Trial Outcomes & Findings for VISTA: Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy (NCT NCT04421586)
NCT ID: NCT04421586
Last Updated: 2024-01-05
Results Overview
COMPLETED
NA
60 participants
Post-counseling (Baseline visit)
2024-01-05
Participant Flow
Participants recruited from medical clinics and surrounding communities in rural areas.
Unit of analysis: study sites
Participant milestones
| Measure |
Pregnant Women Receiving VISTA Counseling
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Overall Study
STARTED
|
30 5
|
30 5
|
|
Overall Study
COMPLETED
|
25 5
|
24 5
|
|
Overall Study
NOT COMPLETED
|
5 0
|
6 0
|
Reasons for withdrawal
| Measure |
Pregnant Women Receiving VISTA Counseling
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Overall Study
Death
|
0
|
1
|
|
Overall Study
Lost to Follow-up
|
2
|
2
|
|
Overall Study
Withdrawn by PI
|
1
|
0
|
|
Overall Study
Infant death (no follow up data or vaccination outcomes)
|
2
|
3
|
Baseline Characteristics
VISTA: Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy
Baseline characteristics by cohort
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
n=30 Participants
Up to 30 pregnant women receiving usual care
|
Total
n=59 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
31.28 years
STANDARD_DEVIATION 7.04 • n=5 Participants
|
28.10 years
STANDARD_DEVIATION 8.38 • n=7 Participants
|
29.66 years
STANDARD_DEVIATION 7.85 • n=5 Participants
|
|
Sex: Female, Male
Female
|
29 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
59 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
29 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
59 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
29 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
59 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Region of Enrollment
Tanzania
|
29 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
59 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Post-counseling (Baseline visit)Population: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Percentage of Women With Reduced Number of Concerns Immediately Post-counseling in the Intervention Arm
|
51.72 percentage of women
|
—
|
SECONDARY outcome
Timeframe: Follow-up (up to 6 months post-birth; up to 9 months post-baseline)Population: Data not collected on 6 participants in each group.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=25 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
n=24 Participants
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Percentage of Women With Reduced Number of Concerns in Intervention Versus Control Arms at Follow up.
|
48.0 percentage of women
|
62.5 percentage of women
|
SECONDARY outcome
Timeframe: Follow-up (up to 6 months post-birth; up to 9 months post-baseline)Population: Data not collected on 13 participants.
Includes early doses up to 1 week prior to due date. In the event of twins, information for only 1 child per mother was included in the determination of outcomes.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=25 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
n=23 Participants
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
BCG
|
96.00 percentage of children
|
86.96 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
Polio 1
|
64.00 percentage of children
|
73.91 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
Polio 2
|
48.00 percentage of children
|
56.52 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
DTP 3
|
84.00 percentage of children
|
69.57 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
PCV 2
|
88.00 percentage of children
|
78.26 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
PCV 3
|
84.00 percentage of children
|
60.87 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
RTR 1
|
76.00 percentage of children
|
78.00 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
RTR 2
|
72.00 percentage of children
|
69.57 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
Polio 0
|
88.00 percentage of children
|
82.61 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
Polio 3 (OPV3/IPV)
|
68.00 percentage of children
|
60.87 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
DTP 1
|
100.00 percentage of children
|
95.65 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
DTP 2
|
96.00 percentage of children
|
86.96 percentage of children
|
|
Percentage of Children by Vaccine Who Received the Vaccine Within 4-week Window of Due Date in Intervention Versus Control Arm
PCV 1
|
92.00 percentage of children
|
86.96 percentage of children
|
SECONDARY outcome
Timeframe: Follow-up (up to 6 months post-birth; up to 9 months post-baseline)Population: Data not collected on 13 participants.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=25 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
n=23 Participants
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
BCG
|
6.5 days
Interval 0.0 to 32.0
|
12 days
Interval 2.0 to 46.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
Polio 0
|
6 days
Interval 0.0 to 12.0
|
8.5 days
Interval 0.0 to 33.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
Polio 1
|
5 days
Interval -3.0 to 141.0
|
3 days
Interval -2.0 to 31.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
Polio 2
|
8 days
Interval 1.0 to 78.0
|
13 days
Interval 4.0 to 40.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
Polio 3
|
19 days
Interval 9.0 to 51.0
|
14 days
Interval 7.0 to 61.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
Polio IPV
|
15 days
Interval 5.0 to 59.0
|
19.5 days
Interval 4.0 to 34.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
DTP 1
|
3 days
Interval -3.0 to 24.0
|
3 days
Interval -2.0 to 31.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
DTP 2
|
9.5 days
Interval 1.0 to 59.0
|
12 days
Interval 1.0 to 40.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
DTP 3
|
14.5 days
Interval 5.0 to 59.0
|
17 days
Interval 4.0 to 61.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
PCV 1
|
3 days
Interval -3.0 to 24.0
|
4 days
Interval -2.0 to 31.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
PCV 2
|
9.5 days
Interval 1.0 to 59.0
|
13 days
Interval 1.0 to 40.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
PCV 3
|
14.5 days
Interval 5.0 to 59.0
|
17 days
Interval 4.0 to 61.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
RTR 1
|
5 days
Interval -3.0 to 41.0
|
5 days
Interval -2.0 to 58.0
|
|
Median Number of Days Children Remain Unvaccinated for Each Vaccine in Intervention Versus Control Arm
RTR 2
|
20.5 days
Interval 1.0 to 59.0
|
12 days
Interval 1.0 to 40.0
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Percentage of Checklist Items Completed During Counseling in VISTA Intervention Arm
|
90.17 percentage of items
Interval 70.0 to 100.0
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Mean Number of Minutes Spent Delivering Counseling Per Woman in VISTA Intervention Arm
|
15.86 minutes
Interval 10.0 to 24.0
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say That the Information Provided by the Community Health Worker (CHW) is Helpful
|
28 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say That the Information Provided by the Community Health Worker (CHW) Reduced Their Concerns About Vaccinations
|
24 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say That the Community Health Worker (CHW) Helped Them Understand Why Children Needed Vaccines
|
26 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Data not collected.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say That the Community Health Worker (CHW) Was Respectful
|
28 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say That the Community Health Worker (CHW) Explained Things in Terms They Could Understand
|
27 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Were Satisfied With Their Conversation With the Community Health Worker (CHW)
|
28 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say They Are Comfortable Vaccinating Their Child
|
29 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say They Will Speak With the CHW Again
|
28 Participants
|
—
|
SECONDARY outcome
Timeframe: BaselinePopulation: Outcome measure only applies to the VISTA arm.
Outcome measures
| Measure |
Pregnant Women Receiving VISTA Counseling
n=29 Participants
Up to 30 pregnant women are screened and counseled for vaccine concerns using VISTA (Vaccinator-Initiated Screening and TAilored Counseling for Reducing Vaccine Hesitancy)
VISTA: VISTA will be an educational intervention.
|
Pregnant Women Receiving Usual Care
Up to 30 pregnant women receiving usual care
|
|---|---|---|
|
Number of Women in the VISTA Intervention Arm Who Say They Would Refer the CHW to Their Friends and Family
|
28 Participants
|
—
|
Adverse Events
Pregnant Women Receiving VISTA Counseling
Pregnant Women Receiving Usual Care
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place