Improving Vaccination Coverage Among Adolescents

提高青少年的疫苗接种覆盖率

• 批准号: 8311542
• 负责人: Kevin J. Dombkowski
• 金额: $ 40万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8311542
• 关键词: Improving; Vaccination; Coverage; Among; Adolescents

PROJECT SUMMARY Recognition that adolescents are a reservoir for several vaccine preventable diseases has led to a number of new vaccine recommendations specifically targeted to this population. However, implementation of the "adolescent platform" of vaccines, which includes the tetanus-diphtheria-acellular pertussis (Tdap), meningococcal conjugate (MCV4), human papillomavirus (HPV4) vaccines (for females) has thus far been substantially below national vaccine coverage goals. There is a paucity of data regarding effective interventions for improving vaccination coverage within the adolescent population. Our broad, long term research objective therefore is to develop and evaluate interventions to improve uptake of vaccines by this population. Patient, parent and provider barriers to, and facilitators of, adolescent vaccination are not well understood. The objectives of this proposal are to conduct formative research so as to better understand these factors, and then use this information to develop, implement and assess a multi-component intervention to improve adolescent vaccine uptake. At a minimum, the intervention will include 1) reminder/recall systems to alert parents and providers about when vaccine doses are needed, and 2) a tailored educational web-based tool to modify negative parental attitudes about adolescent vaccines. These two issues are believed to be major barriers to improving adolescent vaccine utilization. The four Aims of this proposal are: 1) To determine the baseline utilization levels of, and the clinical and personal characteristics associated with, vaccine utilization for the adolescent platform of vaccines among a defined population in Michigan; 2) To assess the patient, parent and provider barriers that currently hinder adolescent vaccine utilization in this population; 3) To develop, implement, and assess a multi-component intervention to improve adolescent vaccination rates within this population; and 4) To develop an adolescent vaccination "toolkit" that is based on "lessons learned" from our intervention. Impact: The expected outcome of our proposal is the development of a multi-component intervention that is effective at increasing adolescent vaccine utilization, and a provider "toolkit" that can be used to implement these interventions elsewhere. Because we intend to develop interventions that could be feasibly implemented in a variety of settings, our intervention could have a significant impact because it would be easily scaleable to broader and larger populations to improve adolescent vaccination rates.

项目概要 认识到青少年是多种疫苗可预防疾病的宿主，这导致了许多 专门针对这一人群的新疫苗建议。然而，实施 疫苗的“青少年平台”，其中包括破伤风-白喉-无细胞百日咳（Tdap）， 脑膜炎球菌结合疫苗 (MCV4)、人乳头瘤病毒 (HPV4) 疫苗（针对女性）迄今已 大大低于国家疫苗覆盖率目标。缺乏有效的数据 提高青少年人口疫苗接种覆盖率的干预措施。我们的广泛、长期 因此，研究目标是制定和评估干预措施，以提高疫苗的吸收率 人口。 患者、家长和提供者对青少年疫苗接种的障碍和促进因素尚不清楚。 该提案的目的是进行形成性研究，以便更好地了解这些因素， 然后利用这些信息来制定、实施和评估多方面的干预措施，以改善 青少年疫苗接种情况。干预措施至少包括 1) 提醒/召回系统 家长和提供者何时需要接种疫苗，以及 2) 定制的基于网络的教育工具 改变父母对青少年疫苗的负面态度。这两个问题被认为是主要问题 提高青少年疫苗利用率的障碍。 该提案的四个目标是： 1) 确定基线利用水平以及临床和 与青少年疫苗平台的疫苗使用相关的个人特征 密歇根州的定义人口； 2) 评估目前阻碍患者、家长和提供者的障碍 该人群中青少年疫苗的使用情况； 3) 开发、实施和评估多组件 采取干预措施，提高该人群中青少年的疫苗接种率； 4）培养青少年 疫苗接种“工具包”基于我们干预中的“经验教训”。 影响：我们提案的预期结果是制定多成分干预措施， 有效提高青少年疫苗利用率，以及可用于实施的提供者“工具包” 这些干预措施在其他地方。因为我们打算制定可以切实实施的干预措施 在各种情况下，我们的干预可能会产生重大影响，因为它很容易扩展到 扩大和扩大人口规模，以提高青少年疫苗接种率。