Student Feedback to Tailor the CARD™ System for Improving the Immunization Experience at School

Area of Science:

• Pediatric Nursing
• Public Health Interventions
• Adolescent Health

Background:

• School-based immunization programs are crucial for adolescent health.
• Student comfort during vaccinations can impact immunization uptake and experience.
• The CARD™ (Comfort, Ask, Relax, Distract) system was developed to improve vaccine delivery comfort.

Purpose of the Study:

• To evaluate grade 9 students' perceptions of the CARD™ system.
• To assess the suitability of CARD™ for school-based immunization settings.
• To determine if CARD™ improves knowledge of coping strategies for vaccination.

Main Methods:

• Qualitative study involving 7 female grade 9 students with prior school immunization experience.
• Data collection through pre-post surveys, review of CARD™ materials, and semi-structured focus groups.
• Analysis of qualitative data using the Consolidated Framework for Implementation Research (CFIR).

Main Results:

• Students reported positive perceptions of CARD™ educational materials.
• Participants believed CARD™ could be integrated into school immunization processes.
• CARD™ enhanced knowledge of effective coping interventions for vaccination.

Conclusions:

• The CARD™ system demonstrates acceptability and appropriateness for grade 9 students in school-based immunization settings.
• CARD™ is recommended for educating both healthcare providers and students on vaccination coping strategies.
• Preliminary evidence suggests CARD™ can improve the student immunization experience.