Team Activation To Increase HPV Vaccination Rates

描述(申请人提供)：某些人群的癌症发病率和死亡率增加，因为他们没有从人类乳头瘤病毒(HPV)疫苗、癌症筛查和异常检测的后续行动中同等受益。非洲裔美国人和低社会经济人口是癌症发病率仍在上升的群体。此外，这些人群还增加了HPV的患病率。由于HPV在这些人群中是一个问题，因此需要找到解决HPV发病率上升的方法。俄亥俄州立大学的一个健康差距研究小组与哥伦布社区健康中心公司(CNHC)(一家获得联邦资格的健康中心)合作，提议开发一项名为Stop(Share，Train，Organizing，To Prepect)的教育计划，旨在通过提高女性和男性青少年(9-18岁)的HPV疫苗接种率来减少HPV相关疾病。这项建议的目标是开发、改进和测试一种文化上适当的多层次教育计划的可行性，该计划旨在针对在CNHC寻求护理的青少年的父母(1级)、CNHC的医疗团队(医生、护士、助理和工作人员)(2级)和卫生中心(3级)，以提高青少年中的HPV疫苗接种率。这项研究的具体目标是：(1)针对父母、提供者/工作人员和健康中心制定多层次的HPV疫苗教育干预措施，其中包括：(A)分享关于HPV、HPV相关癌症和疾病以及HPV疫苗的信息；(B)沟通技能培训，以改善父母与提供者关于HPV疫苗的对话；以及(C)组织层面的组成部分，以提高疫苗接种率；以及(2)在10名青春期女性家长和10名青春期男性家长、提供者/工作人员和一个健康中心测试多层次HPV疫苗教育干预的可行性。具体目标将与家长、医疗保健提供者和两家CNHC的工作人员合作实施。 公共卫生相关性：在美国，与癌症相关的健康差异部分是由于某些人群中人乳头瘤病毒(HPV)流行率的增加。这个拟议项目的目标是制定一个多层次的HPV疫苗教育计划，并在儿童(9-18岁)的父母中测试该计划的可行性，这些儿童主要是在联邦合格的卫生中心寻求医疗保健的服务不足的人群。拟议的项目利用一个健康差距研究小组与一个社区卫生中心合作，开发和测试HPV疫苗教育计划的可行性。

DESCRIPTION (provided by applicant): Certain segments of the population have increased cancer incidence and mortality rates because they have not benefited equally from the human papillomavirus (HPV) vaccine, cancer screening, and the follow-up of abnormal tests. Examples of groups still experiencing increased cancer rates are African Americans and low socioeconomic populations. In addition, these populations have increased HPV prevalence rates. Since HPV is a problem in these groups, ways to address increased HPV rates are needed. A health disparities research team at The Ohio State University in partnership with the Columbus Neighborhood Health Center, Inc. (CNHC), a federally qualified health center, proposes to develop an educational program, STOP (Share, Train, Organize, to Prevent) HPV, aimed at reducing HPV-associated diseases by improving HPV vaccination rates among female and male adolescents (age 9-18). The goal of this proposal is to develop, refine, and test the feasibility of a culturally appropriate multi-level educational program intended for parents (level 1) of adolescents who seek care at a CNHC, the healthcare team (physicians, nurses, assistants, and staff) (level 2) at the CNHC, and the health center (level 3) to increase HPV vaccination rates among adolescents. The specific aims of this study are to: (1) Develop a multi-level HPV vaccine educational intervention directed at parents, providers/staff, and the health center that includes: (a) sharing information about HPV, HPV-associated cancers and diseases, and the HPV vaccine; (b) communication skills training to improve parent-provider conversations about the HPV vaccine; and (c) organizational level components to increase vaccination rates; and (2) Test the feasibility of the multi-level HPV vaccine educational intervention among 10 parents of adolescent females and 10 parents of adolescent males, providers/staff, and one health center. Specific aims will be carried out in partnership with parents, healthcare providers and staff from two CNHCs. PUBLIC HEALTH RELEVANCE: There are health disparities associated with cancer in the United States partially due to increased human papillomavirus (HPV) prevalence rates among certain population groups. The goal of this proposed project is to develop a multi-level HPV vacccine educational program and test the feasibility of the program among parents of children (age 9-18) from mainly an underserved population seeking medical care at a federally qualified health center. The proposed project uses a health disparities research team in partnership with a neighborhood health center to develop and test the feasibility of a HPV vaccine educational program.