AzTrials
AzTrials

VaccinationNCT02898688

P3+ Intervention Phase

A study testing Intervention Site and Patient-level Intervention Group in people with Vaccination, run by Emory University at 23 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will address vaccine uptake both for pregnant women and for their children, through 20 months of age, to test the hypothesis that exposure to the P3+ intervention package will increase the likelihood a pregnant woman gets herself vaccinated against influenza and pertussis before delivery and get her child… Read more about this study

Who is it for?
Ages 18 to 50 years, women onlyHealthy volunteers can take part
Conditions the study is for
Vaccination
What is being tested?
Intervention Site and Patient-level Intervention Group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,200 participants
Where
23 sitesUnited States
Study dates
12 Jun 2017to 6 Jul 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Have not previously participated in this study
  • Currently pregnant
  • Up to 26 weeks gestational age
  • Able to understand and communicate in English

Who cannot join

  • Have received pertussis vaccine during the current pregnancy

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

United States23 sites
  • Atlanta Women's Specialists

    Alpharetta, Georgia, 30005

  • Roswell Ob/Gyn

    Alpharetta, Georgia, 30005

  • Athens Midwifery

    Athens, Georgia, 30606

  • Athens Ob-Gyn

    Athens, Georgia, 30606

  • Women's Healthcare Associates of Athens

    Athens, Georgia, 30606

  • Emory Clinic

    Atlanta, Georgia, 30322

  • Riverbend OB/GYN and Counseling

    Atlanta, Georgia, 30342

  • CU Center for Midwifery

    Aurora, Colorado, 80045

  • CU Maternal and Fetal Medicine Clinic

    Aurora, Colorado, 80045

  • University Nurse Midwives

    Aurora, Colorado, 80045

  • Boulder Women's Care

    Boulder, Colorado, 80303

  • Peachtree Women's Clinic

    Cumming, Georgia, 30041

  • St. Joe's Midwives

    Denver, Colorado, 80218

  • Partners in Women's Health at Rose

    Denver, Colorado, 80220

  • Rocky Mountain OBGYN

    Denver, Colorado, 80220

  • Comprehensive Women's OB/GYN

    Duluth, Georgia, 30096

  • Dunwoody Ob-Gyn

    Dunwoody, Georgia, 30338

  • Colorado Mountain Medical

    Edwards, Colorado, 81632

  • Bella Natural Women's Care

    Englewood, Colorado, 80113

  • Associates in Women's Health

    Golden, Colorado, 80401

  • Atlanta Gynecology & Obstetrics

    Lilburn, Georgia, 30047

  • Women's Health Group Thornton

    Thornton, Colorado, 80229

  • Women's Medical Center

    Tyrone, Georgia, 30290

Other trials in United States

About this study

Official title: A Comprehensive Pre-Natal Intervention to Increase Vaccine Coverage (P3+): Practice, Provider, Patient Level Interventions

This study will address vaccine uptake both for pregnant women and for their children, through 20 months of age, to test the hypothesis that exposure to the P3+ intervention package will increase the likelihood a pregnant woman gets herself vaccinated against influenza and pertussis before delivery and get her child vaccinated on time. This study builds off of a prior intervention, developed by Emory, at the practice, provider, and patient levels (P3) to develop, implement and evaluate an enhanced intervention (P3+) to improve vaccination uptake among pregnant women, and later, their children.

Read the detailed description

This study will address vaccine uptake both for pregnant women and for their children, through 20 months of age, to test the hypothesis that exposure to the P3+ intervention package will increase the likelihood a pregnant woman gets herself vaccinated against influenza and pertussis before delivery and get her child vaccinated on time.

This study uses a multi-level factorial design which randomizes at both the practice and the patient level. Obstetric practices in Georgia and Colorado will be randomized to be either an intervention practice or a control practice. The women recruited in the practices and enrolled in the study will be randomly assigned to the intervention arm or the control arm.

