Improving Vaccination Coverage Among Adolescents

项目总结 认识到青少年是几种疫苗可预防疾病的宿主，这导致了一些 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)， 到目前为止，脑膜炎双球菌结合物(MCV4)、人乳头瘤病毒(HPV4)疫苗(女性用) 大大低于国家疫苗覆盖率目标。关于有效的数据很少。 提高青少年人口疫苗接种覆盖率的干预措施。我们广泛的、长期的 因此，研究目标是开发和评估干预措施，以提高疫苗的接种率 人口。 患者、家长和提供者对青少年接种疫苗的障碍和促进者还没有得到很好的了解。 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、实施和评估多组件干预以改进 青少年疫苗接种率。至少，干预将包括1)提醒/召回系统发出警报 父母和提供者关于何时需要疫苗剂量的信息，以及2)基于网络的定制教育工具 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的 提高青少年疫苗利用率的障碍。 这项建议的四个目标是：1)确定基线利用率水平，以及临床和 与青少年的疫苗使用有关的个人特征 密歇根州确定的人口；2)评估目前阻碍患者、父母和提供者的障碍 青少年疫苗在该人群中的使用情况；3)开发、实施和评估多组分 干预措施，以提高这一人群中的青少年疫苗接种率；以及4)发展青少年 疫苗接种“工具包”是基于从我们干预中学到的“经验教训”。 影响：我们建议的预期结果是开发一种多组件干预，即 有效地提高青少年疫苗使用率，并提供可用于实施 其他地方的这些干预措施。因为我们打算开发可以可行地实施的干预措施 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，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.