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Trial registered on ANZCTR
Registration number
ACTRN12608000302358
Ethics application status
Approved
Date submitted
11/06/2008
Date registered
17/06/2008
Date last updated
14/10/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Four week old infants in primary care receive precall letter from the general practice compared with the same age infants at practices with usual care to improve immunisation rates in young chlidren
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Scientific title
Four week old infants in primary care receive precall letter from the general practice compared with the same age infants at practices with usual care to measure the subsequent immunisation coverage and timeliness rates
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Secondary ID [1]
580
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Nil
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Universal Trial Number (UTN)
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Trial acronym
Project ENGAGE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Infant immunisation series
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Condition category
Condition code
Public Health
3417
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A single precall letter sent to parents of infants when they are aged 4 weeks welcoming them and inviting their parents to bring them for a check-up and to start their immunisation series when aged six weeks. The precall letter will be sent out until 500 children have been precalled from the intervention practices
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Intervention code [1]
2992
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Other interventions
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Comparator / control treatment
Usual care, which is generally recall letters sent at 6 weeks or later
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Control group
Active
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Outcomes
Primary outcome [1]
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Measure immunisation coverage at age 8 weeks to assess timeliness and coverage of the 6 week immunisation. The coverage will be measured using the National Immunisation Register (NIR) accessed through the Auckland district Health Board.
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Assessment method [1]
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Timepoint [1]
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8 weeks
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Secondary outcome [1]
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Measure immunisation coverage at age 14 weeks to assess timeliness and coverage of 3 month immunisation. The coverage will be measured using the National Immunisation Register (NIR) accessed through the Auckland district Health Board.
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Assessment method [1]
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Timepoint [1]
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14 weeks
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Secondary outcome [2]
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Measure coverage and timeliness for the primary course of infant immunisations (given at 6 weeks, 3 months and 5 months) at age 6 months. The coverage will be measured using the National Immunisation Register (NIR) accessed through the Auckland district Health Board.
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Assessment method [2]
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Timepoint [2]
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6 months
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Secondary outcome [3]
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Measure coverage and timeliness for the primary course of infant immunisations (given at 6 weeks, 3 months and 5 months) at age 6 months. The coverage will be measured using the National Immunisation Register (NIR) accessed through the Auckland district Health Board.
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Assessment method [3]
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Timepoint [3]
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6 months
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Eligibility
Key inclusion criteria
General practices in the Auckland District Health Board (ADHB) birth cohort of approximately 8000 newborn children recorded on the National Immunisation Register (NIR).
Sample Size
Approximately 1000 infants (500 in control and 500 in intervention arm) will be followed.
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Minimum age
4
Weeks
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Maximum age
6
Months
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Practices which do not immunise children
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
A computer generated randomisation sequence will be prepared by an independent researcher. A random sequence will be used to assign each practice to either the intervention or the control group. The number that determines whether each enrolled practice is assigned to the intervention or control group will be kept in sequentially numbered sealed envelopes. A person independent of the investigators will assign each sequentially enrolled practice to the matching sequentially labelled sealed envelope.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer generated randomisation sequence will be prepared by an independent researcher. A random sequence will be used to assign each practice to either the intervention or the control group
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/09/2008
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Actual
8/01/2009
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Date of last participant enrolment
Anticipated
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Actual
30/04/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
1000
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Accrual to date
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Final
1300
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
1003
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Funding & Sponsors
Funding source category [1]
3475
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Government body
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Name [1]
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NZ Health Research Council & Ministry of Health
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Address [1]
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PO Box 5541, Wellesley Street, Auckland, New Zealand
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Country [1]
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New Zealand
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Primary sponsor type
Government body
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Name
NZ Health Research Council
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Address
PO Box 5541, Wellesley Street, Auckland
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Country
New Zealand
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Secondary sponsor category [1]
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Government body
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Name [1]
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Ministry of Health
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Address [1]
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PO Box 5013
WELLINGTON
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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HRC Northern Ethics Committee
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Ethics committee address [1]
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Private Bag 92-522, Wellesley St Auckland
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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01/08/2008
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Approval date [1]
5505
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29/08/2008
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Ethics approval number [1]
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NTX/08/08/072
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Summary
Brief summary
In New Zealand, the infant immunisation programme is delivered in the general practice setting. There is wide variance in practice immunisation coverage. Recent research has identified key characteristics of general practice that are associated with higher immunisation coverage. One of these is the early formation of a close relationship with the child’s family/whanau. Delay in receipt of the first vaccine dose in the primary series is one of the strongest predictors of subsequent incomplete immunisation. It is hypothesised that an intervention which enables early enrolment of newborns into general practice registers and effective practice systems will improve the completion and timeliness of the primary immunisation series. This randomised trial will implement an improved practice system consisting of early enrolment, a timely parental resource and decision-making tool, early recall and extra practice nurse support to improve immunisation coverage and timeliness. Outcome measures will be coverage and timeliness at age 8 weeks, 14 weeks and 6 months of the primary immunisation series. Potential health gains are increased immunisation coverage and timeliness with an associated reduced incidence of vaccine preventable disease in New Zealand.
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Trial website
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Trial related presentations / publications
01/08/2011 GOODYEAR-SMITH F, PETOUSIS-HARRIS H, POOLE T, GRANT C, TURNER N. Early Connection: An intervention at the general practice level to improve immunisation coverage and timeliness in infants – a randomised controlled trial. Report to the Health Research Council and the New Zealand Ministry of Health, 42pp, 2011 GOODYEAR-SMITH F, GRANT C, POOLE T, PETOUSIS-HARRIS H, TURNER N, PERERA R, HARNDEN A. Early Connections: Effectiveness of a pre-call intervention to improve immunisation coverage and timeliness. Journal of Primary Health Care. 2012; 4(3):189-198. 15. Royal New Zealand College of General Practitioners Annual Conference. Early Connections: Improving immunisation coverage & timeliness. GOODYEAR-SMITH F, PETOUSIS-HARRIS H, T POOLE T, GRANT C, TURNER N, HARDNEN A, PERERA R. Auckland. Sep 2011 Improving immunisation coverage & timeliness. GOODYEAR-SMITH F, PETOUSIS-HARRIS H, T POOLE T, GRANT C, TURNER N. Rotorua. Aug 2011
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Public notes
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Contacts
Principal investigator
Name
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Prof Felicity Goodyear-Smith
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Address
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Room 378, Building 730 School of Population Health
Tamaki Campus University of Auckland
261 Morrin Rd, Glen Innes
Auckland
1142
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Country
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New Zealand
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Phone
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+6499232357
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Felicity Goodyear-Smith
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Address
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Department of General Practice & Primary Health Care
University of Auckland
PB 92 019 Auckland
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Country
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New Zealand
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Phone
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64 9 373 7599
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Fax
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64 9 373 7624
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Email
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[email protected]
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Contact person for scientific queries
Name
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Assoc Prof Felicity Goodyear-Smith
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Address
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Department of General Practice & Primary Health Care
University of Auckland
PB 92 019 Auckland
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Country
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New Zealand
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Phone
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64 9 373 7599 82357
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Fax
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64 373 7624
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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