CHIMC: Take Control - IMMUNIZE!

CHIMC：掌控 - 免疫！

• 批准号: 8564760
• 负责人: EARNESTINE WILLIS
• 金额: $ 55.46万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8564760
• 关键词: 4 year old; Address; Adopted; Adoption; Age; Antigens; Area; Birth; Caregivers; Central City; Child; Childhood; Cities; Code; Collaborations; Communication; Communities; Community Health; Community Networks; Decision Making; Disease; Effectiveness; Enrollment; Family; Future; Goals; Health; Health Personnel; Healthcare; Healthy People 2020; Household; Immunization; Income; Infant; Insurance Carriers; Intervention; Knowledge; Low income; Marketing; Measurable; Modeling; Neighborhoods; Online Systems; Parents; Pharmacologic Substance; Phase; Planning Theory; Population; Poverty; Prevention; Principal Investigator; Process; Provider; Public Health; Reporting; Research Infrastructure; Research Personnel; Research Project Grants; Resources; Series; Services; Site; Social Marketing; System; Target Populations; Training; Underserved Population; Unemployment; Universities; Vaccination; Vaccines; Wisconsin; Woman; base; behavior change; community based participatory research; community organizations; design; experience; health care delivery; health disparity; improved; member; nutrition; primary outcome; programs; public health relevance; social; urban area; volunteer

DESCRIPTION (provided by applicant): Community Health Improvement for Milwaukee's Children (CHIMC) originated as collaboration between community partners and academic researchers to implement a community-based participatory research (CBPR) model addressing local health disparities with Milwaukee's underserved populations. In 2008, CHIMC implemented interventions within 4 adjacent zip codes. In the targeted area, there are 35,036 households; primarily low-income families experiencing high unemployment. Children, ages 19-35 months, residing in the targeted zip codes had an immunization rate range: 31.24% to 35.4% for years 2000-2005 for the 4DTaP;3IPV;1MMR;3Hib;3HepB;1VZV series (4:3:1:3:3:1 antigen series), compared to the State of Wisconsin rate of 78%. The CHIMC study enrolled 1,533 children and 971 parents/caregivers into an educational program, social marketing campaign, and a model of theory of planned behavior change. By the end of the study, immunization status of children is up-to-date and statistically significantly correlated with Healthy People 2020 goals for all children except for those births to 18 months. In fact over the 4-year study period, the immunization rates increased by ~ 82% for children ages 19-35 months. CHIMC-Take Control IMMUNIZES! (CHIMC-TCI) will be developed to disseminate findings and to facilitate adoption of CBPR approaches for a larger population. For children ^ 4years of age, CHIMC-TCI proposes to utilize the Knowledge-to-Action framework to incorporate CHIMC- Save Lives Immunize (CHIMC-SLI) promising practices into local community-based organizations (CBOs) and public service providers (5 neighborhood centers and 5 WIC sites) across 10 zip codes to reduce the immunization disparities. CHIMC- TCI will develop a dissemination plan that includes a web-based CHIMC Immunization Toolkit for use by CBOs and community members and conduct relevant trainings for CBO staff, volunteers and community members. Dissemination strategies and tactics will utilize technological resources within their communities employing social media and other marketing strategies. We will evaluate the impact of adopted communication strategies and tactics by stakeholders and document the sustainability of those strategies.

描述（由申请人提供）：密尔沃基儿童社区健康改善（CHIMC）起源于社区合作伙伴和学术研究人员之间的合作，以实施基于社区的参与式研究（CBPR）模型，解决当地与密尔沃基服务不足人群的健康差距。2008年，CHIMC在4个相邻的邮政编码内实施了干预措施。在目标地区，有35 036户家庭;主要是失业率高的低收入家庭。居住在目标邮政编码区的19-35个月大的儿童的免疫率范围为：2000-2005年4DTaP、3 IPV、1 MMR、3 Hib、3 HepB、1VZV系列（4：3：1：3：3：1抗原系列）的免疫率为31.24%至35.4%，而威斯康星州的免疫率为78%。CHIMC研究招募了1，533名儿童和971名家长/护理人员参加教育计划、社会营销活动和计划行为改变理论模型。到研究结束时，儿童的免疫状况是最新的，并且在统计上与2020年健康人目标显著相关 所有儿童，但出生至18个月的儿童除外。事实上，在4年的研究期间，19-35个月的儿童的免疫接种率增加了约82%。CHIMC-采取控制免疫！（CHIMC-TCI）将被开发，以传播研究结果，并促进在更大的人群中采用CBPR方法。对于40岁以下的儿童，CHIMC-TCI建议利用知识到行动框架，将CHIMC-SLI（CHIMC-SLI）有希望的做法纳入10个邮政编码的当地社区组织（CBO）和公共服务提供者（5个社区中心和5个WIC站点），以减少免疫差异。CHIMC- TCI将制定一项传播计划，其中包括一个基于网络的CHIMC免疫工具包，供CBO和社区成员使用，并为CBO工作人员、志愿者和社区成员进行相关培训。传播战略和战术将利用社区内的技术资源，采用社交媒体和其他营销战略。我们将评估利益相关者采用的沟通策略和策略的影响，并记录这些策略的可持续性。