Date of Award

Spring 5-4-2018

Document Type

DNP Project

Project Team Faculty Member

Frank Lyerla

Project Team Faculty Member

Chris Durbin


immunization compliance, vaccinations, college/collegiate students, health education, social media, theory of planned behavior


Background: College students in Illinois must comply with laws regarding proof of immunity for specific vaccines. These laws, however, do not guarantee compliance with immunizations. Unvaccinated persons living in highly-vaccinated communities, such as college campuses, are at risk for many preventable diseases. Objective: The primary aim of this project is to collaborate with Southern Illinois University Edwardsville (SIUE) Health Service to develop, implement, and evaluate the effects of multi-tiered interventions to increase immunization compliance rates of first-semester college students. Methods: A brief YouTube video was presented to freshmen students, an eye-catching educational flyer was distributed by advisors and throughout campus, and an ad was played on the closed-circuit televisions across campus as well as placed in residence hall newsletters. A post-intervention student survey was developed by the student team and administered by Academic Advising. The number of compliant students was compared with the previous year to determine effectiveness of the interventions. A survey was also given to the SIUE Health Service administrative team to measure the impact of the interventions on staff effort and time consumption associated with the issue of student vaccine compliance. Results: Results showed an overall lack of knowledge among first-semester freshmen regarding required immunizations. The percentage of compliant students rose from 2016 (54.39%) to 2017 (70.84%). Conclusions: While there is no discernible way to demonstrate that the increased compliance rates were attributed solely to the project interventions, SIUE Health Service plans to continue to use all of the student project team interventions in the future.

Download Full Text Above

Background Introduction_egreenw.docx (13 kB)

Problem Statement_egreenw.docx (12 kB)
Problem Statement

Clinical Relevance_egreenw.docx (12 kB)
Clinical Relevance

Literature Review_egreenw.docx (20 kB)
Literature Review

Conceptual Framework_egreenw.docx (12 kB)
Conceptual Framework

Project Methods_egreenw.docx (13 kB)
Project Methods

Evaluation Process & Instruments_egreenw.docx (14 kB)
Evaluation Process/Instruments

References_egreenw.docx (17 kB)

Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.