Improving Vaccination Coverage Among Adolescents

提高青少年的疫苗接种覆盖率

• 批准号: 8527537
• 负责人: Kevin J. Dombkowski
• 金额: $ 40万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8527537
• 关键词: Improving; Vaccination; Coverage; Among; Adolescents

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.

项目摘要 认识到青少年是多种可预防疾病的储层，导致了许多 专门针对该人群的新疫苗建议。但是，实施 疫苗的“青春期平台”，其中包括破伤风 - 白喉 - 细胞百日咳（TDAP）， 到目前为止 基本低于国家疫苗覆盖目标。关于有效的数据很少 改善青少年人口中疫苗接种覆盖率的干预措施。我们宽敞的长期 因此，研究目标是制定和评估干预措施，以改善疫苗的摄取 人口。 患者，父母和提供者对青少年疫苗接种的障碍和促进者尚不清楚。 该提案的目标是进行形成性研究，以更好地了解这些因素， 然后使用此信息来开发，实施和评估多组分干预措施以改进 青少年疫苗的摄取。至少将包括1）提醒/召回系统以提醒 父母和提供者何时需要疫苗剂量，以及2）一种量身定制的基于教育的工具 修改父母对青少年疫苗的负面态度。据信这两个问题是主要的 改善青少年疫苗利用的障碍。 该提案的四个目的是：1）确定基线利用水平以及临床和 与青少年疫苗平台相关的个人特征 密歇根州定义的人口； 2）评估目前阻碍的患者，父母和提供者障碍 该人群中的青少年疫苗利用； 3）开发，实施和评估多组分 干预以提高该人群中的青少年疫苗接种率； 4）发展青少年 疫苗接种“工具包”基于从我们的干预中学到的“经验教训”。 影响：我们提案的预期结果是开发多组分干预措施 有效增加青少年疫苗的利用，以及可用于实施的提供商的“工具包” 这些干预措施在其他地方。因为我们打算制定可以实施可行的干预措施 在各种环境中，我们的干预措施可能会产生重大影响，因为它很容易缩放到 更广泛，更大的人群以提高青少年疫苗接种率。

项目成果

A population-level assessment of factors associated with uptake of adolescent-targeted vaccines in Michigan.

对密歇根州青少年接种疫苗相关因素的人口水平评估。

• DOI: 10.1016/j.jadohealth.2013.07.022
• 发表时间: 2013
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Gowda,Charitha;Dong,Shiming;Potter,RachelC;Dombkowski,KevinJ;Dempsey,AmandaF
• 通讯作者: Dempsey,AmandaF

Evaluation of the Implementation of a Multicomponent Intervention to Improve Health Care Provider Communication About Human Papillomavirus Vaccination.

对实施多成分干预措施以改善卫生保健提供者有关人乳头瘤病毒疫苗接种的沟通的评估。

• DOI: 10.1016/j.acap.2018.08.004
• 发表时间: 2018
• 期刊: Academic pediatrics
• 影响因子: 3.1
• 作者: Reno,JennaE;O'Leary,SeanT;Pyrzanowski,Jennifer;Lockhart,Steven;Thomas,Jacob;Dempsey,AmandaF
• 通讯作者: Dempsey,AmandaF