A5063884463- Vaccine Coverage and Hesitancy
- Influenza Virus Research Studies
- Cervical Cancer and HPV Research
- Respiratory viral infections research
- Global Cancer Incidence and Screening
- Hepatitis B Virus Studies
- Child and Adolescent Health
- Viral gastroenteritis research and epidemiology
- Ethics and Legal Issues in Pediatric Healthcare
- Adolescent and Pediatric Healthcare
- Pneumonia and Respiratory Infections
- Patient-Provider Communication in Healthcare
- Adolescent Sexual and Reproductive Health
- Mobile Health and mHealth Applications
- Primary Care and Health Outcomes
- Musculoskeletal pain and rehabilitation
- Colorectal Cancer Screening and Detection
- School Health and Nursing Education
- SARS-CoV-2 and COVID-19 Research
- Viral Infections and Outbreaks Research
- Bacterial Infections and Vaccines
- HIV/AIDS Research and Interventions
- BRCA gene mutations in cancer
- Emergency and Acute Care Studies
- Genital Health and Disease
Immunization Action Coalition
2016-2023
Children's Mercy Hospital
2014-2023
Mercy Hospital
2020-2022
University of Missouri–Kansas City
2012-2022
University of Vermont
2020
Mercy Medical Center
2019
University of Rochester Medical Center
2005-2015
University of Michigan
2012-2015
National Center for Advancing Translational Sciences
2013
University of Rochester
2003-2012
We evaluated the association between parents' beliefs about vaccines, their decision to delay or refuse vaccines for children, and vaccination coverage of children at aged 24 months.We used data from 11,206 parents 24-35 months time 2009 National Immunization Survey interview determined status months. Data included reports and/or refusal vaccine doses, psychosocial factors suggested by Health Belief Model, provider-reported up-to-date status.In 2009, approximately 60.2% with neither delayed...
BACKGROUND AND OBJECTIVES: The World Health Organization has designated vaccine hesitancy as 1 of the 10 leading threats to global health, yet there is limited current national data on prevalence among US parents. Among a nationally representative sample parents, we aimed (1) assess and compare factors driving for routine childhood influenza vaccination (2) examine associations between sociodemographic characteristics or vaccination. METHODS: In February 2019, surveyed families with children...
OBJECTIVES. The aims of this study were to determine parent and provider knowledge awareness newborn screening; gather opinions from parents, providers, screening professionals about the content timing education; use consensus data formulate recommendations develop educational materials for parents providers. METHODS. We conducted 22 focus groups 3 individual interviews between October 2003 May 2004, with English- Spanish-speaking infants <1 year age who had experience initial...
Objectives. We evaluated the association between intentional delay of vaccine administration and timely vaccination coverage. Methods. used data from 2,921 parents 19- to 35-month-old children that included parents' reports administration. Timely was defined as with ≥4 doses diphtheria, tetanus, pertussis; ≥3 polio vaccine; ≥1 dose measles, mumps, rubella Haemophilus influenzae type b hepatitis B varicella by 19 months age, reported providers. Results. In all, 21.8% intentionally delaying...
Context. An overarching national health goal of Healthy People 2010 is to eliminate disparities in leading care indicators including immunizations. Disparities US childhood immunization rates persist, with inner-city, black, and Hispanic children having lower rates. Although practice or clinic-based interventions, such as patient reminder/recall systems, have been found improve specific settings, there little evidence that those site-based interventions can reduce at the community level....
To compare and measure the effects cost-effectiveness of two interventions designed to raise immunization rates.Nine primary care sites serving impoverished middle-class children.Complete birth cohorts (ages 0 12 months; n = 3015) from these sites.Two 18-month duration interventions: 1) tracking with outreach [tracking/outreach] bring underimmunized children their provider office, 2) a office policy change identify reduce missed opportunities (prompting).Randomized, controlled trial,...
Abstract Background: There is limited high-quality evidence about the impact of patient navigation (PN) on outcomes for patients with diagnosed cancer. Methods: We pooled data from two sites national Patient Navigation Research Program. Patients (n = 438) newly breast 353) or colorectal cancer 85) were randomized to PN usual care. Trained lay navigators met help them assess treatment barriers and identify resources overcome barriers. used intent-to-treat analysis time completion primary...
