IMPACT Project 1 – The impact of standing orders support on HPV vaccine communication and uptake
IMPACT 项目 1 — 常规订单支持对 HPV 疫苗传播和采用的影响
基本信息
- 批准号:10266272
- 负责人:
- 金额:$ 37.43万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 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:
- 关键词:AddressAdolescentAgeAreaChildClinicClinic VisitsClinicalCommunicationComplementCost Effectiveness AnalysisDataDevelopmentEducational InterventionEducational workshopHealthcareHealthcare SystemsHourHuman Papilloma Virus VaccinationHuman Papilloma Virus VaccineImmunizationInterventionInterviewLanguageLawsMedicalMississippiMissouriMotivationNursesOutcomeParentsParticipantPatientsPersuasive CommunicationPrimary Health CareProgram Research Project GrantsProviderPublicationsRandomizedRandomized Clinical TrialsRecommendationRegistered nurseResearchRoleRuralSeriesSlideSpecific qualifier valueSurveysSystemTestingTexasTrainingTraining ProgramsTrustUpdateVaccinesWorkarmbasecancer preventioncostcost effectivenessimplementation determinantsimplementation interventionimplementation outcomesimprovedinformantinnovationintervention programmeetingsmemberpatient populationprogramsrural arearural patientsruralityskillssupport toolstraining projectuptakevaccine acceptancevaccine delivery
项目摘要
ABSTRACT – Project 1
An ongoing and pressing cancer prevention challenge in the US is low HPV vaccine coverage, due in part
to infrequent and low-quality provider recommendations. Our 1-hour Announcement Approach Training (AAT)
teaches providers to use presumptive announcements that presume the child will receive vaccines and to use
best practices for respectfully addressing parent concerns when they arise. The AAT increases HPV vaccine
initiation and is an NCI-designated Research-Tested Intervention Program. To increase the impact of the AAT,
we propose to leverage the whole primary care team, including registered nurses (RNs) and medical assistants
(MAs), by supporting the implementation of existing standing orders. Standing orders are widely available but
often underused. As part of the P01 Program Project, “Improving Provider Announcement Communication
Training (IMPACT),” Project 1 will focus on AAT enhanced with standing orders support to expand the whole
primary care team's involvement in HPV vaccine recommendations. We will do this work in healthcare systems
serving rural and nonrural areas. Aim 1 is to characterize the role of RNs and MAs and standing orders in
HPV vaccination. We will conduct formative interviews (n=20) and then a national primary care team survey
(n=2,500) with our P01's Data Core to better understand how to expand the role of RNs and MAs in
recommending HPV vaccine and to implement existing standing orders for HPV vaccine. Aim 2 is to evaluate
the impact of supporting the implementation of existing standing orders for the whole primary care
team on HPV vaccine communication and uptake in an RCT. The standing orders support will be a series
of activation meetings that use persuasion and skills building with system leaders, clinic leaders and clinic staff.
We will conduct a trial in 40 primary care clinics in Mississippi, Missouri, and Texas that have HPV vaccination
standing orders, serve patients from rural and nonrural areas, and are part of a healthcare system. Clinics will
be randomized to AAT or AAT enhanced with standing orders support. The primary trial outcome will be clinic-
verified HPV vaccine initiation among children ages 11-12. We hypothesize that AAT with standing orders
support increases HPV vaccine uptake by improving HPV vaccine communication. Aim 3 is to generate
guidance for healthcare systems to support implementation of HPV vaccine standing orders to leverage
the whole primary care team. We will gather and share intervention data (cost, impact, and implementation
data) with Project 4 to support cost-effectiveness analyses and development of their decision support tool. We
will examine intervention implementation determinants and outcomes with our P01's Intervention Core. Finally,
we will contribute modules to the AAT Intervention Package that provides guidance to healthcare systems for
improving HPV vaccination. Project 1 addresses the IMPACT Program Project theme by building capacity for
HPV vaccine communication interventions among primary care teams in healthcare systems.
摘要-项目1
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Noel Todd Brewer其他文献
Noel Todd Brewer的其他文献
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{{ truncateString('Noel Todd Brewer', 18)}}的其他基金
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:
10493145 - 财政年份:2021
- 资助金额:
$ 37.43万 - 项目类别:
Administrative Core – Improving Provider Announcement Communication Training (IMPACT)
管理核心 — 改进提供商公告沟通培训 (IMPACT)
- 批准号:
10927505 - 财政年份:2021
- 资助金额:
$ 37.43万 - 项目类别:
IMPACT Project 1 – The impact of standing orders support on HPV vaccine communication and uptake
IMPACT 项目 1 — 常规订单支持对 HPV 疫苗传播和采用的影响
- 批准号:
10493153 - 财政年份:2021
- 资助金额:
$ 37.43万 - 项目类别:
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:
10266271 - 财政年份:2021
- 资助金额:
$ 37.43万 - 项目类别:
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 - 财政年份:2021
- 资助金额:
$ 37.43万 - 项目类别:
Administrative Core – Improving Provider Announcement Communication Training (IMPACT)
管理核心 — 改进提供商公告沟通培训 (IMPACT)
- 批准号:
10266276 - 财政年份:2021
- 资助金额:
$ 37.43万 - 项目类别:
Administrative Core – Improving Provider Announcement Communication Training (IMPACT)
管理核心 — 改进提供商公告沟通培训 (IMPACT)
- 批准号:
10493200 - 财政年份:2021
- 资助金额:
$ 37.43万 - 项目类别:
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