Table 4 Compliance with delivery of individual components of CARD™ (n = 4 schools)

Principal planning meeting (repeated, as relevant)

4 (100)

Teacher/staff education

n/a

Parent education

n/a

Student education – video 1 (information about immunization)^a

3 (75)

Student education – video 2 (information about CARD™)^a

3 (75)

Student education – CARD™ pamphlet (students self-select coping strategies for upcoming immunization)^a

4 (100)

Student education – follow-up classroom visit and Q&A^a

n/a

Reminders of immunization day – parents^b

3 (75)

Reminders of immunization day – students^b

3 (75)

Reminders of immunization day – school staff^b

3 (75)

Preferred clinic space secured (e.g., library) for clinic^b

4 (100)

Private room secured for clinic for students that choose privacy as a coping strategy^b

4 (100)

Separate waiting area outside the clinic with chairs^b

3 (75)

Public health staff introductions to classes prior to clinic^b

4 (100)

Triage students for clinic (according to fear and choices, and minimize the number of students waiting)^b

4 (100)

Minimize visual cues in clinic (includes separation of tables, obscuring equipment from view)^b

4 (100)

Student symptom assessment (i.e., assessing baseline fear)

4 (100)

Student-led coping (i.e., CARD™)^c

4 (100)

Distraction kit present in clinic (items: fidget spinner, squishy ball, mental puzzle)^b

4 (100)

Post-clinic debrief^b

4 (100)