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PROGRAM DELIVERY AND EVALUATION (PDE) NETWORK The Program Delivery and Evaluation (PDE) Network focused on 5 projects in 2013–14: In the study, Randomized Evaluation of Live Attenuated vs. Trivalent Inactivated infuenza Vaccines in Schools (RELATIVES): Pilot Study, the objectives were to determine whether offering live attenuated infuenza vaccine (LAIV) instead of trivalent inactivated infuenza vaccine (TIV) in elementary schools improves vaccine coverage. In addition, stakeholder perceptions and costs associated with delivering these vaccines through schools were assessed, and data to inform a future full-scale RCT was obtained. • Examining attitudes about mandatory infuenza vaccination of healthcare workers The Examining attitudes about mandatory through online comments on news stories: infuenza vaccination of healthcare workers Of 648 commenters, 22% were in support of a through online comments on news stories and mandatory vaccination policy, 67% were opposed, Understanding public perceptions of the HPV and 11% did not comment. Popular themes vaccination based on online comments social included concerns about freedom of choice, media studies were conducted to understand online vaccine effectiveness, patient safety, and lack of public perceptions of: a) the debate surrounding the trust in government, public health, and/or the choice of infuenza vaccinations or wearing masks as pharmaceutical industry. a condition of employment for healthcare workers; and b) human papillomavirus (HPV) and HPV • Understanding public perceptions of vaccine. the HPV vaccination based on online comments: Of 1217 commenters, 52.6% Finally, the Assessing infuenza vaccination using individuals expressed positive sentiments about the ImmunizeON mobile app study is providing HPV vaccination, 33.7% were negative; 2.8% were pilot data for an RCT on the impact of a mobile mixed and 10.8% expressed no opinion. Vaccine- app on on-time vaccination rates, and the Vaccine supportive commenters felt the vaccine is safe Attitude Surveillance using Semantic Analysis and effective, while negative comments included (VASSA) study is helping to develop, evaluate, and concerns regarding HPV vaccine safety and apply an automated method for vaccine attitude effcacy, distrust of pharmaceutical companies and surveillance. government, and belief that school-age children are too young for HPV vaccine. Some outcomes from the past year include: The PDE network includes national representation and • RELATIVES Study: In November 2013, 170 wide-ranging expertise in vaccine program evaluation. elementary school students in Peterborough were This includes epidemiologists, qualitative researchers, vaccinated with TIV, while 279 students were physicians representing various specialties (public health vaccinated with LAIV (12.2 vs. 19.1% of school and preventive medicine, family medicine, internal populations, respectively) as part of school-based medicine, infectious diseases, medical microbiology), immunizations clinics. All other aspects of the public health nurses, policy makers, vaccine study are currently underway. manufacturers and information technology specialists. 2014 ANNUAL REPORT 7