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Related Experiment Video

Updated: Dec 23, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Adaptive Design in the National Immunization Survey-Teen Provider Record Check Phase.

Xian Tao¹, Megha Ravanam¹, Benjamin Skalland¹

¹NORC at the University of Chicago.

Proceedings. American Statistical Association. Annual Meeting

|April 28, 2020

Summary

The National Immunization Survey-Teen uses adaptive design to improve adolescent vaccination coverage data. Interactive graphics and targeted interventions enhance the representativeness of provider record checks.

Keywords:

Adaptive Design National Immunization Survey-Teen Partial R-indicators R-indicators

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Area of Science:

Public Health
Survey Methodology
Epidemiology

Background:

The National Immunization Survey-Teen (NIS-Teen) monitors vaccination coverage in U.S. adolescents aged 13-17 years.
Data collection involves a dual-phase approach: a telephone survey of parents/guardians and a mail survey to vaccination providers (provider record check - PRC).

Purpose of the Study:

To apply adaptive design principles to the NIS-Teen survey.
To evaluate the representativeness of the PRC phase using R-indicators and partial R-indicators.
To discuss programmatic interventions for improving survey representativeness.

Main Methods:

Utilized a logistic regression model to assess factors influencing Immunization History Questionnaire (IHQ) return probabilities.
Employed R-indicators and partial R-indicators to evaluate response representativeness in the PRC phase.
Developed an R Shiny application for real-time visualization of representativeness indicators.

Main Results:

Presented R-indicators and partial R-indicators for the 2015 NIS-Teen PRC phase.
Visualized representativeness changes in real-time using interactive graphics.
Identified key characteristics of adolescents, mothers, households, and providers associated with IHQ return.

Conclusions:

Adaptive design strategies, including provider prompting and subgroup treatment, can enhance survey representativeness.
Interactive visualization tools aid in monitoring and managing survey data quality.
Continuous evaluation and intervention are crucial for accurate adolescent vaccination coverage monitoring.