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CHIMC: Save Lives-Immunize

CHIMC：拯救生命-免疫

基本信息

批准号：
8043671
负责人：
EARNESTINE WILLIS
金额：
$ 44.32万
依托单位：
MEDICAL COLLEGE OF WISCONSIN
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-30 至 2013-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8043671
关键词：
14 year old Address Age Attitude Award Behavior Caring Categories Censuses Child Child health care Childhood Code Communities Community Health Disease Disease Outbreaks Documentation Effectiveness Evaluation Fostering Funding Goals Government Agencies Grant Health Professional Health behavior change Healthy People 2010 Immunization Intervention Intervention Studies Knowledge Latino Low income Medical Methods Modeling National Center on Minority Health and Health Disparities Neighborhoods Outcome Measure Parents Phase Population Population Intervention Poverty Preventive Process Measure Records Registries Reporting Research Research Infrastructure Research Personnel Safety Self Efficacy Target Populations Underserved Population Vaccines Wisconsin base behavior change community based evaluation community based participatory research community organizations data collection evaluation design empowerment falls group intervention health disparity member pediatric department programs racial and ethnic response theories therapy design urban area

项目摘要

DESCRIPTION (provided by applicant): Although disparities in childhood immunization rates have narrowed, there still exist disparities among many ethnic/racial and underserved populations. This disparity is persistent in large urban areas and could result in outbreaks of vaccine-preventable diseases. In 2005, Child Health Improvement Metcalfe Park Concordia (CHIMC) was awarded a NCMHD CBPR planning grant. "CHIMC: Save Lives-Immunize" furthers that effort through intervention research to eliminate immunization rate disparities within low-income ethnic/racial populations less than 14 years of age in Metcalfe Park, Concordia, and surrounding neighborhoods in Milwaukee, Wisconsin. Specific Aims: 1. Building upon the CHIMC pilot intervention to reduce immunization rate disparities, by June 30, 2009, expand to include children up to 14 years of age and identify community-driven interventions to foster healthy behaviors. 2. By June 30, 2010, implement group interventions guided by health behavior change models to address immunization rate disparities through community empowerment. 3. By June 30, 2013, evaluate the effectiveness of health behavior change models to reduce immunization rate disparities in the CHIMC target populations. Using the CBPR approach, we will engage community members in a variety of behavior change models to impact the immunization rate disparities. We hypothesize 46.5%-52.7% of 19-35 month olds will be age appropriate for immunizations thus reducing the immunization rate disparities by 50-70%. A multi-faceted evaluation approach will be used to evaluation the effectiveness of health behavior change models in reducing immunization rate disparities. Both process and outcome measures will be identified. We will determine differences in immunization rates with perceived barriers to care and parents attitudes toward immunization. We will also demonstrate a rapid increase in documentation of immunization records in the Wisconsin Immunization Registry.

说明(申请人提供)：尽管儿童免疫接种率的差距已经缩小，但在许多族裔/种族和未得到充分服务的人群中仍然存在差距。这种差距在大城市地区持续存在，并可能导致疫苗可预防疾病的暴发。2005年，儿童健康改善梅特卡夫公园协和中心(CHIMC)获得NCMHD CBPR规划补助金。通过干预研究，在威斯康星州密尔沃基的梅特卡夫公园、康科迪亚和周围社区，通过干预研究，消除14岁以下低收入民族/种族人口的免疫接种率差异，CHIMC：拯救生命-免疫。具体目标： 1.在CHIMC减少接种率差距试点干预措施的基础上，到2009年6月30日，扩大到包括14岁以下的儿童，并确定社区主导的干预措施，以促进健康行为。 2.到2010年6月30日，在健康行为改变模式指导下实施群体干预，通过社区赋权解决免疫接种率差异问题。 3.在2013年6月30日之前，评估健康行为改变模式对缩小中国集团公司目标人群免疫接种率差异的有效性。使用CBPR方法，我们将让社区成员参与各种行为改变模式，以影响免疫接种率的差异。我们假设46.5%-52.7%的19-35月龄婴儿将适合接种疫苗，从而将免疫接种率差距缩小50%-70%。将使用多方面的评估方法来评估健康行为改变模式在减少免疫接种率差异方面的有效性。将确定过程和结果衡量标准。我们将通过感知的护理障碍和父母对免疫的态度来确定免疫接种率的差异。我们还将展示威斯康星州免疫登记处免疫记录文件的迅速增加。