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临床试验/NCT06160999
NCT06160999已完成不适用

TABRIE: Trusted Faces, Familiar Places (CGHE)

University of Michigan1 个研究点 分布在 1 个国家目标入组 2,400 人开始时间: 2023年9月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
2,400
试验地点
1
主要终点
Full vaccination

研究概览

简要总结

The goal of this cluster, randomized controlled trial is to study the impact of mobile vaccine clinics and religious conferences on pediatric vaccination coverage. The main questions will be: does vaccination coverage change in geographic areas with the mobile vaccine clinics vs those areas without mobile vaccine clinics; and does vaccination coverage change in geographic areas with religious conferences on vaccination vs those areas without religious conferences. In repeated surveys, adult participants will respond about their children's vaccination status. Participants will not be individually randomized to the interventions. Rather, their geographical area will be randomized.

详细描述

This project seeks to create a paradigm shift in how the public views and utilizes vaccination services. Currently, community health centers remain the default setting for vaccination, and clinicians the default administrators. However, the general population may have difficulty accessing these clinics or trusting traditional vaccination providers, particularly if they are members of marginalized communities that have experienced medical discrimination. This project applies a two-pronged approach by addressing issues of trust and ease of access among the general population. This project is innovative by: a) mobilizing religious communities to discuss vaccines (to counter reported lack of information about vaccines among unvaccinated families) and b) training more community health workers in vaccination and in physically delivering vaccines through a "Vaccine-in-a-van" concept to facilitate ease in accessing vaccines. By mobilizing these individuals in the community settings where people live, work, worship, and learn, this project will expand vaccine information and services.

More specifically, this project plans to work with local health leaders in a low vaccination community in Aceh, Indonesia to identify social institutions that are part of children and families' daily lives; these could include houses of worship, schools, or community centers. This project will fund a mobile vaccine delivery unit to go to these locations to physically bring vaccines to the people and to link them with existing immunization clinic infrastructure. This project will also work towards changing the culture of child health and vaccination through substantial discussions and conversations with multiple levels of religious leaders at conferences.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adults 18+, and
  • Proficient in Bahasa Indonesia, and
  • Plan to live in neighborhood for next year
  • Parent of child <5, or
  • Planning to have a child within next year

排除标准

  • 未提供

研究组 & 干预措施

Religious Conference

Experimental

Clusters will have religious conference.

干预措施: Religious conferences (Behavioral)

Religious Conference control

No Intervention

Clusters will have not religious conference. Clusters' background characteristics matched to the Conference arm.

Vaccine-in-a-van

Experimental

Clusters will have deployment of a mobile vaccine clinic ("vaccine-in-a-van").

干预措施: Vaccine-in-a-van (Behavioral)

Vaccine-in-a-van control

No Intervention

Clusters will not have a deployment of a mobile vaccine clinic ("vaccine-in-a-van"). Clusters' background characteristics matched to the Van arm.

结局指标

主要结局

Full vaccination

时间窗: Records from vaccination cards or clinic records 6 months since the start of the intervention

Number of participants fully vaccinated. Full vaccination means 1 dose of BCG; 3 doses of DTP; 3 doses of polio vaccine; 1 dose of measles-containing vaccine

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Abram Wagner

Assistant Professor of Epidemiology and Research Assistant Professor, Global Public Health, School of Public Health

University of Michigan

研究点 (1)

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