Influenza, Whooping Cough
Conditions
Keywords
Pregnancy, Vaccination, Vaccine Acceptance, Influenza, Pertussis, Tdap
Brief summary
The purpose of this study is to evaluate the AFIX-OB model to determine its impact on the change in flu and pertussis (Tdap) uptake, provider knowledge, attitudes and beliefs, and patient knowledge, attitudes and beliefs regarding maternal vaccination. The structure of the model and quality improvement interventions are guided by theory including the elaboration likelihood model and P3 model. These quality improvement measures will be implemented in OB clinics within the Yale New Haven Health System.
Interventions
BEHAVIORALAFIX-OB Quality Improvement Package
Practices randomized to the intervention arm will be provided with a package of core and supplemental quality improvement interventions to choose from so that the most effective combination for their practice is implemented. Each practice will be required to implement a tablet-based educational app for patients, and evidence based online educational module for providers, standing order protocol, and a reminder/recall protocol. They can then choose to also use flyers and posters in their waiting rooms, standardized talking points for maternal immunization for the providers, educational content for the practice website, and laminated and highlighted CDC Vaccine Information Sheets. The recruited patients and providers at the practice will be given a baseline and follow-up survey to assess their knowledge, attitudes, and beliefs towards maternal immunization.
Sponsors
Centers for Disease Control and Prevention
Yale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Between 18-50 years of age * Currently pregnant and gestational age \<26 weeks
Exclusion criteria
* Already enrolled in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Maternal Influenza Uptake | Baseline and one year after implementation | Immunization rates for each practice will be collected through JDAT or a random chart review. |
| Change in Maternal Tdap Uptake | Baseline and one year after implementation | Immunization rates for each practice will be collected through JDAT or a random chart review. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient Vaccine Attitudes | Baseline and one year after implementation | Data on patient attitudes regarding vaccines will be collected from enrolled participants at the beginning of the study and following the implementation of the intervention via a 10-15 minute survey. |
| Change in Patient Vaccine Beliefs | Baseline and one year after implementation | Data on patient beliefs regarding vaccines will be collected from enrolled participants at the beginning of the study and following the implementation of the intervention via a 10-15 minute survey. |
| Change in Patient Vaccine Knowledge | Baseline and one year after implementation | Data on patient knowledge regarding vaccines will be collected from enrolled participants at the beginning of the study and following the implementation of the intervention via a 10-15 minute survey. |
| Change in Provider Vaccine Attitudes | Baseline and one year after implementation | Providers in both study arms will complete baseline and follow-up surveys pre-and post-intervention. |
| Change in Provider Vaccine Beliefs | Baseline and one year after implementation | Providers in both study arms will complete baseline and follow-up surveys pre-and post-intervention. |
| Change in Provider Vaccine Knowledge | Baseline and one year after implementation | Providers in both study arms will complete baseline and follow-up surveys pre-and post-intervention. |
Countries
United States
Outcome results
None listed