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Objec&ves:	
  	
  
Significance:	
  	
  
Interven&on:	
  	
  
Results:	
  	
  
Jamie	
  P.	
  Morano,	
  MD,	
  MPH;	
  Meghan	
  Borysova,	
  PhD;	
  Arturo	
  Rebellon-­‐Guardado,	
  MD,	
  DrPH;	
  Viviana	
  Delgado;	
  Coni	
  Williams,	
  MS;	
  	
  
April	
  Schenck,	
  MBA;	
  Mimi	
  Ghosh,	
  MPH;	
  	
  Dawood	
  Sultan,	
  PhD	
  
Ÿ Vaccine	
  hesitancy	
  among	
  children	
  and	
  
adults	
  is	
  rising	
  in	
  Florida	
  and	
  in	
  the	
  U.S.	
  
Ÿ Barriers	
  to	
  vaccina9on,	
  especially	
  among	
  
adult	
  Hispanic	
  and	
  African	
  Americans,	
  	
  are	
  not	
  
en9rely	
  understood	
  
Ÿ To	
  use	
  a	
  community	
  based	
  par9cipatory	
  
research	
  approach	
  to	
  assess	
  and	
  remedy	
  
barriers	
  to	
  the	
  main	
  adult	
  vaccina9ons	
  in	
  
Florida	
  Hillsborough	
  and	
  Polk	
  coun9es	
  
Ÿ To	
  use	
  innova9ve	
  mobile	
  tablet	
  consent,	
  
survey,	
  and	
  instruc9onal	
  technology	
  to	
  
reduce	
  barriers	
  to	
  vaccina9on	
  
Douglas	
  Holt,	
  MD,	
  FACP;	
  Ulyee	
  Choe,	
  DO;	
  John	
  SinnoK,	
  MD,	
  FACP;	
  Abigail	
  Wold;	
  Veronica	
  Estrella,	
  MS;	
  Jessica	
  Alvarez,	
  MD;	
  Sharath	
  TadisheO;	
  Ogie	
  Umasabor-­‐Bubu,	
  MD,	
  MPH	
  
Ÿ  Field	
  vaccine	
  health	
  navigators	
  conducted	
  
pre-­‐	
  and	
  post-­‐interven9on	
  using	
  a	
  revised	
  
Likert	
  Scale	
  (1-­‐4)	
  in	
  community	
  seIngs	
  	
  
Ÿ  “5A’s	
  of	
  Vaccina9on”	
  educa9onal	
  
interven9on	
  (either	
  video	
  or	
  spoken)	
  
included	
  “Awareness,	
  Addi9ves,	
  Au9sm	
  
Myth,	
  Assist	
  Others,	
  and	
  Accessibility”	
  
Table	
  1:	
  Demographic	
  characteris9cs	
  of	
  mobile	
  table	
  respondents,	
  Hillsborough	
  and	
  Polk	
  
Coun9es,	
  Florida,	
  November	
  2014	
  to	
  June	
  2015.	
  (N=224)	
  
	
  Figure	
  1:	
  
GIS	
  Credit:	
  Arturo	
  Rebellon-­‐Guardado,	
  MD,	
  DrPH	
  
Implica&ons:	
  	
  
VACCINES	
  GO	
  ELECTRIC:	
  
U&lizing	
  Mobile	
  Tablet	
  Technology	
  with	
  a	
  Novel	
  Bilingual	
  “5A’s	
  Interven&on	
  Model”	
  to	
  	
  
Overcome	
  Vaccina&on	
  Barriers	
  in	
  Adult	
  Florida	
  Popula&ons	
  	
  
Acknowledgements:	
  	
  
Table	
  2	
  (cont’d):	
  Pre-­‐and	
  Post-­‐Interven9on	
  Reponses	
  along	
  the	
  “5	
  A’s”;	
  	
  Hillsborough	
  and	
  
Polk	
  Coun9es,	
  Florida,	
  November	
  2014	
  to	
  June	
  2015.	
  (N=224)	
  
Figure	
  2:	
  
Ÿ  Community-­‐based	
  educa9onal	
  
interven9ons	
  are	
  effec9ve	
  in	
  	
  
improving	
  percep9ons	
  of	
  vaccine	
  
safety	
  and	
  efficacy	
  
Ÿ  Mobile	
  technologies	
  are	
  an	
  
effec9ve	
  way	
  to	
  reduce	
  barriers	
  to	
  
vaccina9on	
  in	
  communi9es	
  
	
  	
  	
  	
  	
  	
  Table	
  2:	
  

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USF.VaccineLink.FPHA.poster.final.8.18.15

  • 1. Objec&ves:     Significance:     Interven&on:     Results:     Jamie  P.  Morano,  MD,  MPH;  Meghan  Borysova,  PhD;  Arturo  Rebellon-­‐Guardado,  MD,  DrPH;  Viviana  Delgado;  Coni  Williams,  MS;     April  Schenck,  MBA;  Mimi  Ghosh,  MPH;    Dawood  Sultan,  PhD   Ÿ Vaccine  hesitancy  among  children  and   adults  is  rising  in  Florida  and  in  the  U.S.   Ÿ Barriers  to  vaccina9on,  especially  among   adult  Hispanic  and  African  Americans,    are  not   en9rely  understood   Ÿ To  use  a  community  based  par9cipatory   research  approach  to  assess  and  remedy   barriers  to  the  main  adult  vaccina9ons  in   Florida  Hillsborough  and  Polk  coun9es   Ÿ To  use  innova9ve  mobile  tablet  consent,   survey,  and  instruc9onal  technology  to   reduce  barriers  to  vaccina9on   Douglas  Holt,  MD,  FACP;  Ulyee  Choe,  DO;  John  SinnoK,  MD,  FACP;  Abigail  Wold;  Veronica  Estrella,  MS;  Jessica  Alvarez,  MD;  Sharath  TadisheO;  Ogie  Umasabor-­‐Bubu,  MD,  MPH   Ÿ  Field  vaccine  health  navigators  conducted   pre-­‐  and  post-­‐interven9on  using  a  revised   Likert  Scale  (1-­‐4)  in  community  seIngs     Ÿ  “5A’s  of  Vaccina9on”  educa9onal   interven9on  (either  video  or  spoken)   included  “Awareness,  Addi9ves,  Au9sm   Myth,  Assist  Others,  and  Accessibility”   Table  1:  Demographic  characteris9cs  of  mobile  table  respondents,  Hillsborough  and  Polk   Coun9es,  Florida,  November  2014  to  June  2015.  (N=224)    Figure  1:   GIS  Credit:  Arturo  Rebellon-­‐Guardado,  MD,  DrPH   Implica&ons:     VACCINES  GO  ELECTRIC:   U&lizing  Mobile  Tablet  Technology  with  a  Novel  Bilingual  “5A’s  Interven&on  Model”  to     Overcome  Vaccina&on  Barriers  in  Adult  Florida  Popula&ons     Acknowledgements:     Table  2  (cont’d):  Pre-­‐and  Post-­‐Interven9on  Reponses  along  the  “5  A’s”;    Hillsborough  and   Polk  Coun9es,  Florida,  November  2014  to  June  2015.  (N=224)   Figure  2:   Ÿ  Community-­‐based  educa9onal   interven9ons  are  effec9ve  in     improving  percep9ons  of  vaccine   safety  and  efficacy   Ÿ  Mobile  technologies  are  an   effec9ve  way  to  reduce  barriers  to   vaccina9on  in  communi9es              Table  2: