Presumptively Initiating Vaccines and Optimizing Talk for Inpatients (PIVOT-IN): A Vaccine Communication Training Intervention for Pediatric Inpatient Clinicians
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 2,000
- 试验地点
- 1
- 主要终点
- Percentage of vaccine-eligible hospitalized patients who receive routine childhood vaccines during hospitalization
研究概览
简要总结
This study will examine a novel stakeholder-informed intervention to identify vaccine-eligible children and promote evidence-based clinician vaccine communication with families with the goal of increasing vaccine uptake during hospitalization.
详细描述
This study aims to examine a novel stakeholder-informed intervention to improve routine vaccination of hospitalized children. Inpatient clinicians at Seattle Children's Hospital, including nurses, advanced practice providers, and physicians, will be trained using the 'Presumptively Initiating Vaccines and Optimizing Talk for Inpatients (PIVOT-IN)' curriculum. During this training, inpatient clinicians will learn, practice, and use a presumptive format to initiate their vaccine recommendations and motivational interviewing techniques in their vaccine conversations with hospitalized patients and families.
Specific aims are to (1) evaluate the impact of the intervention relative to baseline on routine vaccine administration to vaccine-eligible hospitalized children, and (2) to examine the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) of the intervention using mixed methods.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient Inclusion Criteria:
- •Hospitalized on medical or surgical unit (non-critical care) at Seattle Children's
- •Age 0-17 years during hospitalization
- •Eligible for vaccination during hospitalization
排除标准
- •Medical contraindication to vaccination
- •Died during hospitalization
- •Discharged from intensive care unit
- •Discharged to hospice care
- •Clinician Inclusion Criteria:
- •Nurse, physician, or advanced practice provider (APP)
- •Cares for patients hospitalized on medical or surgical unit (non-critical care) at Seattle Children's
- •Practices on general medicine, general surgery, pulmonology, or ENT service (physician, APP)
- •Clinician Exclusion Criteria:
- •Works only night shifts or on short-term contract (i.e., travel nurse)
- •Will complete residency training during intervention period
研究组 & 干预措施
Baseline
Standard care was delivered to hospitalized patients. (Sept 2023-Aug 2025)
Standardized Vaccine Eligibility Screening
An electronic health record prompt to identify patients due or overdue for vaccines was activated. (Sept 2025-Mar 2026)
干预措施: Standardized Vaccine Eligibility Screening (Other)
Vaccine Communication Training
Inpatient clinicians will be trained using the 'Presumptively Initiating Vaccines and Optimizing Talk for Inpatients (PIVOT-IN)' curriculum. (Apr 2026-Dec 2026)
干预措施: PIVOT-IN (Behavioral)
结局指标
主要结局
Percentage of vaccine-eligible hospitalized patients who receive routine childhood vaccines during hospitalization
时间窗: Hospital admission to discharge (up to 7 months or the intervention end date, whichever comes first)
The percentage of vaccine-eligible hospitalized patients who receive one or more needed routine childhood vaccines (non-influenza, non-COVID-19) during hospitalization will be calculated using patient electronic health record data. Vaccine eligibility at hospital admission will be determined based upon the patient's age and, if applicable, underlying medical conditions or treatment regimens, per American Academy of Pediatrics recommendations for routine childhood vaccination.
次要结局
- Number of clinicians who complete the PIVOT-IN vaccine communication curriculum(Up to 8 months after the intervention start date)
- Change in clinicians' perceived self-efficacy in discussing vaccines(At Baseline and Post-Intervention (up to 10 months after the intervention start date))
- Change in clinicians' reported use of a presumptive approach to initiate their vaccine recommendation(At Baseline and Post-Intervention (up to 10 months after the intervention start date))
- Perceived feasibility of the PIVOT-IN vaccine communication curriculum(Up to 2 months after the intervention end date)
- Perceived acceptability of the PIVOT-IN vaccine communication curriculum(Up to 2 months after the intervention start date)
- Perceived appropriateness of the vaccine communication curriculum(Up to 2 months after intervention end date)
- Percentage of clinicians who intend to use the vaccine communication strategies presented in the PIVOT-IN curriculum(Up to 2 months after the intervention end date)
研究者
Annika Hofstetter
Associate Professor of Pediatrics
Seattle Children's Hospital