Innovations to Improve Parent Contact Information in Immunization Registries

改进免疫登记处家长联系信息的创新

• 批准号: 7629655
• 负责人: Kevin J. Dombkowski
• 金额: $ 20万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7629655
• 关键词: Innovations; Improve; Parent; Contact; Information

DESCRIPTION (provided by applicant): Although progress has been made toward achieving the Healthy People 2010 immunization objectives, pockets of undervaccinated children remain throughout the United States, especially those living in urban areas. The failure of parents or providers to recognize that a child is due (or overdue) for vaccinations is a persistent problem and an important underlying cause of inadequate vaccination. In response, the past decade has witnessed unprecedented growth of immunization registries which track immunization records and assess vaccination status. Most immunization registries are also capable of generating individualized notices for children that require vaccinations. Notification may be made by mail, telephone or computer to either encourage appointments for upcoming scheduled vaccinations (reminders) or those doses that are overdue (recalls). There is ample evidence demonstrating the effectiveness of immunization reminder/recall. An important barrier to achieving the full potential of registry-based reminder / recall systems is the accuracy and completeness of parents' contact information. Without accurate contact information, mailed reminder/ recall notices cannot be delivered to the appropriate parties and telephone messages cannot reach the intended recipients. Prior reports indicate that failures to contact parents with mail or telephone reminder/recall notices are commonplace. The proposed study will develop and evaluate innovative approaches to successfully contact parents regarding the specific immunizations their child needs. The specific aims of the Innovations to Improve Successful Contact of Parents for Immunization Reminders program are to: (1) describe the methods currently used by a statewide immunization registry to update parent contact information; (2) evaluate the effectiveness and usefulness of existing registry data in contacting parents; (3) identify new strategies for generating and updating parent contact information; (4) identify innovative strategies to contact parents of children in the registry who cannot be contacted by mail or telephone; (5) evaluate the effectiveness and usefulness of new strategies in terms of both successful parent contact and changes in vaccination status; and (6) evaluate the cost-effectiveness of new strategies. The proposed study is unique in that it focuses on the experiences of one of the nation's largest and most advanced statewide immunization registries. We will explore a broad array of existing information systems as potential new sources of parent contact information as well as the most effective means to successfully update immunization registry data. For those individuals that cannot be reliably contacted through mail or telephone notices, we will develop and test new contact methods targeted to "unreachable" populations. Results of the study will serve to inform efforts in other states and communities to improve parent contact information in immunization registries. Immunization registries are useful mechanisms to conduct immunization reminder/recall; however, inaccurate parent contact information limits the effectiveness of registries for this purpose. This project will develop and evaluate different strategies to improve the parent contact information included in a state immunization registry.

描述（由申请人提供）：尽管在实现2010年健康人免疫目标方面取得了进展，但在美国各地，特别是那些生活在城市地区的儿童，仍有一些未接种疫苗的儿童。父母或提供者未能认识到儿童应该（或逾期）接种疫苗是一个长期存在的问题，也是疫苗接种不足的一个重要潜在原因。为此，在过去十年中，追踪免疫记录和评估疫苗接种状况的免疫登记出现了前所未有的增长。大多数免疫登记机构还能够为需要接种疫苗的儿童提供个性化通知。通知可以通过邮件、电话或电脑发出，以鼓励预约即将到来的预定疫苗接种（提醒）或那些过期的剂量（召回）。有充分证据表明免疫提醒/召回的有效性。实现基于注册的提醒/召回系统的全部潜力的一个重要障碍是家长联系信息的准确性和完整性。若没有准确的联络资料，邮寄提醒/召回通知便无法送达有关人士，而电话讯息亦无法送达指定的收件人。先前的报告表明，未能通过邮件或电话提醒/召回通知与家长联系是司空见惯的。拟议的研究将开发和评估创新方法，以便就儿童需要的特定免疫接种成功地与父母取得联系。提高家长成功联系免疫提醒计划的创新的具体目标是：(1)描述目前全州免疫登记处使用的更新家长联系信息的方法；(2)评估现有注册数据在联系家长方面的有效性和有用性；(3)确定生成和更新父母联系信息的新策略；(4)制定创新策略，联系无法通过邮件或电话联系的注册儿童家长；(5)从成功接触父母和疫苗接种状况变化两方面评估新策略的有效性和有用性；(6)评估新策略的成本效益。拟议的研究的独特之处在于，它侧重于美国最大和最先进的全州免疫登记处之一的经验。我们将探索广泛的现有信息系统，作为家长联系信息的潜在新来源，以及成功更新免疫登记数据的最有效手段。对于那些无法通过邮件或电话通知可靠联系的个人，我们将开发和测试针对“无法联系”人群的新联系方法。这项研究的结果将为其他州和社区改善免疫登记中父母联系信息的努力提供信息。免疫登记是进行免疫提醒/召回的有用机制；然而，不准确的家长联系信息限制了注册中心在这方面的有效性。该项目将制定和评估不同的战略，以改进列入州免疫登记的家长联系信息。