Adaptive Design in the National Immunization Survey-Teen Provider Record Check Phase.

Xian Tao, Megha Ravanam, Benjamin Skalland, Kirk Wolter, David Yankey, Zhen Zhao
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Abstract

Adaptive design principles are applied to the National Immunization Survey-Teen (NIS-Teen), sponsored by Centers for Disease Control and Prevention, which monitors vaccination coverage of U.S. adolescents age 13-17 years. Data collection is ongoing in two phases: (1) a random-digit-dial telephone survey to interview parents/guardians with age-eligible adolescents, followed by (2) a mail survey to vaccination providers, called the provider record check (PRC), to obtain vaccination histories for the adolescents. A logistic regression model relating the probability that an Immunization History Questionnaire (IHQ) is returned for a teen-provider pair to characteristics of the adolescent, mother, household, and providers was fit. R-indicators and partial R-indicators for the PRC phase of the 2015 NIS-Teen are presented to evaluate the representativeness of response in the PRC. The indicators are visualized using interactive graphics embodied in an R Shiny application to track the real time changes. Programmatic interventions to improve representativeness are discussed, which include strategies for prompting providers and special treatment of certain subgroups.

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国家免疫调查-青少年提供者记录检查阶段的适应性设计。
适应性设计原则应用于由疾病控制和预防中心赞助的全国青少年免疫调查(NIS-Teen),该调查监测美国13-17岁青少年的疫苗接种覆盖率。数据收集分两个阶段进行:(1)随机数字拨号电话调查,采访适龄青少年的父母/监护人;(2)向疫苗接种提供者邮寄调查,称为提供者记录检查(PRC),以获取青少年的疫苗接种史。一个逻辑回归模型将青少年-提供者对免疫史问卷(IHQ)返回的概率与青少年、母亲、家庭和提供者的特征相关联。提出了2015年NIS-Teen中国阶段的r指标和部分r指标,以评估中国响应的代表性。指示器使用R Shiny应用程序中包含的交互式图形进行可视化,以跟踪实时变化。讨论了提高代表性的程序性干预措施,其中包括促进提供者和特定子群体的特殊治疗的策略。
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