V@CCESS INTERACTIVE IMMUNIZATION INFORMATION SYSTEM

我们建议完善和进一步测试基于互联网的干预措施的应用，以促进儿童健康和遵守免疫接种。其中一个目标是通过开发一种应用程序来扩展我们的第一阶段计划，该应用程序可以满足家长对信息和资源的需求，以及提供者对病例管理和报告能力的需求。另一个是全面和科学地了解互联网技术作为干预免疫、遵从性和儿科保健的影响。我们将完善我们的第一阶段干预措施，包括为阅读技能较低的父母提供音频增强，为专家提供电子邮件链接，并为拉美裔人口提供双语组件，以便在更广泛的人口统计范围内加强动员工作。我们还将完善我们针对提供商的第一阶段管理工具，以促进数据捕获和报告。预期的结果是父母的知识、动机和态度的增加，有利于遵从性。该实验计划包括一项关于寻求儿童预防性保健的障碍和促进者变量的研究。我们将测量这些变量在计划使用后的变化，以努力确定与免疫遵从性相关的最重要变量。拟议的商业应用：该计划可以作为一种网络服务实施，根据许可协议出售给供应商和学校，并由家长通过公共信息亭或个人计算机访问。它可以被公共卫生部门、医院和团体诊所、社区诊所、学校、图书馆、移民中心和社会服务办公室使用。私营部门的应用包括学校、诊所、产科病房、儿童护理中心、宗教组织和当地倡导组织，如La Leche。

We propose to refine and further test the application of an Internet-based intervention for promoting child health and immunization compliance. One objective is to expand our Phase I program by developing an application that meets parents' need for information and resources, as well as providers' need for case management and reporting capability. Another is to gain a comprehensive and scientific understanding of the impact of Internet technology as an intervention in immunization compliance and pediatric healthcare. We will refine our Phase I intervention to include audio enhancement for parents with low-level reading skills, an email link to an expert, and bilingual components for Hispanic populations in order to enhance mobilization efforts across a broader range of demographics. We will also refine our Phase I administrative tools for providers in order to facilitate data capture and reporting. The anticipated outcome is an increase in knowledge, motivation, and attitudes favorable to compliance among parents. The experimental plan includes a study of the barrier and facilitator variables related to seeking preventive healthcare for children. We will measure changes in these variables following program use in an effort to define the most significant variables related to immunization compliance. PROPOSED COMMERCIAL APPLICATION: The program can be implemented as a Web service sold under licensing agreement to providers and schools, and accessed by parents via public kiosk or personal computer. It could be used by public health departments, hospitals and group practices, community clinics, schools, libraries, immigration centers, and social service offices. Private sector applications include schools, clinics, maternity wards, child care centers, religious organizations, and local advocate organizations such as La Leche.