Tailored Influenza Vaccination Screening and Communication for Hospitalized Children and Families

为住院儿童和家庭量身定制流感疫苗筛查和沟通

• 批准号: 10246807
• 负责人: Annika M Hofstetter
• 金额: $ 14.83万
• 依托单位: SEATTLE CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10246807
• 关键词: Tailored; Influenza; Vaccination; Screening; Communication

PROJECT SUMMARY/ABSTRACT This proposal describes a five-year research and career development plan that will allow Dr. Hofstetter to achieve her goal of becoming an independent clinical investigator conducting patient-centered comparative effectiveness research relevant to pediatric vaccination. Her proposed project aims to increase influenza vaccine uptake in hospitalized children by identifying and meeting the influenza vaccine decision-making needs and preferences of parents and reducing influenza vaccine delivery barriers through the use of health information technology. The proposal builds upon her training in pediatric medicine, epidemiology, and basic research and biostatistical methods as well as her prior experience examining timely vaccination coverage, vaccine effectiveness and safety, and the impact of vaccine reminder/recall systems. This proposal provides a detailed plan of how Dr. Hofstetter will enhance her knowledge and skillset through advanced coursework and other learning opportunities in qualitative and participatory design methodology, comparative effectiveness research, health informatics, and dissemination and implementation science. Dr. Hofstetter will conduct the proposed research and career development activities in a uniquely rich and supportive environment. She will receive exceptional mentorship from faculty with expertise in respiratory viral infections and immunizations, qualitative, participatory design, and comparative effectiveness research, and technology-based interventions. In the first aim of this proposal, Dr. Hofstetter will survey parents and conduct in-depth interviews of parents, nurses, and physicians to identify and understand the factors associated with influenza vaccination of hospitalized children. She will focus on parent vaccine decision-making, provider vaccine communication, and barriers to influenza vaccine delivery. In the second aim, she will conduct rapid process design workshops that utilize the information gathered and actively engage key stakeholders to develop a tailored influenza vaccination screening and communication tool. She will then work with an expert panel and beta-testers to further refine and integrate this tool in the hospital’s electronic health record. In the third aim, she will conduct a randomized cluster-crossover trial to assess the effect of this tool compared to the standard influenza vaccination screening tool on influenza vaccine uptake among vaccine-eligible hospitalized children and on parent visit experience in the vaccination context. These studies will provide critical information about parent vaccine decision-making stages and influencing factors, effective provider vaccine communication practices, and the use of a tailored technology-based tool to improve vaccine-related outcomes. Ultimately, this proposal will allow Dr. Hofstetter to develop an independent, high-quality research program dedicated to improving timely uptake of recommended vaccines in diverse populations and settings using novel patient- and family-centered approaches.

项目总结/摘要 该提案描述了一个为期五年的研究和职业发展计划，该计划将使Hofstetter博士 实现她的目标，成为一个独立的临床研究者进行以患者为中心的比较 与儿童疫苗接种有关的有效性研究。她提出的项目旨在增加流感 通过确定和满足流感疫苗决策需求，提高住院儿童的疫苗接种率 和偏好，并通过使用卫生 信息技术.该提案建立在她在儿科医学，流行病学和基础医学方面的培训基础上。 研究和生物统计方法以及她以前检查及时接种疫苗覆盖率的经验， 疫苗的有效性和安全性，以及疫苗提醒/召回系统的影响。该提案提供了一个 Hofstetter博士将如何通过高级课程提高她的知识和技能， 在定性和参与性设计方法、比较有效性方面的其他学习机会 研究、卫生信息学以及传播和实施科学。Hofstetter博士将主持 在一个独特的丰富和支持性的环境中提出研究和职业发展活动。她将 接受具有呼吸道病毒感染和免疫接种专业知识的教师的特殊指导， 定性、参与性设计和比较有效性研究，以及基于技术的干预措施。 在这项提案的第一个目标中，Hofstetter博士将对家长进行调查，并对家长进行深入访谈， 护士和医生，以确定和了解与流感疫苗接种相关的因素， 住院儿童她将专注于父母疫苗决策，提供者疫苗沟通， 流感疫苗接种的障碍。在第二个目标中，她将举办快速流程设计研讨会， 利用收集到的信息，并积极与关键利益相关者合作，制定有针对性的流感疫苗 疫苗接种筛查和沟通工具。然后，她将与专家小组和beta测试人员合作， 进一步完善和整合这一工具在医院的电子健康记录。在第三个目标中，她将进行一次 一项随机分组交叉试验，以评估该工具与标准流感相比的效果 疫苗接种筛查工具对符合接种条件的住院儿童的流感疫苗接种情况以及 在接种疫苗的背景下，父母访问的经验。这些研究将提供有关父母的重要信息。 疫苗决策阶段和影响因素，有效的提供者疫苗沟通实践， 以及使用量身定制的基于技术的工具来改善与疫苗相关的结果。 最终，这一提议将使霍夫斯泰特博士能够制定一个独立的、高质量的研究计划 致力于改善推荐疫苗在不同人群和环境中的及时使用， 以患者和家庭为中心的新方法。