Stephanie Phibbs

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OBJECTIVE To measure the effect of a multimodal intervention on well-child care visit (WCV) and immunization rates in an inner-city population. DESIGN Cluster randomized controlled trial. SETTING AND PARTICIPANTS One-year cohort of 2843 infants born at a hospital in an integrated inner-city health care system. INTERVENTIONS Eleven clinics were(More)
OBJECTIVE To assess the effects of an elementary school-based health center (SBHC) on access to and the use of physical and mental health services by children aged 4 to 13 years. STUDY DESIGN A retrospective cohort analysis of parent surveys from a comparable intervention (SBHC) and a comparison of urban elementary schools. INTERVENTION Elementary SBHC(More)
We used participatory research to develop a theoretically based online STD/HIV and pregnancy prevention intervention that would be entertaining and captivating for 15-25 year olds while delivering key messages about condom use. We conducted six focus groups with 15-25 year olds attending reproductive health clinics and completed a content analysis with(More)
The goal of this effort was to improve adult immunization rates within a large urban health care system. To measure improvement efforts, we calculated each month the percentage of adults 65 years and older who leave clinic visits with up-to-date pneumococcal vaccination were calculated. This was accomplished through the development of three key aspects:(More)
BACKGROUND Healthcare systems have been challenged to ensure the timely administration of immunizations. Immunization registries have been proposed to improve the accuracy and completeness of immunization information and to promote effective practice. METHODS Comparison of randomly selected samples from two birth cohorts (1993 and 1998) from Denver Health(More)
OBJECTIVE To test a stepped intervention of reminder/recall/case management to increase infant well-child visits and immunization rates. METHODS We conducted a randomized, controlled, practical, clinical trial with 811 infants born in an urban safety-net hospital and followed through 15 months of life. Step 1 (all infants) involved language-appropriate(More)
BACKGROUND The number of school-based health centers (SBHCs) has grown from 40 in 1985 to >900 in 1996. During the 1996-1997 school year there were 914 SBHCs, 32% of which were located in elementary schools. Despite the relatively large number of elementary SBHCs in existence, SBHCs serving elementary-aged students are not adequately represented in the(More)
BACKGROUND Adult immunizations prevent morbidity and mortality yet coverage remains suboptimal, in part due to missed opportunities. Clinical decision support systems (CDSSs) can improve immunization rates when integrated into routine work flow, implemented wherever care is delivered, and used by staff who can act on the recommendation. METHODS An adult(More)
OBJECTIVE Clinic-based immunization rates are used to evaluate clinic performance and immunization interventions, but they typically exclude so-called inactive patients (ie, those who no longer receive care at the clinic). We assessed the effect of enhanced ascertainment of inactive patients on clinic-based immunization rates and on the conclusions of a(More)
BACKGROUND Internet-based developmental screening is being implemented in pediatric practices across the United States. Little is known about the application of this technology in poor urban populations. OBJECTIVE We describe here the results of focus groups, surveys, and in-depth interviews during home visits with families served by an urban safety-net(More)