Women randomized to the intervention arm will complete a computer-based questionnaire (administered via iPad with a preloaded study app) which asks for their basic demographic and contact information and asks questions about their vaccine knowledge, attitudes, and beliefs. Immediately following the questionnaire, participants will receive the individual level intervention (videos providing information on vaccines) on the same iPad. In order to best answer their questions and not provide information beyond the scope of what the study participants need or want, the videos provided to each participant will be selected based on responses to the survey questions. There are 6 videos: one discusses the dangers of the diseases prevented by vaccines, and the others address specific vaccine concerns (concerns include vaccine ingredients, children receiving simultaneous vaccines (multiple vaccines at one time), and the safety of receiving the tdap or flu vaccine during pregnancy). If the participant does not have any concerns, they will only see the video about dangers of vaccine preventable diseases. Participants expressing concerns in the survey will receive up to two videos addressing those concerns, based on an order of priority determined by the study researchers.

Women randomized to the control arm will also complete a computer-based questionnaire which includes their personal information and vaccine knowledge, attitudes, and beliefs questions but will then continue to receive usual prenatal care rather than view informational videos.

All enrolled women complete two follow-up surveys when their children are 30 days and 18 months of age.

Conditions
Vaccination
Being tested
Control Site, Intervention Site, Patient-level Control Group, Patient-level Intervention Group
Keywords
Influenza vaccine, Pertussis vaccine, Perinatal vaccination, Infant vaccination
Medical subject headings
Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Control SiteBehavioural

    Also called Practice/provider-Level Control

    Control sites will continue with their standard practice regarding discussing vaccines with their patients.

  • Intervention SiteBehavioural

    Also called Practice/provider-Level Intervention

    Intervention Sites will each assign a Vaccine Champion and will have Assessment, Feedback, Incentives, and eXchange (AFIX) visits. AFIX is a quality improvement program to raise immunization coverage levels, reduce missed opportunities to vaccinate, and improve standards of practices at the provider level. A Continuing Medical Education (CME) module will be given to all providers, covering the recommended maternal vaccinations and how to talk to patients about vaccines. Intervention sites will have access to written materials covering all recommended maternal and infant vaccinations, the diseases they prevent, potential adverse reactions and common patient questions with talking points and references for each topic.

  • Patient-level Control GroupBehavioural

    Participants randomized the control arm will complete a computer-based questionnaire, on an iPad with a preloaded app. The questionnaire asks about vaccine knowledge, attitudes, and beliefs and the participant's intent to receive vaccinations during pregnancy and to vaccinate their baby. The questionnaire includes questions requiring a "yes" or "no" response, degree of agreement with vaccine-related statements (ranging from strongly agree to strongly disagree), questions to capture the vaccines participants plan to get for themselves and their children, and open-ended questions.

  • Patient-level Intervention GroupBehavioural

    Participants randomized to the intervention arm will complete a computer-based questionnaire on an iPad with a preloaded app, prior to watching informational videos covering topics on maternal and childhood vaccines. The questionnaire asks about vaccine knowledge, attitudes, beliefs, and the participant's intent to receive vaccinations during pregnancy and to vaccinate their baby. The questions require "yes" or "no" responses, degree of agreement with vaccine-related statements (ranging from strongly agree to strongly disagree), and open-ended responses. After watching at least one informational video, the participant completes a questionnaire asking about the perceived usefulness of the app, degree of agreement with the vaccine information presented in the video, and ways to make the app more useful to participants.

Study groups in NCT02898688
Study groupRoleWhat they receive
Control Site + Control PatientOtherThe obstetric practice site is randomized to be a control site and the patient is randomized to the control group.
Receives: Behavioral: Control Site; Behavioral: Patient-level Control Group
Control Site + Intervention PatientExperimentalThe obstetric practice site is randomized to be a control site and the patient is randomized to receive the intervention.
Receives: Behavioral: Control Site; Behavioral: Patient-level Intervention Group
Intervention Site + Control PatientExperimentalThe obstetric practice site is randomized to be an intervention site and the patient is randomized to the control group.
Receives: Behavioral: Intervention Site; Behavioral: Patient-level Control Group
Intervention Site + Intervention PatientExperimentalThe obstetric practice site is randomized to be an intervention site and the patient is randomized to receive the intervention.
Receives: Behavioral: Intervention Site; Behavioral: Patient-level Intervention Group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of women receiving influenza vaccination

