This intervention study will use parent-, provider-, and health center-level strategies to promote HPV vaccination among 11-17 year olds receiving care in 8 community health centers in Florida, will explore factors related to the intervention effect, and will explore implementation outcomes of the intervention.
The goals of this multi-level intervention study are to: 1) test whether HPV MISTICS intervention increases human papillomavirus (HPV) vaccine initiation and completion rates among 11-17-year-old adolescents in 8 Health Choice Network-affiliated community health centers in Florida. 2) Explore other factors related to the intervention effect. 3) Explore implementation outcomes (i.e., reach, adoption, implementation, maintenance, and sustainability) and identify implementation barriers and facilitators with a focus on equity. The study will use parent-, provider-, and health center-level strategies to promote HPV vaccination.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
564
The HPV MISTICS (Multilevel Intervention Strategies Targeting Immunization in Community Settings) provider-level intervention for all clinical staff (e.g., physicians, nurses, medical assistants) includes a 1-hour online training session on the Announcement Approach (i.e., presumptive recommendation) to recommend adolescent vaccinations.
The HPV MISTICS (Multilevel Intervention Strategies Targeting Immunization in Community Settings) parent-level intervention includes a low literacy pre-visit HPV vaccine notification post card in the parent's preferred language.
Moffitt Cancer Center
Tampa, Florida, United States
Effectiveness: HPV Vaccine series initiation rates
HPV vaccine series initiation (1st dose) rates among adolescents ages 11-17 will be determined on a monthly basis as well as annually. Providers' vaccination rate data for their patient panel (using Florida SHOTS - a free, statewide centralized online immunization information system) will be compared to the National Immunization Survey-Teen (NIS-TEEN) data for the state of Florida.
Time frame: at 5 years
Effectiveness: HPV Vaccine series completion rates
HPV vaccine series completion (2nd and 3rd dose) rates among adolescents ages 11-17 will be determined on a monthly basis as well as annually. Providers' vaccination rate data for their patient panel (using Florida SHOTS - a free, statewide centralized online immunization information system) will be compared to the National Immunization Survey-Teen (NIS-TEEN) data for the state of Florida.
Time frame: at 5 years
Implementation outcome: Reach
The intervention's implementation will be evaluated for reach - proportion of eligible patients that receive the intervention.
Time frame: at 5 years
Implementation outcome: Reach demographics
The intervention's implementation will be evaluated for reach - demographics of patients reached.
Time frame: at 5 years
Proportion of Healthcare providers who participate in the intervention
The proportion of health care providers who participate in the intervention, measured by contact log data.
Time frame: at 5 years
Proportion of Healthcare Providers, Rural vs Urban
The proportion of health care providers in rural vs urban Federally Qualified Health Centers in network that participate.
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The HPV MISTICS (Multilevel Intervention Strategies Targeting Immunization in Community Settings) system-level intervention involves training an HPV Vaccine Champion at each FQHC on the provider and parent EBIs to monitor and share clinic HPV initiation and completion rates with providers, and to implement reminder/recall systems for subsequent vaccine doses
Time frame: at 5 years
Proportion of Health Care providers who complete training
The proportion of participating health care providers and staff who complete training per site will be measured using the training attendance log
Time frame: at 5 years
Intervention Sustainability: Health care Providers
Long term intervention effects and use over time will be determined semi-structured interviews of providers
Time frame: at 5 years
Intervention Sustainability: Healthcare staff
Long term intervention effects and use over time will be determined semi-structured interviews of health care staff.
Time frame: at 5 years