Vaccination Refusal Clinical Trial
Official title:
Improving Vaccinations for Young Children (IVY)
The IVY project focuses on improving combination 10 vaccine rates for Tennessee children through an educational and quality improvement intervention rolled out through a stepped-wedge cluster randomized trial.
The proposed work seeks to improve Combination 10 vaccination rates for Tennessee children at
2 years of age through the development and implementation of a new program, Improving
Vaccination for Young Children (IVY). Through a collaboration with the Cumberland Pediatrics
Foundation (CPF), a non-profit company focused on improving health care services for
Tennessee's children, investigators plan to adapt and disseminate existing CoVER educational
materials for community pediatric providers and clinical staff, and develop and implement
targeted quality improvement (QI) initiatives.
A.3. Specific Objectives:
1. Design interactive web-based modules individualized for two groups (pediatric providers
and pediatric clinical staff) to educate on key vaccine topics. Modules will include
information related to 1) diseases vaccines are targeting, including influenza 2)
vaccine contraindications, common misconceptions, and vaccine safety, 3) communication
techniques, 4) vaccine schedules and catch up rules, and 5) exemptions, school
requirements, and practice dismissal.
2. Design an in-person QI coaching session incorporating key drivers for improved
vaccination rates. The session will be developed using the 4Pillars™ Practice
Transformation Program (4Pillars™) and will include introduction of 1) acute visits for
vaccine catch up, 2) team-based care practices, 3) standing vaccination record review
and vaccination orders, and 4) reminder/recall systems.
3. Implement educational modules and QI coaching session at specific time points within the
context of a stepped wedge cluster randomized trial (SW-CRT). Combination 10 [(Combo
10)] vaccine rates will be collected monthly from the Electronic Health Record (EHR) of
recruited practices for eligible children turning 2 years of age. Vaccine rates will be
compared between practices monthly within the SW-CRT design. Rates will also be
evaluated by practice over time.
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