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West Ashley Library
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Folly Beach Library
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Edgar Allan Poe/Sullivan's Island Library
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Wando Mount Pleasant Library
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Village Library
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St. Paul's/Hollywood Library
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Phone: (843) 805-6930
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Coaching and Communication Training for HPV Vaccination: A Cluster Randomized Trial.
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- Author(s): Gilkey, Melissa B.; Grabert, Brigid K.; Heisler-MacKinnon, Jennifer; Bjork, Adam; Boynton, Marcella H.; KyungSu Kim; Alton Dailey, Susan; Liu, Amy; Todd, Karen G.; Schauer, Stephanie L.; Sill, Danielle; Coley, Scott; Brewer, Noel T.
- Source:
Pediatrics. Aug2022, Vol. 150 Issue 2, p1-8. 8p. - Source:
- Additional Information
- Subject Terms: RESEARCH; IMMUNIZATION; FAMILY medicine; VACCINATION coverage; PEDIATRICS; PRIMARY health care; RANDOMIZED controlled trials; QUALITY assurance; HUMAN papillomavirus vaccines; DESCRIPTIVE statistics; RESEARCH funding; STATISTICAL sampling; DATA analysis software; COMMUNICATION education; TELEMEDICINE; LONGITUDINAL method
- Subject Terms:
- Abstract: BACKGROUND AND OBJECTIVES: US health departments routinely conduct in-person quality improvement (QI) coaching to strengthen primary care clinics' vaccine delivery systems, but this intervention achieves only small, inconsistent improvements in human papillomavirus (HPV) vaccination. Thus, we sought to evaluate the effectiveness of combining QI coaching with remote provider communication training to improve impact. METHODS: With health departments in 3 states, we conducted a pragmatic 4-arm cluster randomized clinical trial with 267 primary care clinics (76% pediatrics). Clinics received in-person QI coaching, remote provider communication training, both interventions combined, or control. Using data from states' immunization information systems, we assessed HPV vaccination among 176 189 patients, ages 11 to 17, who were unvaccinated at baseline. Our primary outcome was the proportion of those, ages 11 to 12, who had initiated HPV vaccination at 12-month follow-up. RESULTS: HPV vaccine initiation was 1.5% points higher in the QI coaching arm and 3.8% points higher in the combined intervention arm than in the control arm, among patients ages 11 to 12, at 12-month follow-up (both P < .001). Improvements persisted at 18-month follow-up. The combined intervention also achieved improvements for other age groups (ages 13-17) and vaccination outcomes (series completion). Remote communication training alone did not outperform the control on any outcome. CONCLUSIONS: Combining QI coaching with remote provider communication training yielded more consistent improvements in HPV vaccination uptake than QI coaching alone. Health departments and other organizations that seek to support HPV vaccine delivery may benefit from a higher intensity, multilevel intervention approach. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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