Increasing the adoption of evidence-based communication practices for HPV vaccination in primary care clinics: The HPV ECHO study protocol for a cluster randomized controlled trial.
Increasing the adoption of evidence-based communication practices for HPV vaccination in primary care clinics: The HPV ECHO study protocol for a cluster randomized controlled trial.
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在初级保健诊所中更多地采用基于证据的 HPV 疫苗接种沟通实践：整群随机对照试验的 HPV ECHO 研究方案。
DOI：
10.1016/j.cct.2023.107266
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发表时间：
2023
影响因子：
2.2
通讯作者：
Kraschnewski,JenniferL
中科院分区：
文献类型：
--
作者：
Calo,WilliamA;Shah,ParthD;Fogel,BenjaminN;RuffinIv,MackT;Moss,JenniferL;Hausman,BerniceL;Segel,JoelE;Francis,Erica;Schaefer,Eric;Bufalini,ChelseaM;Johnston,Nikole;Hogentogler,Ellie;Kraschnewski,JenniferL
背景安全、高效的人乳头瘤病毒(HPV)疫苗在美国仍未得到充分利用。已证明，宣布的方法培训(AAT)有效地增加了培训提供者的HPV疫苗接种量，以提出强有力的疫苗建议并回答父母的常见问题。系统通信，如召回通知，可以通过减少错过的疫苗接种临床机会来进一步改善HPV疫苗接种。ECHO(社区医疗保健结果扩展)模式从未在支持HPV疫苗接种方面进行过测试，是一种经过验证的实施战略，可在医疗保健提供者中增加最佳实践。本试验使用混合有效性-实施设计(类型II)来评估两种回声传递的旨在提高HPV疫苗接种率的干预措施。方法这项三臂整群随机对照试验将在宾夕法尼亚州的36家初级保健诊所进行。目的1评估在11-14岁青少年中，在基线和12个月随访(主要结果)之间，HPVECHO(对提供者的AAT)和HPVECHO+(对提供者的AAT加上对拒绝接种疫苗的父母的召回通知)与对照(≥1剂)的影响。AIM 2采用融合的混合方法对HPV ECHO和HPV ECHO+干预措施的实施情况进行评估。目的3探讨供应商和其他来源(如社交媒体)提供的疫苗信息对200名拒绝接种HPV疫苗的父母在12个月内再次接受HPV疫苗的暴露和影响。讨论我们希望展示两种高度可扩展的干预措施的有效性，并评估两种高度可扩展的干预措施的实施情况，以增加初级保健诊所的HPV疫苗接种。我们的研究旨在满足提供者和父母的沟通需求，增加HPV疫苗接种，并最终预防HPV相关癌症。试验注册：ClinicalTrials.gov NCT04587167。注册日期为2020年10月14日。
BackgroundThe safe, highly-effective human papillomavirus (HPV) vaccine remains underused in the US. The Announcement Approach Training (AAT) has been shown to effectively increase HPV vaccine uptake by training providers to make strong vaccine recommendations and answer parents' common questions. Systems communications, like recall notices, can further improve HPV vaccination by reducing missed clinical opportunities for vaccination. Never tested in supporting HPV vaccination, the ECHO (Extension for Community Healthcare Outcomes) model is a proven implementation strategy to increase best practices among healthcare providers. This trial uses a hybrid effectiveness-implementation design (type II) to evaluate two ECHO-delivered interventions intended to increase HPV vaccination rates.MethodsThis 3-arm cluster randomized controlled trial will be conducted in 36 primary care clinics in Pennsylvania. Aim 1 evaluates the impact of HPV ECHO (AAT to providers) and HPV ECHO+ (AAT to providers plus recall notices to vaccine-declining parents) versus control on HPV vaccination (≥1 dose) among adolescents, ages 11–14, between baseline and 12-month follow-up (primary outcome). Using a convergent mixed-methods approach, Aim 2 evaluates the implementation of the HPV ECHO and HPV ECHO+ interventions. Aim 3 explores exposure to and impact of vaccine information from providers and other sources (e.g., social media) on secondary acceptance among 200 HPV vaccine-declining parents within 12 months.DiscussionWe expect to demonstrate the effectiveness and evaluate the implementation of two highly scalable interventions to increase HPV vaccination in primary care clinics. Our study seeks to address the communication needs of both providers and parents, increase HPV vaccination, and, eventually, prevent HPV-related cancers.Trial registration: ClinicalTrials.gov NCT04587167. Registered on October 14, 2020.
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