The purpose of this study is to evaluate the AFIX-OB model to determine its impact on the change in flu and pertussis (Tdap) uptake, provider knowledge, attitudes and beliefs, and patient knowledge, attitudes and beliefs regarding maternal vaccination. The structure of the model and quality improvement interventions are guided by theory including the elaboration likelihood model and P3 model. These quality improvement measures will be implemented in OB clinics within the Yale New Haven Health System.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
202
Practices randomized to the intervention arm will be provided with a package of core and supplemental quality improvement interventions to choose from so that the most effective combination for their practice is implemented. Each practice will be required to implement a tablet-based educational app for patients, and evidence based online educational module for providers, standing order protocol, and a reminder/recall protocol. They can then choose to also use flyers and posters in their waiting rooms, standardized talking points for maternal immunization for the providers, educational content for the practice website, and laminated and highlighted CDC Vaccine Information Sheets. The recruited patients and providers at the practice will be given a baseline and follow-up survey to assess their knowledge, attitudes, and beliefs towards maternal immunization.
Yale New Haven Hospital
New Haven, Connecticut, United States
Change in Maternal Influenza Uptake
Immunization rates for each practice will be collected through JDAT or a random chart review.
Time frame: Baseline and one year after implementation
Change in Maternal Tdap Uptake
Immunization rates for each practice will be collected through JDAT or a random chart review.
Time frame: Baseline and one year after implementation
Change in Patient Vaccine Knowledge
Data on patient knowledge regarding vaccines will be collected from enrolled participants at the beginning of the study and following the implementation of the intervention via a 10-15 minute survey.
Time frame: Baseline and one year after implementation
Change in Provider Vaccine Knowledge
Providers in both study arms will complete baseline and follow-up surveys pre-and post-intervention.
Time frame: Baseline and one year after implementation
Change in Patient Vaccine Attitudes
Data on patient attitudes regarding vaccines will be collected from enrolled participants at the beginning of the study and following the implementation of the intervention via a 10-15 minute survey.
Time frame: Baseline and one year after implementation
Change in Patient Vaccine Beliefs
Data on patient beliefs regarding vaccines will be collected from enrolled participants at the beginning of the study and following the implementation of the intervention via a 10-15 minute survey.
Time frame: Baseline and one year after implementation
Change in Provider Vaccine Beliefs
Providers in both study arms will complete baseline and follow-up surveys pre-and post-intervention.
Time frame: Baseline and one year after implementation
Change in Provider Vaccine Attitudes
Providers in both study arms will complete baseline and follow-up surveys pre-and post-intervention.
Time frame: Baseline and one year after implementation
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.