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例癌症。尽管这个巨大的 HPV疫苗接种覆盖率远远低于国家80%的目标。供应商建议 在增加HPV疫苗摄取方面具有独特的强大作用。然而，初级保健团队和医疗保健系统 面临有效HPV疫苗传播的障碍，关于如何 提高供应商推荐的效力。我们提出了P01计划项目，“改善供应商 公告沟通培训（IMPACT）。IMPACT的目标是改进HPV疫苗 青少年的沟通和吸收。IMPACT的具体目标是：（1）确定机会， 改善HPV疫苗传播; 2）评估HPV疫苗传播的影响和成本 干预随机临床试验; 3）支持实施HPV疫苗 医疗保健系统的沟通干预。IMPACT计划项目的共同主题是 扩大经研究测试的干预计划的影响，以改善HPV疫苗 医疗保健系统中的通信。这些项目将共同努力， 公告方法培训（AAT），初级保健HPV疫苗沟通培训 专业人士，它收到指定为研究测试干预计划（RTIP）从 美国国家癌症研究所.项目1将确定如何让整个初级保健团队参与HPV疫苗 建议.该项目将审查是否优化使用长期订单支持增加 接受AAT的诊所的HPV疫苗接种率。项目2将研究是什么促使供应商 建议接种HPV疫苗。该项目将确定诊所一级的财政激励是否增加 接受辅助性抗痨治疗的诊所的疫苗接种率。项目3将审查谁应促进培训。的 项目将确定是否在医疗保健系统中聘请临床冠军，以在 它们自身的系统增加了疫苗的吸收。项目4将审查哪些干预措施适合系统的资源。 该项目将审查HPV疫苗的预算影响、成本效益和人口健康影响 在农村和非农村社区采取干预措施，并利用决策支持工具帮助决策者， 促进采取有希望的干预措施。研究项目将得到三个核心的支持： 管理、数据和干预。IMPACT的活动将随着AAT的创建而达到高潮 支持改善医疗保健系统HPV疫苗接种的干预计划。在整个 拟议的计划项目，共同的主题和AAT重点将在项目之间产生协同作用， 核心，产生关于如何改善HPV疫苗传播的重要和新颖的科学见解 和摄取。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，否则可能需要20年。

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