Improving Vaccinations for Young Children (IVY)

Vanderbilt University Medical Center

Status: Completed

Conditions: Vaccination Refusal

Treatments: Other: IVY

Study type: Interventional

Funder types: Other

Identifiers

NCT04203277

190032

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 8 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• pediatric clinics
• serving children at minimum up to age 2
• located in Tennessee

Exclusion criteria

-none

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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8 participants in 4 patient groups

Step Wedge Randomized Group 1

Experimental group

Description:

Includes two pediatric practices randomized to the first step of the step-wedge randomized trial

Treatment:

Other: IVY

Step Wedge Randomized Group 2

Experimental group

Description:

Includes two pediatric practices randomized to the second step of the step-wedge randomized trial

Treatment:

Other: IVY

Step Wedge Randomized Group 3

Experimental group

Description:

Includes two pediatric practices randomized to the third step of the step-wedge randomized trial

Treatment:

Other: IVY

Step Wedge Randomized Group 4

Experimental group

Description:

Includes two pediatric practices randomized to the fourth step of the step-wedge randomized trial

Treatment:

Other: IVY