Informing Immunization Strategies Through Rapid, Repeated Computer-Assisted Self-Interviewing Instruments and Online Panels of Physicians and the Public

项目摘要/摘要 次优疫苗接种率和疫苗变化导致的不断变化的疫苗格局 建议；新疫苗或疫苗技术的开发；“疫苗恐慌”；以及 疫苗可预防疾病的暴发是指负责研发疫苗的组织 建议、政策等需要有关医疗保健提供者和普通公众的信息来告知 通过预测他们在这些小组中的努力可能引起的反应，来制定决策。 哨兵医生网络--预先招募的医生团体--一直是 自2004年以来获得这一信息，但在方法上存在重大缺陷：1)反复 调查一组潜在的有偏见的受访者，长达数月的数据收集，以及除此之外的僵化 建立了哨兵医生网络。因此，迫切需要利用新的调查 具有与哨兵医生网络类似的速度、成本和代表性的方法，但是 克服了它的弱点。在没有这些知识的情况下，我们将继续收集有关免疫接种的信息- 使用一种可能有偏见且缺乏疾控中心所需的速度和灵活性的方法来解决相关问题。 这项提议的长期目标是建立一种收集免疫数据的新方法 更快、更实惠、更灵活地提供这种信息的问题，而且可以说比 哨兵医生网络。此应用程序的总体目标是招聘卫生保健工作者和 通过选择加入、在线调查小组和使用计算机辅助的自我访问的普通公众 (CAASI)满足疾控中心和其他疫苗生产团体的信息需求的工具 建议、政策和计划。为此，我们对这项提议的目标如下所列。 ·在确定调查主题后4周内制定、修订和最终确定调查项目 ·计划调查并在调查项目最终确定后2周内进行用户测试 ·每项新调查在提交内部审查委员会申请后2周内获得内部审查委员会的批准 ·如果对儿科医生、家庭医生、普通科医生进行调查，则在≤3周内完成每次调查的数据收集 内科医生和/或产科医生-妇科医生(N=300/专科)或美国成年人(N=1,000) ·如果调查其他医学专科(例如，老年病医生)，则在≤6周内完成数据收集 ·在完成数据收集后3周内分析数据 ·在完成数据收集后4周内向疾控中心完成初步调查结果报告 ·每年至少完成3次对儿科医生、家庭医生和普通内科医生的调查 ·每年至少向两次国内或国际会议提交基于调查结果的摘要 ·第一年后每年根据调查结果提交3份手稿 ·应ACIP和其他免疫相关组织的要求，向其提交所要求的结果

PROJECT SUMMARY/ABSTRACT Suboptimal vaccination rates and the constantly shifting vaccine landscape resulting from changing vaccine recommendations; the development of novel vaccines or vaccine technologies; “vaccine scares”; and outbreaks from vaccine preventable diseases means organizations that are responsible for creating vaccine recommendations, policies, etc. need information about health care providers and the general public to inform their decision-making by anticipating possible reactions to their efforts in these groups. Sentinel physician networks—pre-recruited groups of physicians—have been the predominant method for obtaining this information since 2004 but suffer from major methodological weaknesses: 1) repeatedly surveying a potentially biased set of respondents, months-long data collection, and inflexibility beyond established sentinel physician networks. As a result, there is a critical need to utilize new survey methodologies that has similar speed, costs, and representativeness as sentinel physician networks but overcomes its weaknesses. Without this knowledge, we will continue to collect information on immunization- related issues using a method that is potentially biased and lacks the speed and flexibility that CDC needs. The long-term goal of this proposal is to establish a new methodology for collecting data on immunization issues that provides this information more quickly, affordably, flexibly, and arguably more representative than sentinel physician networks. The overall objective of this application is to recruit health care workers and members of the general public via opt-in, online survey panels and use computer-assisted self-interviewing (CASI) instruments to meet the information needs of CDC and other groups who make vaccine recommendations, policies, and programs. To that end, our objectives for this proposal are listed below. • Develop, revise, and finalize survey items within 4 weeks of identifying the survey topic • Program the survey and conduct user testing within 2 weeks of survey items being finalized • Obtain IRB approval from for each new survey within 2 weeks of submitting the IRB application • Finish data collection for each survey in ≤3 weeks if surveying pediatricians, family physicians, general internists, and/or obstetricians-gynecologists (N=300/specialty), or U.S. adults (N=1,000) • Finish data collection in ≤6 weeks if surveying other medical specialties (e.g., geriatricians) • Analyze data within 3 weeks of finishing data collection • Complete report of initial findings to the CDC within 4 weeks of finishing data collection • Complete a minimum of 3 surveys of pediatricians, family physicians, & general internists each year • Submit abstracts based on the survey results to at least 2 national or international conferences each year • Submit 3 manuscripts based on survey results each year after Year 1 • Present requested results to ACIP and other immunization-related organizations, at their request