A Practice-Provider-Parent-Adolescent intervention to increase HPV vaccination

实践-提供者-家长-青少年干预措施以增加 HPV 疫苗接种

• 批准号: 9212635
• 负责人: Robert A. Bednarczyk
• 金额: $ 11.44万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-02-01 至 2019-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9212635
• 关键词: 12 year old; 17 year old; Academy; Address; Adolescent; Advisory Committees; American; Applications Grants; Appointment; Attitude; Behavior Therapy; Behavioral; Behavioral Sciences; Cervical Cancer Screening; Childhood; Clinic; Clinical Trials; Communicable Diseases; Communities; Complement; Conjugate Vaccines; Decision Making; Development; Diphtheria Toxoid; Disease; Dose; Education; Educational Background; Educational Intervention; Effectiveness; Epidemiology; Evaluation; Evidence based intervention; Exposure to; Female Adolescents; Focus Groups; Future; Health Knowledge, Attitudes, Practice; Health Personnel; Health education; Healthcare; Healthcare Systems; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papillomavirus; Individual; Instruction; Intervention; Interview; K-Series Research Career Programs; Knowledge; Lead; Licensure; Literature; Logistics; Malignant neoplasm of cervix uteri; Managed Care; Marketing; Measures; Medical; Mentors; Methods; Nursing Staff; Office Visits; Parents; Patients; Pediatrics; Pertussis Vaccine; Phase; Physicians; Physicians' Offices; Policies; Population; Provider; Randomized; Reading; Recommendation; Recruitment Activity; Research; Research Personnel; Research Proposals; Series; Sexually Transmitted Diseases; Surveys; System; Testing; Tetanus Vaccine; Theory of Change; Time; Training; Training Programs; Trust; United States; Vaccination; Vaccines; Visit; adolescent health; adolescent patient; base; behavioral study; cancer diagnosis; care seeking; career; cost; design; evidence base; experience; follow-up; girls; health care availability; improved; informant; interdisciplinary approach; prevent; programs; public health relevance; science education; tenure track; theories; uptake; vaccine effectiveness; vaccine safety

DESCRIPTION (provided by applicant): Uptake of the human papillomavirus (HPV) vaccine among adolescents has trailed that of other recently recommended adolescent vaccines. Numerous studies have documented a number of wide-ranging barriers to receipt of HPV vaccine, but to date, there has not been a comprehensive program targeted to all components of the adolescent health care decision making population to address these low vaccination levels. This mentored training program will utilize instruction in behavioral sciences to lead to development of a multi- pronged, comprehensive intervention toolkit with components targeted to physician offices/practices, individual health care providers, adolescents, and their parents, t improve uptake of the human papillomavirus vaccine. To date, my training in epidemiology has focused on quantitative analysis of infectious disease and vaccine-related studies. Previously, I conducted research to better understand the barriers to HPV vaccine acceptance, while serving as the Assistant to Chair of the National Vaccine Advisory Committee. Having witnessed how vaccine policy decisions are made, and the types of information that needed to make these recommendations, I am seeking to leverage this experience to move to a new phase of my career, seeking training in a new field (behavioral sciences) and using this to develop methods to address suboptimal adolescent vaccine rates in the US. Through this mentored research, I anticipate obtaining evidence that can be utilized to develop additional R01 grant applications to continue studying behavioral interventions to improve adolescent health. These future studies will be a primary component of my research portfolio as I transition to working as an independent investigator in a tenure-track academic appointment. Through this career development award, I will obtain education in behavioral science and health education through coursework and directed readings, with a focus on developing and implementing materials to effect behavioral change with regard to adolescent health care decision making. Over a four-year period, I will (a) utilize in-class education and directed readings to better understand these behavioral science methods, (b) conduct key informant interviews and focus groups to clarify barriers to HPV vaccination and identify the best ways to mitigate these barriers, and (c) develop a toolkit with components directed at four levels of the adolescent health care decision making system (medical office/practice, healthcare providers [physicians and nursing staff], adolescents, and their parents). The final component of the research will be an evaluation of the effectiveness of this toolkit in improving HPV vaccine uptake, as measured through differences between baseline and follow-up surveys. These activities will occur within community-level pediatric practices in the state of GA.

