Improving human papilloma virus vaccination rates throughout military treatment facilities

Dawson, Rachel; Lemmon, Keith M.; Trivedi, Nidhi; Hansen, Shana

doi:10.1016/j.vaccine.2018.02.007

Cited by 4 publications

(8 citation statements)

References 24 publications

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“…The most common type of HPV vaccination interventions were informational interventions (25, 31.7%). Of the behavioral interventions, 23 (29.1%) [ 24 , 26 , 32 , 34 – 36 , 38 , 40 , 44 , 46 , 48 , 51 , 52 , 55 , 61 , 68 , 76 , 79 , 81 , 91 , 92 , 97 , 100 ] were patient-targeted decision support, 9 (11.4%) [ 50 , 62 , 63 , 70 , 74 , 83 , 89 , 90 , 99 ] were patient-targeted reminders, 12 (15.2%) [ 22 , 30 , 37 , 39 , 43 , 59 , 67 , 69 , 71 , 73 , 87 , 95 ] were provider-targeted, 8 (10.1%) [ 27 , 47 , 66 , 75 , 77 , 82 , 85 , 98 ] were both patient and provider targeted interventions. Only 2 (2.5%) [ 29 , 64 ] were related to environmental interventions related to small policies (i.e., organizational guidelines, no government involvement) (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Several studies reported facilitators (13 studies, 16.5%) [ 26 , 27 , 29 , 30 , 32 , 36 , 37 , 40 , 45 , 47 , 48 , 63 , 65 ] and barriers (22 studies, 27.58%) [ 24 , 26 , 27 , 30 , 36 , 37 , 40 , 43 , 44 , 50 , 61 , 67 , 68 , 73 , 74 , 77 , 79 , 87 , 89 , 93 , 98 , 99 ] to intervention implementation. Facilitators included use of patient navigators and user-friendly resources [ 26 , 27 , 36 ], interactive information sessions [ 29 , 30 , 37 ], low-cost interventions [ 30 , 40 , 47 ], and quality improvement initiatives [ 30 , 37 ]. Barriers to implementation were related to cost [ 24 , 27 , 93 , 99 ], time constraints with the given intervention [ 30 , 36 , 43 , 67 , 87 ] and integrating the intervention into clinical workflow [ 37 , 73 , 87 , 98 ].…”

Section: Resultsmentioning

confidence: 99%

“…Facilitators included use of patient navigators and user-friendly resources [ 26 , 27 , 36 ], interactive information sessions [ 29 , 30 , 37 ], low-cost interventions [ 30 , 40 , 47 ], and quality improvement initiatives [ 30 , 37 ]. Barriers to implementation were related to cost [ 24 , 27 , 93 , 99 ], time constraints with the given intervention [ 30 , 36 , 43 , 67 , 87 ] and integrating the intervention into clinical workflow [ 37 , 73 , 87 , 98 ]. Other barriers included mobility of parents and technology challenges.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of interventions to promote HPV vaccination globally

et al. 2023

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Background Despite the human papillomavirus (HPV) vaccine being a safe, effective cancer prevention method, its uptake is suboptimal in the United States (U.S.). Previous research has found a variety of intervention strategies (environmental and behavioral) to increase its uptake. The purpose of the study is to systematically review the literature on interventions that promote HPV vaccination from 2015 to 2020. Methods We updated a systematic review of interventions to promote HPV vaccine uptake globally. We ran keyword searches in six bibliographic databases. Target audience, design, level of intervention, components and outcomes were abstracted from the full-text articles in Excel databases. Results Of the 79 articles, most were conducted in the U.S. (72.2%) and in clinical (40.5%) or school settings (32.9%), and were directed at a single level (76.3%) of the socio-ecological model. Related to the intervention type, most were informational (n = 25, 31.6%) or patient-targeted decision support (n = 23, 29.1%). About 24% were multi-level interventions, with 16 (88.9%) combining two levels. Twenty-seven (33.8%) reported using theory in intervention development. Of those reporting HPV vaccine outcomes, post-intervention vaccine initiation ranged from 5% to 99.2%, while series completion ranged from 6.8% to 93.0%. Facilitators to implementation were the use of patient navigators and user-friendly resources, while barriers included costs, time to implement and difficulties of integrating interventions into the organizational workflow. Conclusions There is a strong need to expand the implementation of HPV-vaccine promotion interventions beyond education alone and at a single level of intervention. Development and evaluation of effective strategies and multi-level interventions may increase the uptake of the HPV vaccine among adolescents and young adults.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of interventions to promote HPV vaccination globally

