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Dissemination and implementation of the ICAMP.
Resnick, Barbara; Carrico, Ruth; Gravenstein, Stefan; Hogue, Michael D; Middleton, Donald B; Rehm, Susan; Schaffner, William; Tan, Litjen.
Afiliación
  • Resnick B; School of Medicine, University of Maryland School of Nursing, Baltimore, MD, USA.
  • Carrico R; School of Medicine, University of Louisville, Louisville, KY, USA.
  • Gravenstein S; School of Medicine, Brown University, Providence, RI, USA.
  • Hogue MD; School of Medicine, Samford University, Homewood, AL, USA.
  • Middleton DB; School of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Rehm S; School of Medicine, Cleveland Clinic, Cleveland, OH, USA.
  • Schaffner W; School of Medicine, Vanderbilt School of Medicine, Nashville, TN, USA.
  • Tan L; Immunization Action Coalition, Saint Paul, MN, USA.
Transl Behav Med ; 8(6): 867-875, 2018 11 21.
Article en En | MEDLINE | ID: mdl-30476319
The current rate of immunizations for older adults does not meet the immunization goals for Healthy People 2020. Using a Social Ecological Model and Social Cognitive Theory, the purpose of this study was to disseminate and implement the Immunization Champions, Advocates and Mentors Program (ICAMP) into a variety of health care settings. This study used a single group pre-/post-test design. Champions were recruited nationally. Five geographically diverse face-to-face meetings were held to train health care providers to be ICAMP immunization champions. Dissemination and implementation of ICAMP was evaluated using the Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) model. Participants were surveyed at baseline for descriptive information and were asked to gather immunization rates for at least one particular vaccine and provide follow-up data on progress toward goal achievement. A total of 212 champions from 82 settings participated in ICAMP. The majority were nurses (111/212, 52%). With regard to reach, we obtained 212 applications from individuals in a variety of settings interested in becoming champions. With regard to effectiveness, the majority of the champions (n = 178/212, 84%) used ICAMP material, 88% (n = 186/212) made changes related to immunization processes within their setting, and all reported that immunization practices improved. The majority used the toolkit materials up through 60 days following ICAMP. Sustained use of materials after the 60-day follow-up was less evident. ICAMP was implemented as intended and was effective in changing processes around immunizations. Ongoing work is needed to determine whether ICAMP improves immunization rates.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inmunización / Desarrollo de Programa / Evaluación de Resultado en la Atención de Salud / Personal de Salud / Promoción de la Salud Tipo de estudio: Qualitative_research Aspecto: Implementation_research Límite: Adult / Humans Idioma: En Revista: Transl Behav Med Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inmunización / Desarrollo de Programa / Evaluación de Resultado en la Atención de Salud / Personal de Salud / Promoción de la Salud Tipo de estudio: Qualitative_research Aspecto: Implementation_research Límite: Adult / Humans Idioma: En Revista: Transl Behav Med Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido