Using Boot Camp Translation to Address Rural Disparities in Adolescent Vaccination

Study Overview
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Brief Summary
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The overall goal of this project is to implement the Boot Camp Translation process to develop a replicable approach for increasing adolescent vaccine uptake that can be adaptable and feasible to use in rural settings more broadly.

Detailed Description
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Boot Camp Translation (BCT) is a process to identify strategies that help communities improve health. It is a 6-month, facilitated, iterative community engagement process that brings together relevant stakeholders to develop and implement locally meaningful messages, materials, and strategies for health topics of interest. This is a novel community engagement process that has a proven ability to result in meaningful and impactful strategies to improve compliance with recommended health behaviors in rural communities. The investigators will expand this work by testing BCT on its ability to improve vaccination with all recommend adolescent vaccines (Tdap, MenACWY, HPV, Flu). The investigators will conduct a randomized, controlled trial in which 4 rural communities in Western Colorado will undergo BCT to develop and implement strategies to increase adolescent vaccination. Vaccination rates will be compared to 4 control communities that do not undergo BCT.

Official Title
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Using Boot Camp Translation to Address Rural Disparities in Adolescent Vaccination

Conditions
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Primary Prevention

Intervention / Treatment
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* Behavioral: Boot Camp Translation
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must live in one of the designated Colorado communities Exclusion Criteria: Does not live in one of the designated Colorado communities

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Boot Camp Translation<br>Intervention communities will undergo the Boot Camp Translation process. | Behavioral: Boot Camp Translation<br>* Communities in the intervention arm will participate in the Boot Camp translation process, where stakeholders will come together to develop and implement locally relevant materials to promote adolescent vaccination.<br>|
| Active Comparator: Control<br>Control communities will behave as usual | Other: Control<br>* No intervention. Communities will continue to behave as usual.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Initiation of HPV vaccination series, 11-12 year olds | Percent of 11-12 year olds who have received >=1 dose of the HPV vaccine by May 31,2021 | Up to 24 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of HPV vaccination series, 11-12 year olds | Percent of 11-12 year olds with >=2 doses of the HPV vaccine by May 31,2021 | Up to 24 months | 
| Initiation of HPV vaccination series, 13-17 year olds | Percent of 13-17 year olds who have received >=1 dose of the HPV vaccine by May 31,2021 | Up to 24 months | 
| Completion of HPV vaccination series, 13-17 year olds | Percent of 13-17 year olds who have completed the HPV vaccine series (2 or 3 doses, depending on age of initiation) by May 31,2021 | Up to 24 months | 
| Receipt of Tdap vaccine, 11-12 year olds | Percent of 11-12 year olds who have received Tdap vaccine by May 31,2021 | Up to 24 months | 
| Receipt of Tdap vaccine, 13-17 year olds | Percent of 13-17 year olds who have received Tdap vaccine by May 31,2021 | Up to 24 months | 
| Receipt of MCV vaccine, 11-12 year olds | Percent of 11-12 year olds who have received >=1 dose of MCV vaccine by May 31,2021 | Up to 24 months | 
| Receipt of MCV vaccine, 13-17 year olds | Percent of 13-17 year olds who have received >=1 dose of MCV vaccine by May 31,2021 | Up to 24 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Immunization, Boot Camp Translation, Adolescent