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
• 负责人: Noel Todd Brewer
• 金额: $ 238.1万
• 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/10266271
• 关键词: 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 Papillomavirus; Intervention; Malignant Neoplasms; Medical; Modeling; National Cancer Institute; Nurse' s Role; Online Systems; Parents; Perception; Prevention; Primary Health Care; Program Research Project Grants; Provider; Randomized Clinical Trials; 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; effective intervention; financial incentive; improved; insight; intervention program; novel; population health; prevent; programs; 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 美国广泛的HPV疫苗接种可预防每年32,100次癌症。尽管如此巨大 潜在的HPV疫苗覆盖范围远远远远远远远远没有达到80％的目标。提供者的建议是 在增加HPV疫苗摄取方面具有独特功能。但是，初级保健团队和医疗保健系统 有效HPV疫苗通信的面部障碍，许多问题仍未得到解决 增加提供者建议的效力。我们提出了P01计划项目，“改善提供商 公告沟通培训（影响）。”影响的目的是改善HPV疫苗 青少年之间的交流和吸收。 Impact的具体目的是1）确定机会 改善HPV疫苗通信； 2）评估HPV疫苗通信的影响和成本 簇随机临床试验的干预； 3）支持HPV疫苗的实施 医疗保健系统中的交流干预措施。影响计划项目的共同主题是 扩大研究测试干预计划以改善HPV疫苗的影响 医疗保健系统中的沟通。这些项目将共同努力，以增强 公告方法培训（AAT），HPV疫苗通信培训 专业人士，从 国家癌症研究所。项目1将建立如何使整个初级保健团队参与HPV疫苗 建议。该项目将检查优化常规订单支持支持是否增加 接受AAT的诊所中的HPV疫苗摄取。项目2将检查什么激励提供者 建议的HPV疫苗接种。该项目将确定诊所级财务激励措施是否增加 接受AAT的诊所的疫苗摄取。项目3将检查谁应该促进培训。这 项目将确定参与医疗保健系统中的临床拥护者是否在内部实施AAT 他们自己的系统增加了疫苗的摄取。项目4将检查哪些干预措施适合系统的资源。 该项目将检查HPV疫苗的预算影响，成本效益和人口健康的影响 对农村和非农村社区的干预措施，并通过决策支持工具援助决策者 促进采用承诺的干预措施。研究项目将获得3个核心的支持： 行政，数据和干预。 Impact的活动将随着AAT的创建而达到顶峰 干预套餐，以支持改善医疗保健系统中HPV疫苗的摄取。整个 拟议的计划项目，共享主题和AAT焦点将在项目之间创造协同作用 对如何改善HPV疫苗通信产生重要而新颖的科学见解的核心 和吸收。我们的方法还将加速初级保健的沟通培训的演变 专业人士，在五年内完成，否则可能需要二十年。