Practice- and Community-Based Interventions to Increase Human Papillomavirus Vaccine Coverage

Niccolai, Linda M.; Hansen, Caitlin E.

doi:10.1001/jamapediatrics.2015.0310

Cited by 158 publications

(154 citation statements)

References 37 publications

(155 reference statements)

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“…Electronic health record (EHR) systems can automate reminder-recalls for patients due for HPV vaccination, generate reminder prompts for providers to administer the vaccine, and help facilitate nurse-only immunization visits and walk-in immunization hours that can make completion of the HPV vaccine series easier. Strategies such as reminder-recalls for patients and reminder prompts for providers have often, but not always, been successful at increasing rates of vaccination, 7,8 but implementation of these strategies is inconsistent. In addition, EHRs can generate reports to track the effect of strategies to increase HPV vaccination and potential procedural challenges during implementation (eg, vaccine supply, parents refusing or delaying vaccination, etc).…”

Section: System-level Approachesmentioning

confidence: 99%

Advancing Human Papillomavirus Vaccine Delivery: 12 Priority Research Gaps

Reiter

Gerend

Gilkey

et al. 2018

Academic Pediatrics

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Section: System-level Approachesmentioning

confidence: 99%

Advancing Human Papillomavirus Vaccine Delivery: 12 Priority Research Gaps

Reiter

Gerend

Gilkey

et al. 2018

Academic Pediatrics

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“…2 Clinically and statistically significant improvements in HPV series initiation, completion, meningococcal and Tdap vaccinations were observed in primary care practices implementing the 4 Pillars™ Practice Transformation Program. Increases in vaccine uptake resulted in post intervention rates that were higher than both state and national average coverage levels.…”

Section: Discussionmentioning

confidence: 95%

“…A review of interventions to increase HPV vaccinations suggested that health care settings are a desirable environment for successful vaccination interventions. 2 This conclusion is strengthened by the preponderance of evidence that links physician recommendation to uptake of HPV vaccine. 3,4 …”

Section: Introductionmentioning

confidence: 99%

Using the 4 Pillars™ Practice Transformation Program to increase adolescent human papillomavirus, meningococcal, tetanus-diphtheria-pertussis and influenza vaccination

Zimmerman

Raviotta

Nowalk

et al. 2017

Vaccine

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Objectives To report the results of an intervention using the 4 Pillars™ Practice Transformation Program (4 Pillars™ Program) to increase adolescent vaccinations including human papillomavirus vaccine (HPV) and influenza vaccines, which remain underutilized in this population. Study Design Eleven pediatric and family medicine practices, previously control sites from a randomized controlled cluster trial, with ≥50 adolescent patients participated. The 4 Pillars™ Program was the foundation of the intervention. De-identified demographic, office visit and vaccination data were derived from electronic medical record extractions for patients whose date of birth was 4/1/1997 to 4/1/2004 (ages 11–17 years at baseline). Vaccination rates for HPV, influenza, tetanus-pertussis-diphtheria (Tdap) and meningococcal (MenACWY) vaccines were determined for all eligible patients pre- and post intervention (i.e., vaccination rates on 4/1/2015 and 4/30/2016). Results Among 9,473 patients ages 11–17 years at baseline (4/1/2015), mean pre-intervention vaccination rates for HPV initiation and completion, meningococcal, Tdap and influenza vaccines were below national levels. Rates increased significantly post intervention (P<0.001) for HPV initiation which increased 17.1 percentage points (PP) from 51.4%; HPV completion increased 14.8 PP from 30.7%, meningococcal vaccine uptake increased 16.6 PP from 79.1%, Tdap vaccine uptake increased 14.6 PP from 76.9%. Influenza vaccine uptake did not increase significantly (2.3 PP from 40.1%). In the regression using generalized estimating equations, odds of vaccination were higher for younger, non-white adolescents for all vaccines; being in a smaller practice decreased the odds of Tdap vaccination but increased the odds of influenza vaccination. Conclusion Clinically and statistically significant improvements in HPV series initiation and completion, and meningococcal and Tdap vaccinations were observed in primary care practices implementing the 4 Pillars™ Practice Transformation Program.

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“…One systematic review found that reminder systems for vaccination and feedback to physicians were two common methods for improving HPV vaccination rates. 13 …”

Section: Introductionmentioning

confidence: 99%

Supporting Human Papillomavirus Vaccination in Adolescents: Perspectives From Commercial and Medicaid Health Plans

Sobel

Roth

et al. 2017

Journal of Public Health Management and Practice

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Context An estimated 79 million Americans are infected with human papillomavirus (HPV). Vaccination can reduce the burden of infection and HPV-associated cancers, yet vaccination rates remain low. Little is known about why some health plans achieve higher vaccination rates. Objective This study sought to identify strategies used by higher-performing health plans to support HPV vaccination. Design We used 2013 data from the Health Effectiveness Data and Information Set (HEDIS®) Human Papillomavirus Vaccine for Female Adolescents measure to identify high-performing plans. The measure examines the percentage of female adolescent plan members who received three doses of HPV vaccine by their 13th birthday. High performers were defined as the subset of commercial plans with the top 10 rates and the subset of Medicaid plans with the top 10 rates. An interview guide was developed to assess activities related to providing HPV vaccination. Interviews were conducted with selected plans and audio-recorded. Transcripts were reviewed independently by two interviewers and analyzed by hand to identify key themes. Participants Ten plans agreed to be interviewed, representing a diversity of plan size (range: 5,500 members to over 2.7 million members); plan type (about half were commercial, half were Medicaid plans); patient population, from predominantly White to predominantly non-White; and geographic region. Results Plans highlighted multiple strategies that support HPV vaccination, particularly the “normalizing” of the vaccine. Plans’ efforts highlighted patient and provider education, reminders, feedback loops, community collaborations, immunization registries and use of medical home concepts—including team-driven efforts and coordination. Conclusions Although HPV immunization rates are low nationally, health plans can employ multiple efforts to encourage vaccination by implementing activities that involve the patient, provider and community.

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Practice- and Community-Based Interventions to Increase Human Papillomavirus Vaccine Coverage

Cited by 158 publications

References 37 publications

Advancing Human Papillomavirus Vaccine Delivery: 12 Priority Research Gaps

Advancing Human Papillomavirus Vaccine Delivery: 12 Priority Research Gaps

Using the 4 Pillars™ Practice Transformation Program to increase adolescent human papillomavirus, meningococcal, tetanus-diphtheria-pertussis and influenza vaccination

Supporting Human Papillomavirus Vaccination in Adolescents: Perspectives From Commercial and Medicaid Health Plans

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