Making Effective Human Papillomavirus (HPV) Vaccine Recommendations

Summary

Coverage of HPV vaccination among US teens is low, far below Healthy People 2020 goals. A central reason for low coverage is infrequent and inadequate healthcare provider recommendation of HPV vaccine. The proposed intervention aims to train clinicians to provide effective recommendations for the vaccine using participatory or efficient communication strategies.

This study will evaluate the effectiveness of two communication trainings to increase HPV vaccination coverage among adolescent patients. We will compare HPV vaccination for pediatric and family medicine clinics receiving a participatory communication training, efficient communication training, or no training. Ten clinics will be randomly assigned to each study arm for a total of 30 clinics. The primary outcome of this study is to compare the change in clinics' levels of HPV vaccination initiation coverage among 11-12 year old adolescent patients from baseline to 6 month follow-up. Secondarily, we will compare the change in HPV vaccination initiation coverage in 13-17 year old adolescents.

Conditions

• Human Papillomavirus

Interventions

BEHAVIORAL

Participatory

The participatory intervention is a 1-hour training to help clinicians improve their ability to make strong and effective recommendations for HPV vaccine, and address parental concerns regarding HPV vaccination. The training includes four components: 1. Review of information on HPV vaccine, including effectiveness, safety, rationale for targeting adolescents ages 11-12, and low HPV vaccine coverage rates compared to Tdap and meningococcal vaccine 2. Skills building on how to recommend HPV vaccine using a participatory communication strategy based in shared decision making 3. Practice using the communication strategy via role play 4. Discussion on applying the communication strategy to medical practice

BEHAVIORAL

Efficient

The efficient intervention is a 1-hour training to help clinicians improve their ability to make strong and effective recommendations for HPV vaccine, and address parental concerns regarding HPV vaccination. The training includes four components: 1. Review of information on HPV vaccine, including effectiveness, safety, rationale for targeting adolescents ages 11-12, and low HPV vaccine coverage rates compared to Tdap and meningococcal vaccine 2. Skills building on how to recommend HPV vaccine using an efficient communication strategy based on first announcing the child is due for 3 vaccines 3. Practice using the communication strategy via role play 4. Discussion on applying the communication strategy to medical practice

Sponsors & Collaborators

• Harvard Medical School (HMS and HSDM)

  collaborator OTHER

• North Carolina Department of Health and Human Services

  collaborator OTHER_GOV

• Pfizer

  collaborator INDUSTRY

• University of North Carolina, Chapel Hill

  lead OTHER

Principal Investigators

• Noel T Brewer, PhD · University of North Carolina, Chapel Hill

• Melissa B Gilkey, PhD · Harvard Medical School (HMS and HSDM)

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2015-03-31

Primary Completion

2016-03-31

Completion

2016-03-31

Countries

• United States

Study Locations