Cynthia M. Rand

A Cluster Randomized Controlled Trial to Improve Influenza and Tdap Vaccination Rates for Pregnant Women

Cynthia M. Rand, Robin Bender, Christina Albertin, Ann R.B. Schrader et autres

Introduction: We evaluated the impact of a provider and nurse-based intervention on influenza and Tdap vaccination rates among pregnant women. Methods: The VAX-MOM trial was a 2-arm cluster randomized clinical trial conducted across 4 health systems (14 obstetric practices in Rochester, NY, …

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Diabetes-Related Hospitalizations From 2018–2023 for Children With Type 2 Diabetes

Candace D. Gildner, Matt Hall, Nathaniel D. Bayer, Ashley Jenkins et autres

OBJECTIVE: Hospitalizations in the United States for type 2 diabetes (T2D) diagnoses in youth increased precipitously in 2020 and 2021. The subsequent trend in hospitalizations for T2D in youth is unknown. We aimed to analyze this trend from 2018 to 2023 and …

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Commentary: Improving the vaccination experience for children and adults

Cynthia M. Rand, Peter G. Szilagyi

Approximately two out of three children and one out of four adults experience significant anxiety related to vaccination, which can result in vaccine avoidance. Promoting patient autonomy by empowering individuals to choose coping strategies that work best for them can enhance the …

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Video and Infographic Messages From Primary Care Physicians and Influenza Vaccination Rates

Peter G. Szilagyi, Emma J. Clark, Obidiugwu Kenrik Duru, Alejandra Casillas et autres

Importance: Influenza vaccination coverage in the US is low, due largely to vaccine hesitancy. Personalized messages from trusted physicians may raise vaccination rates. Objective: To evaluate the effects of physician-created videos and infographics containing physician photographs on influenza vaccination rates. Design, Setting, …

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Cost Analysis of a Scalable Clinician Communication Intervention to Increase HPV Vaccine Initiation

Brayan Viegas Seixas, Peter G. Szilagyi, Gerald F. Kominski, Sharon G. Humiston et autres

BACKGROUND AND OBJECTIVE: For a previous longitudinal cluster randomized controlled trial (2018-2019), we randomized 48 primary care pediatric practices to online communication training vs usual care. Online communication training reduced missed opportunities (MOs) for initial human papillomavirus (HPV) vaccination at well-child care …

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A Bundled, Practice-Based Intervention to Increase HPV Vaccination

Peter G. Szilagyi, Alexander G. Fiks, Cynthia M. Rand, Mary Kate Kelly et autres

BACKGROUND AND OBJECTIVES: Human papillomavirus (HPV) vaccination rates are suboptimal, and missed vaccination opportunities are common. We hypothesized that a bundled intervention improves missed HPV vaccination opportunities. METHODS: We used a pre-post design to assess differences in HPV vaccine missed opportunities (visits …

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Improving Firearm Screening and Safe Storage Counseling in a Primary Care Pediatric Practice

Crystal N. Craig, Cynthia M. Rand, Constance D. Baldwin

We conducted a quality improvement (QI) study to increase rates of firearm screening/safety counseling by 25% over 10 months for children (4-18 years) at preventive visits in an academic continuity clinic. Plan-Do-Study-Act (PDSA) cycles consisted of 1) (January 2023) educating providers about …

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Clinician Prompts for Human Papillomavirus Vaccination: A Cluster Randomized Trial

Cynthia M. Rand, Alisa J. Stephens‐Shields, Mary Kate Kelly, Russell A. Localio et autres

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Attitudes Toward COVID-19 Vaccination Among Pregnant Persons in Urban Hospital-Affiliated Practices: Exploring Themes in Vaccine Hesitancy

Anastasia Gibson, Cynthia M. Rand, Courtney Olson‐Chen

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Missed Opportunities for Adolescent Immunizations at Well-Care Visits During the COVID-19 Pandemic

Mary Kate Kelly, Alisa J. Stephens‐Shields, Chloe Hannan, Cynthia M. Rand et autres

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Maternal Vaccination and Vaccine Hesitancy

Cynthia M. Rand, Courtney Olson‐Chen

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Perspectives on Maternal Vaccination from Obstetrical Clinicians: A Qualitative Multi-site Study

Sharon G. Humiston, Peter G. Szilagyi, Robin Bender, Abigail Breck et autres

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