CHIMC: Save Lives-Immunize

描述（由申请人提供）：虽然儿童免疫接种率的差距已经缩小，但在许多民族/种族和服务不足的人群中仍然存在差距。这种差距在大城市地区持续存在，可能导致疫苗可预防疾病的爆发。2005年，儿童健康改善梅特卡夫公园康科迪亚（CHIMC）被授予NCMHD CBPR规划赠款。“CHIMC：拯救生命免疫”通过干预研究进一步努力消除梅特卡夫公园、康科迪亚和威斯康星州密尔沃基周边社区14岁以下低收入民族/种族人口的免疫率差距。 具体目标： 1.在CHIMC试点干预措施的基础上，到2009年6月30日，扩大到包括14岁以下的儿童，并确定社区驱动的干预措施，以促进健康行为。 2.到2010年6月30日，实施以健康行为改变模式为指导的群体干预措施，通过社区赋权解决免疫接种率差距问题。 3.到2013年6月30日，评估健康行为改变模式在减少CHIMC目标人群免疫率差异方面的有效性。 使用CBPR方法，我们将让社区成员参与各种行为改变模型，以影响免疫率的差异。我们假设46.5%-52.7%的19-35个月奥尔兹将是适合接种疫苗的年龄，从而将免疫接种率的差异减少50- 70%。 一个多方面的评估方法将被用来评估健康行为改变模式在减少免疫率差距的有效性。将确定过程和结果措施。我们将确定免疫接种率的差异与感知的护理障碍和父母对免疫接种的态度。我们还将展示威斯康星州免疫登记处免疫记录的快速增加。

DESCRIPTION (provided by applicant): Although disparities in childhood immunization rates have narrowed, there still exist disparities among many ethnic/racial and underserved populations. This disparity is persistent in large urban areas and could result in outbreaks of vaccine-preventable diseases. In 2005, Child Health Improvement Metcalfe Park Concordia (CHIMC) was awarded a NCMHD CBPR planning grant. "CHIMC: Save Lives-Immunize" furthers that effort through intervention research to eliminate immunization rate disparities within low-income ethnic/racial populations less than 14 years of age in Metcalfe Park, Concordia, and surrounding neighborhoods in Milwaukee, Wisconsin. Specific Aims: 1. Building upon the CHIMC pilot intervention to reduce immunization rate disparities, by June 30, 2009, expand to include children up to 14 years of age and identify community-driven interventions to foster healthy behaviors. 2. By June 30, 2010, implement group interventions guided by health behavior change models to address immunization rate disparities through community empowerment. 3. By June 30, 2013, evaluate the effectiveness of health behavior change models to reduce immunization rate disparities in the CHIMC target populations. Using the CBPR approach, we will engage community members in a variety of behavior change models to impact the immunization rate disparities. We hypothesize 46.5%-52.7% of 19-35 month olds will be age appropriate for immunizations thus reducing the immunization rate disparities by 50-70%. A multi-faceted evaluation approach will be used to evaluation the effectiveness of health behavior change models in reducing immunization rate disparities. Both process and outcome measures will be identified. We will determine differences in immunization rates with perceived barriers to care and parents attitudes toward immunization. We will also demonstrate a rapid increase in documentation of immunization records in the Wisconsin Immunization Registry.