Innovations to Improve Parent Contact Information in Immunization Registries

改进免疫登记处家长联系信息的创新

• 批准号: 7629655
• 负责人: Kevin J. Dombkowski
• 金额: $ 20万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7629655
• 关键词: Innovations; Improve; Parent; Contact; Information

DESCRIPTION (provided by applicant): Although progress has been made toward achieving the Healthy People 2010 immunization objectives, pockets of undervaccinated children remain throughout the United States, especially those living in urban areas. The failure of parents or providers to recognize that a child is due (or overdue) for vaccinations is a persistent problem and an important underlying cause of inadequate vaccination. In response, the past decade has witnessed unprecedented growth of immunization registries which track immunization records and assess vaccination status. Most immunization registries are also capable of generating individualized notices for children that require vaccinations. Notification may be made by mail, telephone or computer to either encourage appointments for upcoming scheduled vaccinations (reminders) or those doses that are overdue (recalls). There is ample evidence demonstrating the effectiveness of immunization reminder/recall. An important barrier to achieving the full potential of registry-based reminder / recall systems is the accuracy and completeness of parents' contact information. Without accurate contact information, mailed reminder/ recall notices cannot be delivered to the appropriate parties and telephone messages cannot reach the intended recipients. Prior reports indicate that failures to contact parents with mail or telephone reminder/recall notices are commonplace. The proposed study will develop and evaluate innovative approaches to successfully contact parents regarding the specific immunizations their child needs. The specific aims of the Innovations to Improve Successful Contact of Parents for Immunization Reminders program are to: (1) describe the methods currently used by a statewide immunization registry to update parent contact information; (2) evaluate the effectiveness and usefulness of existing registry data in contacting parents; (3) identify new strategies for generating and updating parent contact information; (4) identify innovative strategies to contact parents of children in the registry who cannot be contacted by mail or telephone; (5) evaluate the effectiveness and usefulness of new strategies in terms of both successful parent contact and changes in vaccination status; and (6) evaluate the cost-effectiveness of new strategies. The proposed study is unique in that it focuses on the experiences of one of the nation's largest and most advanced statewide immunization registries. We will explore a broad array of existing information systems as potential new sources of parent contact information as well as the most effective means to successfully update immunization registry data. For those individuals that cannot be reliably contacted through mail or telephone notices, we will develop and test new contact methods targeted to "unreachable" populations. Results of the study will serve to inform efforts in other states and communities to improve parent contact information in immunization registries. Immunization registries are useful mechanisms to conduct immunization reminder/recall; however, inaccurate parent contact information limits the effectiveness of registries for this purpose. This project will develop and evaluate different strategies to improve the parent contact information included in a state immunization registry.

描述（由申请人提供）：尽管在实现健康人的2010年免疫目标方面取得了进展，但在美国，尤其是居住在城市地区的人，少数疫苗不足的儿童仍然存在。父母或提供者未能认识到疫苗接种（或逾期）是一个持久的问题，也是疫苗接种不足的重要根本原因。作为回应，过去十年目睹了免疫注册机构的前所未有的增长，这些登记处跟踪免疫记录并评估疫苗接种状况。大多数免疫注册表也能够为需要疫苗接种的儿童生成个性化通知。可以通过邮件，电话或计算机发出通知，以鼓励预约即将举行的预定疫苗接种（提醒）或过期的剂量（召回）。有足够的证据表明免疫提醒/召回的有效性。实现基于注册表的提醒 /召回系统的全部潜力的重要障碍是父母联系信息的准确性和完整性。如果没有准确的联系信息，就无法将邮寄的提醒/召回通知发送给适当的当事方，电话消息无法触及预期的接收者。先前的报告表明，未能通过邮件或电话提醒/召回通知与父母联系很常见。拟议的研究将开发和评估创新方法，以成功地与父母有关其孩子所需的特定免疫接种。创新的具体目的是改善父母接触免疫提醒计划的成功，是：（1）描述全州范围内的免疫注册表当前使用的方法来更新父母联系信息； （2）评估现有注册表数据与父母联系的有效性和实用性； （3）确定生成和更新父联系信息的新策略； （4）确定与无法通过邮件或电话联系的注册表中的儿童父母的创新策略； （5）根据成功的父母接触和疫苗接种状况的变化，评估新策略的有效性和实用性； （6）评估新策略的成本效益。拟议的研究的独特之处在于它的重点是全国最大，最先进的全州免疫登记处的经验。我们将探索广泛的现有信息系统，作为父母联系信息的潜在新来源，以及成功更新免疫注册表数据的最有效手段。对于那些无法通过邮件或电话通知可靠联系的人，我们将开发和测试针对“无法达到”人群的新联系方法。该研究的结果将有助于在其他州和社区的努力中为改善免疫注册中的父母联系信息。免疫注册是进行免疫提醒/召回的有用机制；但是，为此目的，父母联系信息不准确限制了注册表的有效性。该项目将制定并评估不同的策略，以改善州免疫注册表中包含的父母联系信息。