Implementation of Evidence-Based Strategy (PC TEACH) for the Optimization of HPV Vaccination in Rural Primary Care

Summary

This study evaluates the implementation of evidence based strategies to optimize HPV vaccination in rural primary care settings. Some of the largest disparities in human papillomavirus vaccination (HPVV) rates exist in rural communities, which represent missed opportunities for cancer prevention. Primary care provider visits in these communities serve as a crucial opportunity to communicate the importance of timely vaccination that is essential to effective cancer prevention. This study implements and tests a practice-level intervention (PC TEACH) using practice facilitation of evidence-based strategies to expand reach to rural community-based primary care settings to optimize delivery and increase HPVV rates. PC TEACH program may help rural communities overcome access and awareness factors that keep them from receiving HPVV.

Eligibility

Inclusion Criteria:

* PRACTICES: Are located in the 20-county target region
* PRACTICES: Have an adolescent patient population \>= 150 (aged 9-18)
* PRACTICES: Administer adolescent vaccines (e.g., HPV, Tdap, MCV4)
* PRACTICES: Are willing to share aggregate practice and patient-level data (e.g., electronic health record \[EHR\], surveys)
* PARTICIPANTS: Medical providers and medical staff \>= 18 years of age
* PARTICIPANTS: Primary care providers and medical office staff who deliver adolescent care at community-based primary care practice sites across 20 rural counties in central and western New York
* PARTICIPANTS: Age \>= 18 years of age (no upper limit)
* PARTICIPANTS: English speaking
* PARENT/GUARDIAN SURVEY: Adult accompanying a child or children aged 9 to 17
* PARENT/GUARDIAN SURVEY: English speaking
* PARENT/GUARDIAN SURVEY: Presenting to the participating clinic for an outpatient well child visit or regular checkup
* PARENT/GUARDIAN SURVEY: Willing to complete an anonymous survey while visiting the clinic

Exclusion Criteria:

* Unwilling or unable to follow protocol requirements
* Adults unable to complete study measures in English
* Individuals who are not yet adults (infants, children, teenagers)
* Cognitively impaired adults/adults with impaired decision-making capacity
* Prisoners

Conditions2

Locations1 site

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