UNITY Projects

Pursuit of the Three C’s: Confident, Concise, and Consistent Healthcare Provider Recommendations for Adolescent Vaccines

Healthcare provider recommendations are a critical influence on parent and adolescent agreement to vaccinate on time. This quality improvement study is designed with the goal of improving healthcare provider delivery of a confident, concise, and consistent recommendation for routinely recommended vaccines to adolescents (11, 12, and 16 year olds).

 To support strong provider recommendations for adolescent vaccines, the UNITY Consortium has developed the following resources:
  • Three Cs Rationale
    This video provides an overview of the UNITY Consortium (the sponsor of the Three Cs study), reviews current gaps vs. adolescent immunization goals, and provides the rationale for the QI study that focuses on the provider recommendation and applies motivational interviewing principles to the parent-provider conversation.
  • Three Cs Demo and Motivational Interviewing

    This video provides an overview of the Three Cs intervention (presumptive, bundled, equal recommendation for same day vaccination; FAQs; motivational interviewing guiding style of communications for truly hesitant parents) and demonstrates and reviews various scenarios of parental-provider recommendation conversations. View video worksheet.

  • Example language: Three Cs Recommendation and FAQs
  • Overview: Parental Disposition and Motivational Interviewing for Hesitant or Refusing Parents

Continuing Medical Education (CME) credit is now available for this video.   Indiana University School of Medicine (IUSM) designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™, Non-Physician 0.75 hours. Access the video and obtain CME free of charge via the IUSM website.  IUSM is accredited by the ACCME to provide continuing medical education.

Adolescent Health Platform for Healthcare Providers



Unity is developing a web-based platform focused on improving adolescent population health where healthcare providers can access and implement well-vetted tools, techniques and best practices for improving vaccination processes and make progress on quality initiatives.


Adolescent Health and Immunization Poll


Unity is sponsoring a poll with teens, parents and healthcare providers to understand their views on health, prevention and immunization. The results support efforts to educate and align parents, teens, and healthcare providers around the clear and certain value of immunization as a driver of adolescent and life long health.


Adolescent Immunization:  Understanding Challenges and Framing Solutions for Healthcare Providers

A roundtable meeting of UNITY members, its liaisons and experts was convened to discuss the current adolescent immunization landscape, probe barriers to successful implementation and highlight potential solutions to help reach important immunization targets for this population. The panel members highlighted common elements of successful immunization practices and a CALL TO ACTION – The INSPECT Imperatives that provides overarching guidance for healthcare providers in their efforts to increase adolescent immunization coverage.