry; 18 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Ontario Health will send out letters to physicians in the intervention group that will explain to them that they have a large group of eligible and unvaccinated patients and that an initiative is planned to support them in reaching out to those patients, with an embedded evaluation. It will ask them to reach out to the research team to plan a time to access the supports to gather more information, or to opt-out from the evaluation. Specifically, physicians will receive invitations to receive practice facilitation via mail letter and fax, followed by up to five weekly phone calls from a team member at Ontario Health.
Other: Using Practice Facilitators to Support Physicians
We choose to include a control group as we do not have the resources to deliver the intervention to the entire physician group. Cluster randomization by primary practice address will limit contamination.
Utilize practice facilitators to empower family physicians to contact those who remain unvaccinated have better access to the COVID-19 vaccine.
Any vaccine dose during follow-up interval
Count of vaccine doses among rostered patients 12+/100 patients
Time frame: approximately 4 months (from time of randomization until follow-up completed end of fiscal year, March 31, 2022)
1st vaccine dose during follow-up interval
patients 12+ eligible not yet vaccinated and received first dose during follow-up interval
Time frame: 4 months
2nd vaccine dose during follow-up interval
Second vaccine doses among rostered patients 12+ during follow-up interval
Time frame: 4 months
3rd vaccine dose during follow-up interval
Third (booster) doses among rostered patients 12+ during follow-up interval
Time frame: 4 months
Pediatric dose during follow-up interval
Vaccine doses among rostered patients aged 5-11 during follow-up interval
Time frame: 4 months
Any engagement
Number of physicians and practices that agreed to receive support by facilitators
Time frame: 4 months
Medical office assistant engagement
Number of practices in which the facilitator engaged with a medical assistant to arrange patient outreach
Time frame: 4 months
Report data engagement
Number of physicians that logged into their vaccine report with the help of a practice facilitator
Time frame: 4 months
Volunteer engagement
Number of practices that used medical student volunteers to help engage with their unvaccinated patients
Time frame: 4 months
Townhall uptake
Number of patients that attended townhalls with their physician
Time frame: 4 months
Calls by volunteers
Number of medical student volunteers calls made to contact unvaccinated patients
Time frame: 4 months
Documents are hosted by the registry — open the source record to download them.
Plan to share: No — Data analysis will take place at the Institute for Clinical Evaluative Sciences (ICES). Ontario Health will provide ICES with a list of physicians that were in either the control or intervention group. This list will be transferred to ICES using a secure portal process (axway). Data will be captured from administrative databases (including COVaxON registry data) held at ICES. Data will be linked at the physician level using their encrypted CPSO (College of Physicians and Surgeons of Ontario) number.
This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.
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