    Whether or not the participant chose to receive the flu vaccine during pregnancy (between the baseline visit and birth of infant) will be compared between study arms

    Measured: Up to 34 weeks

  2. Number of women receiving pertussis vaccination

    Whether or not the participant chose to receive the pertussis vaccine during pregnancy (between the baseline visit and birth of infant) will be compared between study arms

    Measured: Up to 34 weeks

  3. Timely childhood vaccinations

    Childhood vaccination will be assessed as timely uptake of childhood vaccines by calculating average days under-vaccinated. The total number of days under-vaccinated will be divided by the number of vaccines a child should have received, according to the Advisory Committee on Immunization Practices (ACIP) schedule, to give the average number of days under-vaccinated across all recommended vaccines. This can range from 0 to 415 days in the first 20 months of life. The average number of days under-vaccinated will be modeled as a continuous variable, and the distribution of days under-vaccinated will be evaluated, in total and by vaccine where possible, to identify specific patterns of interest for follow-up.

    Measured: 20 months

Secondary outcomes (3)
  1. Changes in maternal vaccine knowledge

    Maternal vaccine knowledge will be collected by the app surveys at different time periods, including before receiving the patient-level intervention, immediately after receiving the intervention, and 30 days and 18 months after the birth of the child. The survey questions assessing these outcomes will most often be measured on a Likert scale. Changes in these outcomes over time will be compared between mothers in the different study arms.

    Measured: Up to 106 weeks (baseline visit until 18 months post delivery)

  2. Changes in maternal vaccine attitudes

    Maternal vaccine attitudes will be collected by the app surveys at different time periods, including before receiving the patient-level intervention, immediately after receiving the intervention, and 30 days and 18 months after the birth of the child. The survey questions assessing these outcomes will most often be measured on a Likert scale. Changes in these outcomes over time will be compared between mothers in the different study arms.

    Measured: Up to 106 weeks (baseline visit until 18 months post delivery)

  3. Changes in maternal vaccine beliefs

    Maternal vaccine beliefs will be collected by the app surveys at different time periods, including before receiving the patient-level intervention, immediately after receiving the intervention, and 30 days and 18 months after the birth of the child. The survey questions assessing these outcomes will most often be measured on a Likert scale. Changes in these outcomes over time will be compared between mothers in the different study arms.

    Measured: Up to 106 weeks (baseline visit until 18 months post delivery)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Sep 2016 (estimated)
  2. Study start12 Jun 2017
  3. Primary completion6 Jul 2020
  4. Study completion6 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
2,200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02898688
Sponsor's protocol ID
IRB00090267
Other IDs
5R01AI110482-02
Status last verified
Aug 2020
First submitted
8 Sep 2016
Last updated
5 Aug 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Dudley MZ, Omer SB, O'Leary ST, Limaye RJ, Ellingson MK, Spina CI, Brewer SE, Bednarczyk RA, Chamberlain AT, Malik F, Frew PM, Church-Balin C, Riley LE, Ault KA, Orenstein WA, Halsey NA, Salmon DA. MomsTalkShots, tailored educational app, improves vaccine attitudes: a randomized controlled trial. BMC Public Health. 2022 Nov 21;22(1):2134. doi: 10.1186/s12889-022-14498-7.

    PubMed 36411403
  • Dudley MZ, Limaye RJ, Omer SB, O'Leary ST, Ellingson MK, Spina CI, Brewer SE, Chamberlain AT, Bednarczyk RA, Malik F, Frew PM, Salmon DA. Factors associated with referring close contacts to an app with individually-tailored vaccine information. Vaccine. 2020 Mar 17;38(13):2827-2832. doi: 10.1016/j.vaccine.2020.02.019. Epub 2020 Feb 22.

    PubMed 32098739

Questions about this trial

What is this clinical trial studying?

A study testing Intervention Site and Patient-level Intervention Group in people with Vaccination, run by Emory University at 23 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of women receiving influenza vaccination (time frame: Up to 34 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02898688, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2020.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in