Team Activation To Increase HPV Vaccination Rates

描述（由申请人提供）：某些人群的癌症发病率和死亡率增加，因为他们没有从人乳头瘤病毒（HPV）疫苗、癌症筛查和异常检查的随访中同等受益。癌症发病率仍在上升的群体包括非裔美国人和社会经济地位较低的人群。此外，这些人群的HPV患病率也有所增加。由于HPV在这些群体中是一个问题，因此需要解决HPV发病率上升的方法。俄亥俄州立大学的一个健康差异研究小组与哥伦布社区健康中心公司（CNHC），一个联邦认证的健康中心合作，提出了一个教育计划，STOP（分享、培训、组织、预防）HPV，旨在通过提高女性和男性青少年（9-18岁）的HPV疫苗接种率来减少HPV相关疾病。本提案的目标是开发、完善和测试一个文化上适当的多层次教育计划的可行性，该计划旨在为在CNHC寻求护理的青少年的父母（1级）、CNHC的医疗团队（医生、护士、助理和工作人员）（2级）和健康中心（3级）提高青少年的HPV疫苗接种率。本研究的具体目的是：(1)制定针对家长、提供者/工作人员和卫生中心的多层次HPV疫苗教育干预措施，包括：(a)分享有关HPV、HPV相关癌症和疾病以及HPV疫苗的信息；(b)沟通技巧培训，以改善关于人乳头瘤病毒疫苗的父母-提供者对话；(c)提高疫苗接种率的组织层面组成部分；(2)在10名青少年女性家长和10名青少年男性家长、服务人员/工作人员和1个卫生中心中检验多层次HPV疫苗教育干预的可行性。具体目标将与家长、保健提供者和两家中心的工作人员合作实现。

DESCRIPTION (provided by applicant): Certain segments of the population have increased cancer incidence and mortality rates because they have not benefited equally from the human papillomavirus (HPV) vaccine, cancer screening, and the follow-up of abnormal tests. Examples of groups still experiencing increased cancer rates are African Americans and low socioeconomic populations. In addition, these populations have increased HPV prevalence rates. Since HPV is a problem in these groups, ways to address increased HPV rates are needed. A health disparities research team at The Ohio State University in partnership with the Columbus Neighborhood Health Center, Inc. (CNHC), a federally qualified health center, proposes to develop an educational program, STOP (Share, Train, Organize, to Prevent) HPV, aimed at reducing HPV-associated diseases by improving HPV vaccination rates among female and male adolescents (age 9-18). The goal of this proposal is to develop, refine, and test the feasibility of a culturally appropriate multi-level educational program intended for parents (level 1) of adolescents who seek care at a CNHC, the healthcare team (physicians, nurses, assistants, and staff) (level 2) at the CNHC, and the health center (level 3) to increase HPV vaccination rates among adolescents. The specific aims of this study are to: (1) Develop a multi-level HPV vaccine educational intervention directed at parents, providers/staff, and the health center that includes: (a) sharing information about HPV, HPV-associated cancers and diseases, and the HPV vaccine; (b) communication skills training to improve parent-provider conversations about the HPV vaccine; and (c) organizational level components to increase vaccination rates; and (2) Test the feasibility of the multi-level HPV vaccine educational intervention among 10 parents of adolescent females and 10 parents of adolescent males, providers/staff, and one health center. Specific aims will be carried out in partnership with parents, healthcare providers and staff from two CNHCs. PUBLIC HEALTH RELEVANCE: There are health disparities associated with cancer in the United States partially due to increased human papillomavirus (HPV) prevalence rates among certain population groups. The goal of this proposed project is to develop a multi-level HPV vacccine educational program and test the feasibility of the program among parents of children (age 9-18) from mainly an underserved population seeking medical care at a federally qualified health center. The proposed project uses a health disparities research team in partnership with a neighborhood health center to develop and test the feasibility of a HPV vaccine educational program.