Cargando…

Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics

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 pediatr...

Descripción completa

Detalles Bibliográficos
Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383429/
https://www.ncbi.nlm.nih.gov/pubmed/37515085
http://dx.doi.org/10.3390/vaccines11071270
_version_ 1785080907962515456
author 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.
author_facet 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.
author_sort Shegog, Ross
collection PubMed
description 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.
format Online
Article
Text
id pubmed-10383429
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103834292023-07-30 Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics 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. Vaccines (Basel) Article 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. MDPI 2023-07-21 /pmc/articles/PMC10383429/ /pubmed/37515085 http://dx.doi.org/10.3390/vaccines11071270 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
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.
Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics
title Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics
title_full Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics
title_fullStr Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics
title_full_unstemmed Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics
title_short Adaptation and Formative Evaluation of Online Decision Support to Implement Evidence-Based Strategies to Increase HPV Vaccination Rates in Pediatric Clinics
title_sort adaptation and formative evaluation of online decision support to implement evidence-based strategies to increase hpv vaccination rates in pediatric clinics
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383429/
https://www.ncbi.nlm.nih.gov/pubmed/37515085
http://dx.doi.org/10.3390/vaccines11071270
work_keys_str_mv AT shegogross adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT savaslaras adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT frosterical adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT thormaehlenlaurac adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT teaguetravis adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT steffyjack adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT healycatherinemary adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT shaylauraaubree adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT prestonsharice adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics
AT vernonsallyw adaptationandformativeevaluationofonlinedecisionsupporttoimplementevidencebasedstrategiestoincreasehpvvaccinationratesinpediatricclinics