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METHODS article

Front. Pediatr.

Sec. Pediatric Infectious Diseases

Volume 13 - 2025 | doi: 10.3389/fped.2025.1657706

This article is part of the Research TopicExploring Herpesviruses: From Biology to Disease Management and PreventionView all 3 articles

Connecting Research and Community: A Methodological Framework for Investigating CMV Transmission in Childcare Settings

Provisionally accepted
Karen  Del’OlioKaren Del’Olio1Annie  GeigerAnnie Geiger1Judith  TerryJudith Terry1Cindi  CallaghanCindi Callaghan1Lauren  HoweLauren Howe2Cheryl  HamelCheryl Hamel1Delaney  PlatiaDelaney Platia1Alyssa  BlakeAlyssa Blake1Lisa  TranLisa Tran1Anne  DavenportAnne Davenport1Elizabeth  OrvekElizabeth Orvek1Stephen  LammiStephen Lammi1Bruce  Alan BartonBruce Alan Barton1Timothy  KowalikTimothy Kowalik1John  HolikJohn Holik1Anne  MirzaAnne Mirza1Olesea  CojohariOlesea Cojohari1Kelsey  WoodsKelsey Woods1Susan  DrukerSusan Druker1Syed  Saad NaeemSyed Saad Naeem1John  D Diaz-DecaroJohn D Diaz-Decaro3Madeleine  HaydenMadeleine Hayden3Iliana  Leony LassoIliana Leony Lasso3Juli  GulpinarJuli Gulpinar3Sandeep  BasnetSandeep Basnet3Lori  PantherLori Panther3Andrew  NatenshonAndrew Natenshon3Thejas  SuvarnaThejas Suvarna4Emma  HarmonEmma Harmon4Kelley  BridgesKelley Bridges4Summer  SchraderSummer Schrader4Laura  GibsonLaura Gibson1*
  • 1University of Massachusetts Chan Medical School, Worcester, United States
  • 2empHowered PR, LLC, Leominster, United States
  • 3Moderna, Inc., Cambridge, United States
  • 4CareEvolution, Ann Arbor, United States

The final, formatted version of the article will be published soon.

The CMV Transmission and Immune Tracking (TransmIT) Study was developed to address critical gaps in understanding of cytomegalovirus (CMV) transmission dynamics in early education and care (EEC) settings. This two-stage, community-engaged study design integrates EEC center partnerships, digital study platforms, and data pipeline infrastructures to enable longitudinal virologic and immunologic surveillance in this high-exposure environment. Stage I focused on establishing foundational components of the study, including a geographically diverse EEC center network, culturally tailored recruitment strategies, a community advisory board, protocols for participant enrollment and saliva sample collection, and optimized laboratory assays to measure viral shedding in saliva. The study approach honed during Stage I is intended to support future longitudinal investigations into viral shedding patterns, immune responses, and co-infections among children and staff in EEC centers. This manuscript presents a methodological framework for conducting community-centered scalable research in early childhood settings with relevance for CMV and other infectious diseases of public health importance.

Keywords: CMV, early education and care centers, CMV transmission, Community Engagement, diversity, equity and inclusion

Received: 15 Jul 2025; Accepted: 29 Sep 2025.

Copyright: © 2025 Del’Olio, Geiger, Terry, Callaghan, Howe, Hamel, Platia, Blake, Tran, Davenport, Orvek, Lammi, Barton, Kowalik, Holik, Mirza, Cojohari, Woods, Druker, Naeem, Diaz-Decaro, Hayden, Lasso, Gulpinar, Basnet, Panther, Natenshon, Suvarna, Harmon, Bridges, Schrader and Gibson. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Laura Gibson, laura.gibson@umassmed.edu

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.