Increasing HPV Vaccination Rates through Virtual Immersive Communication Training on Recommending Immunizations: An Efficacy Study of VICTORI

通过虚拟沉浸式推荐免疫沟通培训提高 HPV 疫苗接种率：VICTORI 的功效研究

• 批准号: 10059195
• 负责人: Francis Real
• 金额: $ 22.35万
• 依托单位: CINCINNATI CHILDRENS HOSP MED CTR
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-12-01 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10059195
• 关键词: 15 year old; 17 year old; 3-Dimensional; Address; Adolescent; Adoption; Age; Anogenital cancer; Attitude; Behavior; Behavioral; Child; Childhood; Clinical; Communication; Counseling; Data; Diffusion; Education; Educational process of instructing; Effectiveness; Effectiveness of Interventions; Electronic Health Record; Environment; Evaluation; Female Adolescents; Funding; Goals; Happiness; Healthy People 2020; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Immersion; Immunization; Incentives; Intervention; Malignant Neoplasms; Mediating; Medical; Medical Education; Methods; Mission; Modeling; Morbidity - disease rate; Nurses; Outcome; Outpatients; Parents; Patients; Physicians; Planning Theory; Provider; Public Health; Recommendation; Research; Self Efficacy; Series; Site; Standardization; Technology; Time; Training; Translating; United States National Institutes of Health; Vaccinated; Vaccination; Vaccines; Work; acceptability and feasibility; adolescent patient; base; boys; computer generated; design; effective intervention; effectiveness evaluation; efficacy evaluation; efficacy study; experience; falls; girls; health belief; human mortality; improved; influenza virus vaccine; innovation; male; multi-site trial; novel; prevent; primary outcome; simulation; skill acquisition; skills; social cognitive theory; successful intervention; theories; therapy design; vaccine hesitancy; virtual; virtual reality; virtual reality environment; virtual reality intervention; virtual reality simulation; webinar

PROJECT SUMMARY Despite strong evidence the human papillomavirus (HPV) vaccine is effective in preventing certain anogenital cancers, only 69% of adolescent females and 63% of males in the U.S. have initiated the series. Research has demonstrated that the leading predictor of parents’ decision to vaccinate their child against HPV is a strong recommendation from physicians. Recent interventions have focused on improving physicians’ recommendations through education about national recommendations via presentations, webinars, electronic health record alerts, and quality improvement incentives. Despite the rigorous and innovative methods used, these studies have resulted in variable effects, perhaps, in part, because of the lack of immersive, deliberate practice of communicating vaccine recommendations. Our research team’s long-term goal is to increase HPV vaccination rates in adolescents, which will decrease rates of HPV-associated cancers and pre-cancers. The objective of this application is to evaluate the effectiveness of a novel virtual reality intervention, Virtual Immersive Communication Training on Recommending Immunizations (VICTORI), designed to enhance the strength of physicians’ HPV vaccine recommendations through deliberate practice. We will evaluate whether VICTORI improves HPV vaccine initiation and completion rates among 11 to 17-year-old patients, as well as improves physicians’ HPV vaccine attitudes, self-efficacy, and strength of recommendation. Our hypothesis is that the implementation of VICTORI will be positively associated with an increase in vaccine initiation and completion rates, and that this association will be mediated by improvements in physician attitudes, self-efficacy, and strength of recommendation. The rationale for the proposed research is that an evaluation of VICTORI will inform effective and scalable strategies to train physicians to provide strong vaccine recommendations, resulting in increased HPV vaccine rates and ultimately lower rates of HPV-associated cancers. To achieve our objective, we will accomplish these specific aims: (1) evaluate VICTORI for acceptability and feasibility, and (2) conduct a single- site intervention assessing the efficacy of VICTORI in increasing HPV vaccine rates. The proposed research is significant because it is the first step in determining the effect of deliberate practice using virtual reality simulations to increase HPV vaccine initiation and completion rates. The approach is innovative because it is the first rigorous effort to develop and evaluate the efficacy of virtual reality as a training platform to teach best-practice communication skills related to HPV vaccine counseling. The expected outcome of this work is successful implementation of VICTORI, designed to increase strong HPV vaccination recommendations by physicians, which in turn will increase HPV vaccination rates.

项目摘要 尽管有强有力的证据表明，人乳头瘤病毒（HPV）疫苗在预防某些肛门生殖器疾病方面是有效的。 在美国，只有69%的青少年女性和63%的男性开始了这一系列的研究。研究 研究表明，父母决定为孩子接种HPV疫苗的主要预测因素是一种强有力的 医生的建议。最近的干预措施集中在改善医生的 通过演讲、网络研讨会、电子健康记录， 警报和质量改进激励措施。尽管使用了严格和创新的方法，这些研究 导致了不同的效果，也许，部分原因是缺乏沉浸式的，故意的实践， 推荐疫苗。我们研究团队的长期目标是增加HPV疫苗接种 这将降低HPV相关癌症和癌前病变的发病率。的目标 本申请旨在评估一种新的虚拟现实干预（虚拟沉浸式）的有效性 关于推荐免疫接种的沟通培训（VICTORI），旨在加强 HPV疫苗的接种建议通过深思熟虑的实践。我们将评估维多利亚 提高了11至17岁患者的HPV疫苗启动和完成率， 医生对HPV疫苗的态度、自我效能和推荐强度。我们的假设是 VICTORI的实施将与疫苗启动和完成率的增加呈正相关， 这种关联将通过医生态度、自我效能和 推荐拟议研究的理由是，对VICTORI的评估将为有效的 和可扩展的战略，以培训医生提供强有力的疫苗建议，从而增加 HPV疫苗接种率和最终降低HPV相关癌症的发病率。为了达到我们的目标，我们会 实现这些具体目标：（1）评估VICTORI的可接受性和可行性，以及（2）进行单一- 现场干预评估VICTORI在提高HPV疫苗接种率方面的疗效。拟议的研究是 重要的是，这是确定使用虚拟现实进行故意练习的效果的第一步 模拟增加HPV疫苗启动和完成率。这种方法是创新的，因为它是第一个 严格努力开发和评估虚拟现实作为培训平台的有效性，以教授最佳实践 与HPV疫苗咨询相关的沟通技巧。这项工作的预期成果是成功的 实施VICTORI，旨在增加医生对HPV疫苗接种的强烈建议， 这反过来又会提高HPV疫苗接种率。

项目成果

Impact of a Virtual Reality Curriculum on Human Papillomavirus Vaccination: A Pilot Trial.

• DOI: 10.1016/j.amepre.2022.05.003
• 发表时间: 2022-11
• 期刊: AMERICAN JOURNAL OF PREVENTIVE MEDICINE
• 影响因子: 5.5
• 作者: Real, Francis J.;Ollberding, Nicholas J.;Meisman, Andrea R.;DeBlasio, Dominick J.;Pero, Mary Beth;Davis, David;Cruse, Bradley;Klein, Melissa D.;Kahn, Jessica A.;Rosen, Brittany L.
• 通讯作者: Rosen, Brittany L.

Usability matters for virtual reality simulations teaching communication.

• DOI: 10.1111/medu.14314
• 发表时间: 2020-11
• 期刊: Medical education
• 影响因子: 6
• 作者: Real FJ;Meisman A;Rosen BL
• 通讯作者: Rosen BL