Intervention Core - Improving Provider Announcement Communication Training (IMPACT)

干预核心 - 改进提供商公告沟通培训 (IMPACT)

• 批准号: 10266277
• 负责人: Melissa B Gilkey
• 金额: $ 25.34万
• 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/10266277
• 关键词: Academia; Address; Adolescent; Advocacy; Advocate; Behavioral Sciences; Childhood; Clinic; Clinical; Communication; Cost Effectiveness Analysis; Data; Data Collection; Discipline of Nursing; Educational Curriculum; Educational Intervention; Educational workshop; Effectiveness; Effectiveness of Interventions; Ensure; Environment; Evaluation; Evidence based intervention; Family; Family Practice; Feedback; Future; Goals; Health Policy; Healthcare Systems; Hour; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papillomavirus; Instruction; Intervention; Lead; Malignant Neoplasms; Measures; Medical; Medicine; Monitor; Nurse Practitioners; Nurses; Parents; Patients; Pediatrics; Performance; Physician Assistants; Physicians; Policies; Population; Preparation; Preventive care; Primary Health Care; Procedures; Production; Provider; Public Health; Randomized Clinical Trials; Recommendation; Research; Research Project Grants; Resources; Safety; Social Sciences; Speed; Sum; Testing; Time; Trainers Training; Training; Training Programs; Translations; Update; Vaccination; Work; Youth; cancer prevention; clinical practice; clinical research site; cost; cost effectiveness; data sharing; design; financial incentive; health economics; implementation barriers; implementation facilitation; implementation measures; implementation outcomes; improved; meetings; multidisciplinary; program dissemination; programs; recruit; research to practice; rural area; social media; therapy development; tool; tool development; trend; vaccine acceptance; web site

ABSTRACT – Intervention Core The Intervention Core will support the proposed Program Project, “Improving Provider Announcement Communication Training (IMPACT)” with the goal of improving HPV vaccination in healthcare systems. The Intervention Core will synthesize project-specific findings regarding the implementation and effectiveness of standing orders support (Project 1), financial incentives (Project 2), and clinical champions (Project 3) into the Announcement Approach Training (AAT) Intervention Package. AAT is a brief communication workshop that helps primary care teams improve the way they recommend HPV vaccine and address parents' concerns. In a prior randomized clinical trial, AAT increased HPV vaccine coverage by 5 percentage points over the control within just 3 months. The proposed Program Project seeks to amplify AAT's impact by combining it with the interventions to be tested in Projects 1-3. The Program Project will then compare the population impact and cost-effectiveness of these interventions, including in rural areas (Project 4). The Intervention Core will support the four research projects in the P01 to maximize the quality and comparability of AAT interventions delivered and evaluated over the 5-year study period. Aim 1 is to convene a Clinical Advisory Board to provide projects with multi-disciplinary implementation support. Our board includes leaders in pediatrics, family medicine, nursing, quality improvement, and patient and family advocacy. Through quarterly meetings, the board will support the development of intervention materials, the recruitment and retention of clinical sites, and the interpretation and dissemination of study findings. Aim 2 is to prepare AAT facilitators and training materials for intervention delivery. To achieve the highest-quality interventions, we will centralize (1) the training of the facilitators who will deliver our AAT workshops to primary care teams and (2) the preparation of intervention materials. Aim 3 is to harmonize assessment of implementation measures, including cost. The Intervention Core will monitor the quality of implementation data collected in Projects 1-3 to ensure timeliness, completeness, and accuracy. This quality monitoring will support the successful completion of Project 4's cost-effectiveness analyses and other information for the AAT Intervention Package. Aim 4 is to facilitate the national dissemination of study findings and intervention materials. Collaborating with Projects 1-4, the Intervention Core will disseminate study deliverables to audiences in academia, clinical practice, and public health. Most notably, the Core will lead the production of the AAT Intervention Package for improving HPV vaccination in healthcare systems. In sum, the Intervention Core will be instrumental to the Program Project's goals of improving primary care teams' communication, increasing HPV vaccine uptake, and ensuring that today's youth have the highest level of protection against future HPV cancers. The Intervention Core addresses the IMPACT Program Project theme by building capacity for HPV vaccine communication interventions among primary care teams in healthcare systems.

摘要 - 干预核心 干预核心将支持拟议的计划项目，“改善提供商的公告 沟通培训（影响）”，目的是改善医疗保健系统中的HPV疫苗接种。 干预核心将综合针对项目的针对实施和有效性 常规订单支持（项目1），财务激励措施（项目2）和临床冠军（项目3） 公告方法培训（AAT）干预包。 AAT是一个简短的沟通研讨会 帮助初级保健团队改善他们推荐HPV疫苗的方式并解决父母的担忧。在 先前的随机临床试验，AAT在控制范围内将HPV疫苗覆盖率提高了5个百分点 在短短三个月内。拟议的计划项目旨在通过将AAT与 在项目1-3中要测试的干预措施。然后，该计划项目将比较人口影响和 这些干预措施的成本效益，包括在粗糙区域（项目4）。干预核心将支持 P01中的四个研究项目，以最大化AAT干预措施的质量和可比性 并在5年的研究期间进行了评估。目标1是召集临床顾问委员会以提供 具有多学科实施支持的项目。我们的董事会包括儿科领导者，家庭 医学，护士，质量改善以及患者和家庭倡导。通过季度会议， 董事会将支持开发干预材料，招募和保留临床站点以及 研究结果的解释和传播。目标2是准备AAT促进者和培训 干预交付的材料。为了达到最高质量的干预措施，我们将集中（1） 培训将向初级保健团队提供我们的AAT研讨会的主持人和（2）准备 干预材料。目标3是协调对实施措施的评估，包括成本。 干预核心将监视项目1-3中收集的实施数据的质量，以确保 及时性，完整性和准确性。这种质量监控将支持成功完成 项目4的成本效益分析和AAT干预软件包的其他信息。目标4是 促进全国性研究结果和干预材料的传播。与之合作 项目1-4，干预核心将向学术界的观众传播研究可交付成果，临床 实践和公共卫生。最值得注意的是，核心将领导AAT干预的生产 改善医疗保健系统中HPV疫苗接种的包装。总之，干预核心将是 对计划项目改善初级保健团队的沟通的目标有助于增加HPV 吸收疫苗，并确保当今年轻人对未来HPV的保护最高水平 癌症。干预核心通过建立HPV的能力来解决影响计划项目主题 医疗保健系统初级保健团队之间的疫苗通信干预措施。