Improving Vaccination Coverage Among Adolescents

项目摘要 认识到青少年是几种疫苗可预防疾病的储存库， 新的疫苗建议专门针对这一人群。然而， 疫苗的“青少年平台”，其中包括破伤风-白喉-无细胞百日咳（Tdap）， 脑膜炎球菌结合物（MCV 4）、人乳头瘤病毒（HPV 4）疫苗（用于女性）迄今已被 大大低于国家疫苗覆盖率目标。关于有效的数据很少。 采取干预措施，提高青少年人口的疫苗接种覆盖率。我们广泛的、长期的 因此，研究的目标是开发和评估干预措施，以提高疫苗的吸收， 人口 青少年疫苗接种的患者、父母和提供者的障碍和促进因素还没有得到很好的理解。 这项建议的目的是进行形成性研究，以便更好地了解这些因素， 然后使用这些信息来开发，实施和评估多成分干预，以改善 青少年疫苗接种率。干预措施至少包括：1）提醒/召回系统， 父母和提供者关于何时需要疫苗剂量，以及2）量身定制的教育网络工具， 改变父母对青少年疫苗的消极态度。这两个问题被认为是重大的 提高青少年疫苗利用率的障碍。 本建议的四个目的是：1）确定基线使用水平，以及临床和 与青少年疫苗平台的疫苗利用相关的个人特征， 密歇根州的定义人群; 2）评估目前阻碍患者、父母和提供者的障碍 在这一人群中的青少年疫苗利用率; 3）制定，实施和评估一个多组件 采取干预措施，提高这一人群中的青少年疫苗接种率;以及4）培养青少年 疫苗接种“工具包”是基于我们从干预中“吸取的教训”。 影响：我们的建议的预期成果是制定一项多组成部分的干预措施， 有效提高青少年疫苗利用率，以及可用于实施 这些干预措施在其他地方。因为我们打算制定可行的干预措施 在各种环境中，我们的干预可能会产生重大影响，因为它很容易扩展到 更广泛和更大的人口，以提高青少年疫苗接种率。

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.