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Timeliness of Immunizations in CenteringParenting
Matilde M Irigoyen1, Susan M Leib1, Andrew M Paoletti1
1Department of Pediatric and Adolescent Medicine, Einstein Medical Center Philadelphia, Philadelphia, Pa.
Academic Pediatrics
|December 6, 2020
Summary
CenteringParenting (Centering) significantly improved childhood immunization timeliness compared to individual care. This group model also increased well-child visit adherence, potentially reducing health disparities.
Area of Science:
- Pediatric Health
- Public Health Interventions
- Health Disparities
Background:
- CenteringParenting is a group well-child care model.
- Individual well-child care is the traditional model.
- Timeliness of immunizations is crucial for child health.
Purpose of the Study:
- To compare immunization timeliness between CenteringParenting and individual well-child care.
- To assess adherence to well-child visits in both models.
- To explore Centering's impact on health disparities in low-income communities.
Main Methods:
- Retrospective cohort study of infants born 2014-2019.
- Compared 342 children in CenteringParenting to 1393 in individual care.
- Analyzed immunization timeliness at 7, 13, 19, and 25 months.
Main Results:
- 62% of Centering children were up-to-date on immunizations by 25 months vs. 44.2% in individual care.
- Centering children had 3 more well-child visits on average.
- Increased well-child visit attendance explained 82% of the immunization timeliness benefit.
Conclusions:
- CenteringParenting is strongly associated with timely immunizations and increased well-child visit adherence.
- The group model shows promise in reducing health disparities in at-risk communities.
- Further research is warranted to explore Centering's broader impact.
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