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Boot Camp Translation using Community-Engaged messaging for adolescent Vaccination: A Cluster-Randomized trial.
Cataldi, Jessica R; Suresh, Krithika; Brewer, Sarah E; Perreira, Cathryn; Nederveld, Andrea; Skenadore, Amanda; Furniss, Anna; Williams, Charnetta; Severson, Rachel; Dempsey, Amanda F; O'Leary, Sean T.
Afiliación
  • Cataldi JR; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, United States. Electronic address: Jessica.Cataldi@cuanschutz.edu.
  • Suresh K; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Biostatistics, University of Michigan, Ann Arbor, MI, United States.
  • Brewer SE; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, United States.
  • Perreira C; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
  • Nederveld A; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, United States.
  • Skenadore A; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
  • Furniss A; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
  • Williams C; Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
  • Severson R; Colorado Department of Public Health and Environment, Denver, CO, United States.
  • Dempsey AF; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, United States.
  • O'Leary ST; ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, United States.
Vaccine ; 42(5): 1078-1086, 2024 Feb 15.
Article en En | MEDLINE | ID: mdl-38253469
ABSTRACT

BACKGROUND:

Routine vaccination coverage for adolescents living in the rural US is lower than adolescents living in urban areas. We sought to measure the effect of Boot Camp Translation (BCT), a community-based participatory intervention, on rural adolescent vaccination coverage.

METHODS:

A cluster randomized controlled trial was performed September 2018-November 2021 involving 16 rural Colorado counties. Intervention county community members engaged in BCT to develop interventions to improve adolescent vaccination locally. Adolescent vaccination coverage was measured using the Colorado Immunization Information System.

RESULTS:

For 11-12-year-olds, HPV initiation, HPV up-to-date, MenACWY, and Tdap vaccination coverage was lower post- versus pre-intervention in the control and intervention groups. For 11-12-year-olds in the intervention group, there was no significant difference post- versus pre-intervention in the odds of HPV vaccine initiation (adjusted ratio of odds ratios [aROR] = 0.93, 95 % 0.85-1.02, p = 0.10) or up-to-date HPV vaccination (aROR 1.10, 95 % CI 0.98-1.23, p = 0.11) compared with the control group. Among 11-12-year-olds, the decrease in the proportion vaccinated with MenACWY and Tdap in the intervention group was significantly greater than the control group. Among 13-17-year-olds, there were significant increases in HPV initiation, HPV up-to-date, MenACWY, and Tdap vaccination coverage from pre- to post-intervention for both groups, with no significant differences between groups.

CONCLUSION:

11-12-year-old vaccination coverage decreased slightly from pre- to post-intervention while 13-17-year-old vaccination coverage increased. We saw no effect from the BCT intervention. Our findings about the effectiveness of BCT for improving vaccine uptake may not be generalizable because the study coincided with the COVID-19 pandemic. CLINICAL TRIAL REGISTRY This study was registered with ClinicalTrials.gov, NCT03955757.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Papillomavirus / Vacunas contra Papillomavirus Tipo de estudio: Clinical_trials Límite: Adolescent / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Vaccine Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Papillomavirus / Vacunas contra Papillomavirus Tipo de estudio: Clinical_trials Límite: Adolescent / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Vaccine Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos