Implementation of Evidence-Based Strategies to Optimize HPV Vaccination in Rural Primary Care Settings
概览
- 阶段
- 不适用
- 干预措施
- Educational Intervention
- 疾病 / 适应症
- Human Papillomavirus Infection
- 发起方
- Roswell Park Cancer Institute
- 入组人数
- 203
- 试验地点
- 1
- 主要终点
- Change in Adolescent HPV vaccination rates
- 状态
- 进行中（未招募）
- 最后更新
- 上个月
概览
简要总结
This study evaluates the implementation of evidence based strategies to optimize HPV vaccination in rural primary care settings. Some of the largest disparities in human papillomavirus vaccination (HPVV) rates exist in rural communities, which represent missed opportunities for cancer prevention. Primary care provider visits in these communities serve as a crucial opportunity to communicate the importance of timely vaccination that is essential to effective cancer prevention. This study implements and tests a practice-level intervention (PC TEACH) using practice facilitation of evidence-based strategies to expand reach to rural community-based primary care settings to optimize delivery and increase HPVV rates. PC TEACH program may help rural communities overcome access and awareness factors that keep them from receiving HPVV.
详细描述
PRIMARY OBJECTIVES: I. Identify practices from across 20 rural counties in central and western New York (CWNY) using registry data from New York State Immunization Information System. II. Leverage established community network contacts of primary care practices across 20 rural counties in CWNY to support and enhance recruitment and retention activities. III. Establish a Rural Cancer Health Equity Community Advisory Board (CAB) to enhance capacity to implement evidence-based cancer prevention activities in rural primary care settings (like primary care practice-level, medical office-based intervention \[PC-TEACH\] for Human Papilloma Virus Vaccine \[HPVV\]). IV. Recruit rural primary care practices to implement PC TEACH intervention and contribute practice, provider, and patient-level data including adolescent vaccination rates. V. Implement systematic practice-level changes (i.e., PC TEACH strategies) in rural community-based primary care practices. V. Evaluate effectiveness of PC TEACH intervention and quality improvement within the practices using process and outcome evaluation measures. OUTLINE: Primary practice providers sites receive PC TEACH over 3.5 hours for 12 months. After completion of study, primary care provider sites are followed up for 3-6 months.
研究者
入排标准
入选标准
- •PRACTICES: Are located in the 20-county target region
- •PRACTICES: Have an adolescent patient population \>= 150 (aged 9-18)
- •PRACTICES: Administer adolescent vaccines (e.g., HPV, Tdap, MCV4)
- •PRACTICES: Are willing to share aggregate practice and patient-level data (e.g., electronic health record \[EHR\], surveys)
- •PARTICIPANTS: Medical providers and medical staff \>= 18 years of age
- •PARTICIPANTS: Primary care providers and medical office staff who deliver adolescent care at community-based primary care practice sites across 20 rural counties in central and western New York
- •PARTICIPANTS: Age \>= 18 years of age (no upper limit)
- •PARTICIPANTS: English speaking
- •PARENT/GUARDIAN SURVEY: Adult accompanying a child or children aged 9 to 17
- •PARENT/GUARDIAN SURVEY: English speaking
排除标准
- •Unwilling or unable to follow protocol requirements
- •Adults unable to complete study measures in English
- •Individuals who are not yet adults (infants, children, teenagers)
- •Cognitively impaired adults/adults with impaired decision-making capacity
- •Prisoners
研究组 & 干预措施
Health services research (PC TEACH)
Primary practice providers sites receive PC TEACH over 3.5 hours for 12 months
干预措施: Educational Intervention
结局指标
主要结局
Change in Adolescent HPV vaccination rates
时间窗: Up to 5 years (60 months)
To evaluate the impact (short and long-term) of the proposed PC TEACH (primary care practice-level, medical office-based intervention) intervention on human papilloma virus vaccine (HPVV) uptake and completion rates using a staggered (stepped-wedge) intervention schedule. Briefly, practice-specific vaccine rates data will be modeled as a function of time in intervention (0, 6, 12, 18, or 24 months), while adjusting for baseline rates collected prior to intervention for each practice. For vaccine rates, an additional factor for calendar time will be included in the model to address potential seasonal effects.
次要结局
- Age at vaccination(Up to 5 years (60 months))