Awards issued prior to january 20, 2025, were funded under previous administrations and may not reflect the priorities and policies of the current administration.** to stabilize and increase intake of…

Awards issued prior to january 20, 2025, were funded under previous administrations and may not reflect the priorities and policies of the current administration.** to stabilize and increase intake of routine immunizations, cooperative extension, a trusted messenger in rural communities, can help reduce barriers and increase access to vaccines as well as strengthen vaccine confidence. This includes being able to assess adult immunization education needs and provide routine vaccination messages and resources with health partners in the community. IT also incorporates an integrative model of sustainable health decision-making that combines the influence of emotions and reason on behavior change communication. Through extension's excite (extension collaboration on immunization teaching & engagement) program, we will achieve the following objectives:1. At the community level, excite immunization educators in collaboration with local partners, will increase the public's confidence in vaccinations for adults.2. Extension professionals across program areas will increase their knowledge of and ability to educate communities using a model for making sustainable health decisions.3. Excite immunization educators will expand and strengthen community partnerships with health departments, healthcare providers, and community-based organizations, depending on their communities' needs.4. Excite will integrate vaccine education across program areas with their extension colleagues, community health workers, and volunteers as a core part of cooperative extension's ongoing outreach. The impact of efforts by the excite national team, immunization educators, and other extension staff engaged in immunization education will be measured through a variety of means, including evaluations based on:CDC's vaccine confidence survey question bank, retrospective pre- and post-surveys, national network for collaboration's continuum, the systematic screening and assessment method