We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics.
- Authors
Shegog, Ross; Savas, Lara S.; Frost, Erica L.; Thormaehlen, Laura C.; Teague, Travis; Steffy, Jack; Healy, Catherine Mary; Shay, Laura Aubree; Preston, Sharice; Vernon, Sally W.
- Abstract
Human papilloma virus (HPV) vaccination rates remain below national goals in the United States despite the availability of evidence-based strategies to increase rates. The Adolescent Vaccination Program (AVP) is a multi-component intervention demonstrated to increase HPV vaccination rates in pediatric clinics through the implementation of six evidence-based strategies. The purpose of this study, conducted in Houston, Texas, from 2019–2021, was to adapt the AVP into an online decision support implementation tool for standalone use and to evaluate its feasibility for use in community clinics. Phase 1 (Adaptation) comprised clinic interviews (n = 23), literature review, Adolescent Vaccination Program Implementation Tool (AVP-IT) design documentation, and AVP-IT development. Phase 2 (Evaluation) comprised usability testing with healthcare providers (HCPs) (n = 5) and feasibility testing in community-based clinics (n = 2). AVP-IT decision support provides an Action Plan with tailored guidance on implementing six evidence-based strategies (immunization champions, assessment and feedback, continuing education, provider prompts, parent reminders, and parent education). HCPs rated the AVP-IT as acceptable, credible, easy, helpful, impactful, and appealing (≥80% agreement). They rated AVP-IT supported implementation as easier and more effective compared to usual practice (p ≤ 0.05). The clinic-based AVP-IT uses facilitated strategy implementation by 3-month follow-up. The AVP-IT promises accessible, utilitarian, and scalable decision support on strategies to increase HPV vaccination rates in pediatric clinic settings. Further feasibility and efficacy testing is indicated.
- Subjects
HOUSTON (Tex.); HUMAN papillomavirus vaccines; PEDIATRIC clinics; HUMAN papillomavirus; FORMATIVE evaluation; LITERATURE reviews
- Publication
Vaccines, 2023, Vol 11, Issue 7, p1270
- ISSN
2076-393X
- Publication type
Article
- DOI
10.3390/vaccines11071270