Comparative Effectiveness of System Interventions to Increase HPV Vaccine Receipt in FQHCs
NCT03726151 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 17000
Last updated 2026-05-12
Summary
UCLA and Northeast Valley Health Center (NEVHC), a large, multi-site Federally Qualified Health Center (FQHC), are partnering to address underutilization of the prophylactic HPV vaccine among underserved, ethnic minority adolescents receiving care through FQHCs. We will use a cluster randomized 2x2 stepped-wedge factorial study design, implemented in seven NEVHC clinics, to compare the effectiveness of parent reminders (mailed and text), multi-component clinic system strategies, a combined intervention (parent reminders + clinic system strategies) and usual care on HPV vaccine series completion among NEVHC adolescent patients. FQHCs provide essential health care to underserved groups and have the infrastructure to sustain effective strategies to improve preventive care delivery. Therefore, study findings will be invaluable for informing future efforts to improve HPV vaccination at the population-level.
Conditions
- Human Papillomavirus Infection
Interventions
- BEHAVIORAL
-
Parent Reminders
Automated, system-generated mailed or text message reminders
- BEHAVIORAL
-
Multicomponent clinic-system strategies
1. Workflow modifications to reduce missed opportunities for vaccination 2. Provider- and clinic-level audit and feedback 3. Provider \& staff training on workflow modifications and communication strategies
- BEHAVIORAL
-
Combined Condition
Parent reminders and multicomponent clinic-system strategies
Sponsors & Collaborators
-
Patient-Centered Outcomes Research Institute
collaborator OTHER -
University of California, Los Angeles
lead OTHER
Principal Investigators
-
Roshan Bastani, PhD · Professor, Health Policy and Management, UCLA Fielding School of Public Health
-
Beth Glenn, PhD · Professor, Health Policy and Management, UCLA Fielding School of Public Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- FACTORIAL
Eligibility
- Min Age
- 11 Years
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-05-01
- Primary Completion
- 2024-03-28
- Completion
- 2024-05-31
Countries
- United States
Study Locations
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