Quality Improvement Strategies to Increase Human Papillomavirus (HPV) Vaccination

Summary

HPV vaccination is at lower levels than the national goals. This study will evaluate the effectiveness of quality improvement strategies for increasing HPV vaccination coverage among adolescents in primary care clinics.

Conditions

• Human Papillomavirus Infection

Interventions

OTHER

Assessment Feedback Incentives and eXchange

The adolescent AFIX (Assessment, Feedback, Incentives, and eXchange) Program is a quality improvement strategy developed by the CDC to improve the immunization practices and vaccination coverage levels of public and private health care providers. It has four main components: 1) Assessment of a provider's current immunization practices and vaccination levels, 2) Feedback of the assessment results and strategies to improve coverage levels, 3) Incentives to improve coverage levels, and 4) eXchange of information and resources necessary to facilitate improvement. Relevant AFIX information will be communicated to vaccine providers using several intervention and quality improvement components.

OTHER

Physician-to-physician engagement

Physician-to-physician engagement is a quality improvement strategy in which trained physician educators deliver a 60 minute consultation via interactive webinar. The consultations will be delivered to providers in primary care clinics and will include didactic instruction on HPV-related cancers, HPV vaccination, communication training, and assessment and feedback about each clinics' vaccination coverage.

OTHER

Active Intervention Control

Active Intervention Control will be a remotely delivered quality improvement strategy on a clinical topic other than HPV vaccination.

Sponsors & Collaborators

• Centers for Disease Control and Prevention

  collaborator FED

• New York State Department of Health

  collaborator OTHER_GOV

• Wisconsin Department of Health and Family Services

  collaborator OTHER_GOV

• Arizona Department of Health Services

  collaborator OTHER_GOV

• Association of Immunization Managers

  collaborator UNKNOWN

• University of North Carolina, Chapel Hill

  lead OTHER

Principal Investigators

• Noel T Brewer, PhD · University of North Carolina

• Melissa B Gilkey, PhD · University of North Carolina

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

FACTORIAL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2018-05-07

Primary Completion

2020-04-30

Completion

2020-04-30

Countries

• United States

Study Locations