描述(由申请人提供)：青少年对人乳头瘤病毒(HPV)疫苗的接受程度落后于最近推荐的其他青少年疫苗。许多研究记录了许多获得HPV疫苗的广泛障碍，但到目前为止，还没有一个针对青少年保健决策人群所有组成部分的全面计划来解决这些低接种水平的问题。这一有指导的培训计划将利用行为科学方面的指导，开发一种多管齐下的综合干预工具包，其组件针对医生办公室/诊所、个人卫生保健提供者、青少年及其父母，以提高对人乳头状瘤病毒疫苗的接受。 到目前为止，我在流行病学方面的培训主要集中在传染病的量化分析和疫苗相关研究上。此前，我在担任国家疫苗咨询委员会主席助理期间进行了研究，以更好地了解接受HPV疫苗的障碍。在目睹了疫苗政策决策是如何做出的，以及提出这些建议所需的信息类型后，我正在寻求利用这一经历进入我职业生涯的新阶段，寻求一个新领域(行为科学)的培训，并利用这一点来开发方法，以解决美国青少年疫苗接种率不佳的问题。通过这项有指导的研究，我期望获得可用于开发额外的R01拨款申请的证据，以继续研究改善青少年健康的行为干预措施。这些未来的研究将是我研究组合的主要组成部分，因为我将过渡到终身教职学术任命的独立调查员工作。 通过这个职业发展奖，我将通过课程作业和定向阅读获得行为科学和健康教育方面的教育，重点是开发和实施材料，以影响青少年保健决策方面的行为改变。在四年的时间里，我将(A)利用课堂教育和定向阅读来更好地了解这些行为科学方法，(B)进行关键的告密者访谈和重点小组，以澄清HPV疫苗接种的障碍并确定缓解这些障碍的最佳方法，以及(C)开发一个工具包，其中包含针对青少年保健决策系统四个层面(医疗办公室/诊所、保健提供者[医生和护理人员]、青少年及其父母)的组成部分。这项研究的最后一个组成部分将是通过基线调查和后续调查之间的差异来衡量该工具包在改善HPV疫苗接种率方面的有效性。这些活动将在GA州的社区一级儿科实践中进行。

项目成果

Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults.

• DOI: 10.1016/j.pvr.2017.04.002
• 发表时间: 2017-06
• 期刊: Papillomavirus research (Amsterdam, Netherlands)
• 作者: Bednarczyk RA;Whitehead JL;Stephenson R
• 通讯作者: Stephenson R

Impact of Gender-Specific Human Papillomavirus Vaccine Recommendations on Uptake of Other Adolescent Vaccines: Analysis of the NIS-Teen (2008-2012).

• DOI: 10.1097/phh.0000000000000335
• 发表时间: 2017
• 期刊: Journal of public health management and practice : JPHMP
• 作者: Bednarczyk RA;Orenstein WA;Omer SB
• 通讯作者: Omer SB

The Church, the State, and Vaccine Policy.

• DOI: 10.1080/15265161.2017.1284932
• 发表时间: 2017-04
• 期刊: The American journal of bioethics : AJOB
• 作者: Bednarczyk RA;Tate T;Opel DJ;Omer SB
• 通讯作者: Omer SB

Practice-, Provider-, and Patient-level interventions to improve preventive care: Development of the P3 Model.

• DOI: 10.1016/j.pmedr.2018.06.009
• 发表时间: 2018-09
• 期刊: Preventive medicine reports
• 影响因子: 2.8
• 作者: Bednarczyk RA;Chamberlain A;Mathewson K;Salmon DA;Omer SB
• 通讯作者: Omer SB

Why is it appropriate to recommend human papillomavirus vaccination as cervical cancer prevention?

为什么推荐人乳头瘤病毒疫苗接种来预防宫颈癌是合适的？

• DOI: 10.1016/j.ajog.2015.10.920
• 发表时间: 2016
• 期刊: American journal of obstetrics and gynecology
• 影响因子: 9.8
• 作者: Bednarczyk,RobertA;Figueroa-Downing,Daniella;Ault,Kevin
• 通讯作者: Ault,Kevin