<h3>Objective</h3> To assess the impact of a tiered patient immunization navigator intervention (immunization tracking, reminder/recall, and outreach) on improving preventive care visit rates in urban adolescents. <h3>Design</h3> Randomized clinical trial allocating adolescents (aged 11-15 years) to vs standard control. <h3>Setting</h3> Eight primary practices. <h3>Participants</h3> Population-based sample (N = 7546). <h3>Intervention</h3> Immunization navigators at each practice implemented...
<h3>Importance</h3> Influenza vaccination rates across the US are low. Because few practices send patient reminders for influenza vaccination, a scalable reminder system is needed. <h3>Objective</h3> To evaluate effect of sent via health care system’s electronic record portal on rates. <h3>Design, Setting, and Participants</h3> This pragmatic, 4-arm randomized clinical trial was performed from October 1, 2018, to March 31, 2019, UCLA (University California, Los Angeles) system. A total 164...
Missed opportunities for human papillomavirus (HPV) vaccination during pediatric health care visits are common.To evaluate the effect of online communication training clinicians on missed HPV rates overall and at well-child (WCC) acute or chronic illness (hereafter referred to as visits) adolescent rates.From December 26, 2018, July 30, 2019, a longitudinal cluster randomized clinical trial allocated practices vs standard in staggered 6-month periods. A total 48 primary 19 states were...
Communication about childhood vaccine risks and benefits has been legally required in pediatric health care for over a decade. However, little is known the actual practice of risk/benefit communication. Objectives. This study was conducted to identify current practices communication private physician office settings nationally. Specifically, we wanted determine what written materials were given, by whom, when; information providers thought parents wanted/needed know, content nurse doctor...
OBJECTIVE. The purpose of this study was to measure the readability and user-friendliness (clarity, complexity, organization, appearance, cultural appropriateness materials) parent education brochures on newborn screening. METHODS. We studied English-language versions that state screening programs prepare distribute. obtained from 48 states Puerto Rico. evaluated each brochure for with Flesch reading ease formula. User-friendliness assessed an instrument we created contained 22 specific...
Objectives. In a population of seniors served by urban primary care centers, we evaluated the effect practice-based intervention on influenza immunization rates and disparities in vaccination race/ethnicity insurance status. Methods. A randomized controlled trial during 2003–2004 tested patient tracking/recall/outreach provider prompts improving rates. Patients aged ≥65 years six large inner-city practices were randomly allocated to study or control group. Influenza coverage was measured...
Importance Increasing influenza vaccination rates is a public health priority. One method recommended by the US Centers for Disease Control and Prevention others systems to send reminders nudging patients be vaccinated. Objective To evaluate compare effect of electronic record (EHR)–based patient portal vs text message on across system. Design, Setting, Participants This 3-arm randomized clinical trial was conducted from September 7, 2022, April 30, 2023, among primary care within University...
Human papillomavirus (HPV) vaccination rates are suboptimal, and missed opportunities common. We hypothesized that a bundled intervention improves HPV opportunities. used pre-post design to assess differences in vaccine (visits when vaccine-eligible adolescents not vaccinated). compared for 12-month period before vs those 6-month (February 23, 2022, August 9, 2022) during intervention. implemented the 24 primary care pediatric practices had been usual controls prior randomized trial. The...
Abstract Background HPV vaccination is highly effective to prevent HPV-associated cancers, but uptake among adolescents and young adults remains suboptimal. This program aimed identify barriers support vaccine confidence in American Indian communities partnership with a Rural Tribal Clinic Nevada an urban Federally Qualified Health Center (FQHC) North Dakota. Methods Clinics led 3 live education sessions virtually or in-person from 3/23 8/23, which were attended by 91 patients family members...
BACKGROUND AND OBJECTIVE For a previous longitudinal cluster randomized controlled trial (2018–2019), we 48 primary care pediatric practices to online communication training vs usual care. Online reduced missed opportunities (MOs) for initial human papillomavirus (HPV) vaccination at well-child (WCC) visits by 6.8 percentage points among children aged 11–17 years. The current study estimated implementation costs of the intervention WCC visits. METHODS We analyzed monthly surveys completed...