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Boot Camp Translation using Community-Engaged messaging for adolescent Vaccination: A Cluster-Randomized trial
Jessica R Cataldi1, Krithika Suresh2, Sarah E Brewer3
1ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, United States.
Vaccine
|January 22, 2024
Summary
Boot Camp Translation (BCT) did not improve adolescent vaccination coverage in rural areas. While older adolescents showed increased vaccination rates, younger adolescents experienced a slight decrease, with no significant intervention effect observed.
Area of Science:
- Public Health
- Preventive Medicine
- Community Health Interventions
Background:
- Routine vaccination coverage among adolescents in rural US settings is notably lower compared to urban counterparts.
- The Boot Camp Translation (BCT) intervention, a community-based participatory approach, was investigated for its potential to enhance adolescent vaccination rates in rural populations.
- Previous research indicates disparities in adolescent immunization coverage between rural and urban populations in the US.
Purpose of the Study:
- To evaluate the impact of the Boot Camp Translation (BCT) intervention on adolescent vaccination coverage in rural US counties.
- To compare vaccination rates before and after the intervention in both intervention and control groups.
- To assess the effectiveness of a community-driven participatory intervention in addressing rural adolescent immunization gaps.
Main Methods:
- A cluster randomized controlled trial was conducted across 16 rural Colorado counties from September 2018 to November 2021.
- Community members in intervention counties utilized BCT to develop and implement localized strategies for improving adolescent vaccination.
- Adolescent vaccination data were systematically collected and analyzed using the Colorado Immunization Information System.
Main Results:
- For 11-12-year-olds, vaccination coverage for HPV initiation, HPV up-to-date, MenACWY, and Tdap decreased from pre- to post-intervention in both control and intervention groups.
- No significant differences in HPV vaccine initiation or up-to-date coverage were observed between the intervention and control groups for 11-12-year-olds.
- Among 13-17-year-olds, both groups showed significant increases in HPV initiation, HPV up-to-date, MenACWY, and Tdap coverage post-intervention, with no inter-group differences.
Conclusions:
- The BCT intervention demonstrated no significant effect on improving adolescent vaccination coverage in the studied rural areas.
- Vaccination coverage for younger adolescents (11-12 years) slightly decreased, while coverage for older adolescents (13-17 years) increased, irrespective of the intervention.
- The study's findings on BCT effectiveness may be limited in generalizability due to the concurrent occurrence of the COVID-19 pandemic.