et al. 2023

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“…Other authors have identified that strong provider "buy-in" and having a designated office immunization champion are needed to improve vaccination rates. [31][32][33] As Self-Determination Theory 34 would predict, once practice personnel understood the burden of HPV disease and had strategies to reduce missed opportunities, most were intrinsically motivated by improving the care of patients, rather than extrinsically by receipt of MOC credit or monetary incentives.…”

Section: Discussionmentioning

confidence: 99%

Identifying Strategies to Reduce Missed Opportunities for HPV Vaccination in Primary Care: A Qualitative Study of Positive Deviants

Rand

Concannon

Wallace-Brodeur

et al. 2020

Clin Pediatr (Phila)

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The objectives of this study were to assess the contextual factors, practice strategies, and sustainability of interventions implemented during a national quality improvement (QI) project to raise human papillomavirus (HPV) vaccination rates. We conducted semistructured interviews with positive deviant practices that successfully reduced missed opportunities by ≥20% for HPV vaccination in the prior year. We assessed leadership support, motivators, interventions used, and sustainability. Key themes related to QI teams included strong leadership support, multidisciplinary teams, having a practice champion, and a collaborative environment. Themes related to the interventions included using a presumptive bundled recommendation for all appropriate vaccines at age 11, previsit planning, and reminders for preventive visits, which were sustainable for most practices 1-year postintervention. Both internal practice-level factors (multidisciplinary teams, collaboration, and previsit planning) and organizational factors (institutional support and health system–level reminders for preventive visits) were key to a successful QI intervention to improve HPV vaccination.

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“…Given the key role HCPs play in vaccine decision-making and acceptance (Dawson et al 2018 ), COVID-19 vaccine education for all HCPs is essential, as is keeping them current as new COVID-19 and COVID-19 vaccine information accrues. HCPs are not only a vaccine target group themselves, they are critical in educating the public.…”

Section: Before the Covid-19 Vaccines Are Available: Start Planning Nmentioning

confidence: 99%

A public health timeline to prepare for COVID-19 vaccines in Canada

MacDonald

Comeau

Dubé

et al. 2020

Can J Public Health

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For control of COVID-19, community immunity is required, necessitating widespread immunization. COVID-19 vaccines are coming to Canada, with the government announcing in August 2020 agreements with four different companies for their COVID-19 vaccine if their trials are successful. Never before has public health had to rapidly develop a vaccine introduction program for multiple new but differing vaccines with the added pressure that the program is needed across all ages and in all Canadian communities and there is high probability of not enough vaccine to go around at the start. Traditional public health vaccine introduction planning will need to be both accelerated and more comprehensive to ensure optimal uptake across the country. This overview highlights a number of points for consideration by public health in their planning for COVID-19 vaccines before these COVID-19 vaccines are available, once they are available, once supplies are plentiful, and throughout the vaccine program. Targeted and tailored communications are key elements needed to reach and positively influence diverse communities, regions, ages, languages, education levels and lived experiences.

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Improving human papilloma virus vaccination rates throughout military treatment facilities

Cited by 4 publications

References 24 publications

A systematic review of interventions to promote HPV vaccination globally

A systematic review of interventions to promote HPV vaccination globally

Identifying Strategies to Reduce Missed Opportunities for HPV Vaccination in Primary Care: A Qualitative Study of Positive Deviants

A public health timeline to prepare for COVID-19 vaccines in Canada

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