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

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

Post-counseling (Baseline visit)

Results posted on

2024-01-05

Participant Flow

Participants recruited from medical clinics and surrounding communities in rural areas.

Unit of analysis: study sites

Participant milestones

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

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Withdrawn by PI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

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

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

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

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

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Data not collected.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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: Baseline

Population: Outcome measure only applies to the VISTA arm.

Outcome measures

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

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Pregnant Women Receiving Usual Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lavanya Vasudevan, Ph.D.

Duke University

Phone: 919-613-1423

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place