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A Multicomponent Clinic-based Intervention to Promote COVID-19 Vaccine Intention and Uptake Among Diverse Youth and Adolescents

Not Applicable
Completed
Conditions
COVID-19 Vaccination
Interventions
Behavioral: CONFIDENCE
Registration Number
NCT05722652
Lead Sponsor
University of Massachusetts, Worcester
Brief Summary

The goal of this study is to refine and test CONFIDENCE, a multi-component clinic-based intervention in pediatric or family practice clinical settings. Using a randomized control trial design, the investigators will assess preliminary effectiveness of the intervention to increase COVID-19 vaccine intention among parents of under-vaccinated children ages 5 to 17.

Participating clinics will receive a brief intervention consisting of: (1) webinar training focused on communication with vaccine-hesitant parents, (2) parent-facing educational materials about COVID-19 vaccination, (3) support to create a personalized, poster campaign featuring providers. Clinics in the control condition will receive the intervention approximately 12 months after the clinics in the intervention condition.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
667
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Waitlist ConditionCONFIDENCEClinics in this condition will receive the intervention approximately 12 months after the intervention condition.
Intervention ConditionCONFIDENCE-
Primary Outcome Measures
NameTimeMethod
COVID-19 vaccine intentionData collection will occur in the four weeks following implementation

Parent exit survey in clinics: Parents will report their intention to vaccinate their children for COVID-19. See survey question below:

"Did you decide to vaccinate your child against COVID-19 today? Yes/No"

Secondary Outcome Measures
NameTimeMethod
Feasibility: RandomizationEnd of study; approximately 15 months

Recruitment, data completion and participant characteristics will be compared across the two study conditions to determine if differences emerge.

Perceived feasibility: Providers and clinic staffFour to eight weeks post implementation

Will be assessed qualitative through semi-structured interviews using questions like "What is the likelihood of sustaining the implementation of the intervention component in practice after the research study concludes."

Feasibility: RecruitmentEnd of study; approximately 15 months

Completion of the parent exit surveys will be documented and used to calculate the percentage of eligible parents (those who received a form) who completed the survey.

Implementation FidelityFour to eight weeks post implementation

Implementation fidelity will be assessed by three questions that ask about provider's behavior regarding the intervention: "Did you and the provider discuss COVID-19 vaccination for your child today?"; "Did the provider share their own COVID-19 experience with you?"; and "Did the doctor give you any materials about the COVID-19 vaccination today?".

Acceptability: Providers and clinic staffFour to eight weeks post implementation

Will be assessed qualitatively through semi-structured interviews using questions like "How satisfied were you with intervention activities?"

Perceived Appropriateness: Providers and clinic staffFour to eight weeks post implementation

Will be assessed qualitatively through semi-structured interviews using questions like "How relevant were intervention components and how compatible was the intervention with values and the workflow of the practice?"

Perceived appropriateness: ParentsFour to eight weeks post implementation

Perceived appropriateness will be assessed via the survey question "How appropriate were the conversations about COVID-19 vaccination for your child at your visit today?"

Feasibility: Data CompletenessEnd of study; approximately 15 months

Data completeness/missing data for all participant-level measures from the parent exit survey at the item-level will be examined. An exploratory analysis will be conducted to further decipher the quality of COVID-19 vaccination data in electronic medical records to determine its potential utility in a future trial.

Acceptability: ParentsFour to eight weeks post implementation

Perceived acceptability will be assessed via the survey question "How satisfied were you with the conversations about COVID-19 vaccination for your child at your visit today", which will have a 3-point Likert response scale, ranging from not at all to very satisfied.

Trial Locations

Locations (1)

UMass Chan Medical School

🇺🇸

Worcester, Massachusetts, United States

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