Using Intervention Mapping to Develop a Provider Intervention to Increase HPV Vaccination in a Federally Qualified Health Center.
Using Intervention Mapping to Develop a Provider Intervention to Increase HPV Vaccination in a Federally Qualified Health Center.
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DOI：
10.3389/fpubh.2020.530596
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发表时间：
2020
影响因子：
5.2
通讯作者：
Fernandez ME
中科院分区：
文献类型：
--
作者：
Austin JD;Rodriguez SA;Savas LS;Megdal T;Ramondetta L;Fernandez ME
导言：卫生保健提供者是否有能力为HPV疫苗提供强有力的推荐，对于增加HPV疫苗接种至关重要。为了减轻HPV相关癌症的负担，迫切需要开发和实施以理论为基础的干预措施，旨在加强医疗保健提供者对HPV疫苗的沟通。方法：我们使用干预映射(IM)步骤1-5来开发和实施提供者级别的干预，该干预符合大型城市联邦合格卫生中心(FQHC)的优先事项和需求。结果：在第一步中，一个不同的规划小组确定了临床环境中HPV疫苗接种的障碍，并生成了问题的流程图和逻辑模型。步骤2概述了干预的结果和提供者的绩效目标，并将知识、技能、自我效能、结果期望和规范信念确定为需要改变的可修改目标，以便提供者向父母和患者提供关于HPV疫苗的强有力建议。在步骤3中，规划组将说服性沟通、信息、建模和技能培训的方法映射到行为目标，并概述了项目实际应用(策略)的组成部分、范围和顺序。在步骤4和步骤5中，规划小组制定了干预措施，并计划方案的实施。IM的迭代和参与性进程导致了对初始干预的修改，使之与FQHC的需要保持一致。讨论：IM提供了一种系统的、参与性的和迭代的方法来开发基于理论的提供者级别的干预措施，旨在加强医疗保健提供者向符合条件的患者和由大型FQHC提供服务的父母提供HPV疫苗的强烈推荐的能力。IM协助确定超越HPV知识的行为目标和方法，并提醒人们创造行为改变。IM可以帮助研究人员和规划者描述开发干预措施背后的流程和合理性，并可能通过根据人群的需求定制干预组件，帮助促进在真实世界的临床环境中的实施。
Introduction: A healthcare provider's ability to give a strong recommendation for the HPV vaccine is of utmost importance in increasing HPV vaccination. To reduce the burden of HPV-related cancers, there is a critical need to develop and implement theory-based interventions aimed at strengthening healthcare providers' communication about the HPV vaccine. Methods: We used Intervention Mapping (IM) steps 1–5 to develop and implement a provider-level intervention that aligns with the priorities and needs of a large, urban Federally Qualified Health Center (FQHC). Results: In step 1, a diverse planning group identified barriers to HPV vaccination in clinical settings and generated process maps and a logic model of the problem. Step 2 outlined outcomes and provider performance objectives of the intervention and identified knowledge, skills, self-efficacy, outcome expectations, and normative beliefs as modifiable targets that need to change for providers to deliver strong recommendations for the HPV vaccine to parents and patients. In step 3, the planning group mapped the methods of persuasive communication, information, and modeling and skills training to behavioral targets and outlined the program practical applications (strategies) components, scope, and sequence. In steps 4 and 5, the planning group produced the intervention and planned for program implementation. The iterative and participatory process of IM resulted in modifications to the initial intervention that aligned with the needs of the FQHC. Discussion: IM provided a systematic, participatory, and iterative approach for developing a theory-based provider-level intervention aimed at strengthening healthcare providers' ability to provide a strong recommendation for the HPV vaccine to eligible patients and parents served by a large FQHC. IM assisted with the identification of behavioral targets and methods that move beyond HPV knowledge and reminders to create behavior change. IM can help researchers and planners describe the processes and rational behind developing interventions and may help to facilitate implementation in real-world clinical settings by tailoring intervention components to the needs of the population.
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影响因子：
4.2
作者：
Byrd, Theresa L.;Wilson, Katherine M.;Fernandez, Maria E.
通讯作者：
Fernandez, Maria E.
影响因子：
3.1
作者：
Fernandez, Maria E.;McCurdy, Sheryl A.;Sanderson, Maureen
通讯作者：
Sanderson, Maureen
DOI：
10.1186/1748-5908-8-52
发表时间：
2013-05-16
期刊：
Implementation science : IS
影响因子：
--
作者：
Albrecht L;Archibald M;Arseneau D;Scott SD
通讯作者：
Scott SD
DOI：
10.1177/1740774509338234
发表时间：
2009-08
期刊：
Clinical trials (London, England)
影响因子：
--
作者：
Bartholomew LK;Cushman WC;Cutler JA;Davis BR;Dawson G;Einhorn PT;Graumlich JF;Piller LB;Pressel S;Roccella EJ;Simpson L;Whelton PK;Williard A;Allhat Collaborative Research Group
通讯作者：
Allhat Collaborative Research Group
DOI：
10.1186/s13012-018-0729-6
发表时间：
2018-03-13
期刊：
Implementation science : IS
影响因子：
--
作者：
Garbutt JM;Dodd S;Walling E;Lee AA;Kulka K;Lobb R
通讯作者：
Lobb R