Program Project – Improving Provider Announcement Communication Training (IMPACT)

计划项目 — 改进提供商公告沟通培训 (IMPACT)

• 批准号: 10831654
• 负责人: Noel Todd Brewer
• 金额: $ 12.5万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-23 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10831654
• 关键词: Acceleration; Address; Administrative Coordination; Adolescent; Adoption; Area; Behavioral; Cancer Control; Clinic; Clinical; Communication; Communities; Data; Data Collection; Decision Aid; Educational Intervention; Effectiveness; Evolution; Face; Goals; Healthcare Systems; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Intervention; Malignant Neoplasms; Medical; National Cancer Institute; Nurse' s Role; Online Systems; Parents; Perception; Prevention; Primary Care; Program Research Project Grants; Provider; Recommendation; Research; Research Activity; Research Project Grants; Resources; Rural; Surveys; System; Testing; Training; Training Activity; Training Programs; Work; budget impact; cancer prevention; contextual factors; cost; cost effectiveness; data management; effective intervention; financial incentive; improved; insight; intervention program; models and simulation; novel; population health; prevent; primary care team; programs; randomized, clinical trials; rural area; support tools; synergism; uptake; vaccine acceptance

ABSTRACT – Overall Widespread HPV vaccination in the US could prevent 32,100 cancers every year. Despite this tremendous potential, HPV vaccination coverage is far short of the nation's goal of 80%. Provider recommendations are uniquely powerful in increasing HPV vaccine uptake. However, primary care teams and healthcare systems face barriers to effective HPV vaccine communication, and many questions remain unanswered about how to increase the potency of provider recommendations. We propose the P01 Program Project, “Improving Provider Announcement Communication Training (IMPACT).” The goal of IMPACT is to improve HPV vaccine communication and uptake among adolescents. IMPACT's specific aims are to 1) Identify opportunities to improve HPV vaccine communication; 2) Evaluate the impact and cost of HPV vaccine communication interventions in cluster randomized clinical trials; and 3) Support implementation of HPV vaccine communication interventions in healthcare systems. The IMPACT Program Project's shared theme is amplifying the impact of a Research-Tested Intervention Program to improve HPV vaccine communication in healthcare systems. The projects will work together to enhance the impact of the Announcement Approach Training (AAT), an HPV vaccine communication training for primary care professionals, which received designation as a Research-Tested Intervention Program (RTIP) from the National Cancer Institute. Project 1 will establish how to involve the whole primary care team in HPV vaccine recommendations. The project will examine whether optimizing the use of standing orders support increases HPV vaccine uptake in clinics receiving the AAT. Project 2 will examine what motivates providers to recommend HPV vaccination. The project will establish whether clinic-level financial incentives increase vaccine uptake in clinics receiving the AAT. Project 3 will examine who should facilitate the trainings. The project will establish whether engaging clinical champions in healthcare systems to implement the AAT within their own systems increases vaccine uptake. Project 4 will examine which interventions fit systems' resources. The project will examine the budget impact, cost-effectiveness, and population health impact of HPV vaccine interventions in rural and nonrural communities and aid decision makers with a decision support tool to facilitate the adoption of promising interventions. The research projects will receive support from 3 cores: Administrative, Data, and Intervention. IMPACT's activities will culminate with the creation of the AAT Intervention Package to support improving HPV vaccine uptake in healthcare systems. Throughout the proposed Program Project, the shared theme and AAT focus will create synergies among the projects and cores that generates significant and novel scientific insights into how to improve HPV vaccine communication and uptake. Our approach will also accelerate the evolution of communication trainings for primary care professionals, accomplishing in 5 years what might otherwise take two decades.

摘要——总体 在美国广泛接种 HPV 疫苗每年可以预防 32,100 种癌症。尽管有如此巨大的 HPV疫苗接种覆盖率远低于国家80%的目标。提供者的建议是 在增加 HPV 疫苗的接种方面具有独特的功效。然而，初级保健团队和医疗保健系统 HPV 疫苗的有效沟通面临障碍，并且关于如何接种疫苗的许多问题仍未得到解答 提高提供商推荐的效力。我们提出P01计划项目“改善提供商 公告沟通培训（IMPACT）。” IMPACT 的目标是改进 HPV 疫苗 青少年之间的沟通和吸收。 IMPACT 的具体目标是 1) 识别机会 改善 HPV 疫苗的沟通； 2) 评估HPV疫苗传播的影响和成本 整群随机临床试验的干预措施； 3) 支持HPV疫苗的实施 医疗保健系统中的沟通干预。 IMPACT 计划项目的共同主题是 扩大经过研究测试的干预计划的影响以改进 HPV 疫苗 医疗保健系统中的通信。这些项目将共同努力，增强该项目的影响力 公告方法培训 (AAT)，针对初级保健的 HPV 疫苗沟通培训 专业人士，该项目被指定为研究测试干预计划（RTIP） 国家癌症研究所。项目 1 将确定如何让整个初级保健团队参与 HPV 疫苗接种 建议。该项目将研究优化常规订单支持的使用是否会增加 接受 AAT 的诊所接种 HPV 疫苗。项目 2 将研究是什么激励提供者 建议接种 HPV 疫苗。该项目将确定诊所层面的财政激励措施是否增加 接受 AAT 的诊所的疫苗接种情况。项目 3 将审查谁应该为培训提供便利。这 项目将确定是否让医疗保健系统中的临床冠军参与其中以实施 AAT 他们自己的系统增加了疫苗的吸收。项目 4 将检查哪些干预措施适合系统资源。 该项目将研究 HPV 疫苗的预算影响、成本效益和人口健康影响 对农村和非农村社区进行干预，并通过决策支持工具帮助决策者 促进采取有希望的干预措施。研究项目将得到3个核心的支持： 行政、数据和干预。 IMPACT 的活动将随着 AAT 的创建而达到顶峰 支持改善医疗保健系统中 HPV 疫苗接种的干预方案。整个 拟议的计划项目、共同主题和 AAT 重点将在项目和 产生关于如何改善 HPV 疫苗传播的重要且新颖的科学见解的核心 和吸收。我们的方法还将加速初级保健沟通培训的发展 专业人士在 5 年内完成原本需要 20 年才能完成的工作。

项目成果

It's Time for a National Surveillance System for Vaccine Confidence and Hesitancy.

是时候建立一个国家疫苗信心和犹豫监测系统了。

• DOI: 10.1542/peds.2023-063169
• 发表时间: 2023
• 期刊: Pediatrics
• 影响因子: 8
• 作者: Gilkey,MelissaB;Brewer,NoelT
• 通讯作者: Brewer,NoelT

Who are vaccine champions and what implementation strategies do they use to improve adolescent HPV vaccination? Findings from a national survey of primary care professionals.

谁是疫苗倡导者？他们采用哪些实施策略来改善青少年 HPV 疫苗接种？

• DOI: 10.1186/s43058-024-00557-0
• 发表时间: 2024
• 期刊: Implementation science communications
• 作者: Brewington,MicaelaK;Queen,TaraL;Heisler-MacKinnon,Jennifer;Calo,WilliamA;Weaver,Sandra;Barry,Chris;Kong,WeiYi;Kennedy,KathrynL;Shea,ChristopherM;Gilkey,MelissaB
• 通讯作者: Gilkey,MelissaB