Clinical Decision Support Tools to Increase Human Papillomavirus (HPV) Vaccination in Adolescents in Pharmacies

Fred Hutchinson Cancer Center (FHCC)

Status: Terminated

Conditions: Human Papillomavirus-Related Carcinoma

Treatments: Other: Discussion; Other: Survey Administration; Behavioral: Healthcare Activity; Other: Educational Activity

Study type: Interventional

Funder types: Other

Identifiers

NCT05831540

11086 (Other Identifier)

RG1122655

NCI-2023-01989 (Registry Identifier)

Details and patient eligibility

About

This clinical trial develops and tests how well a clinical decision support (CDS) tool works to increase human papillomavirus (HPV) vaccination of children between the age of 9-17 (adolescents) in pharmacies. HPV vaccination rate in eligible adolescents remains low even though over 90% of the cancers in adults caused by HPV can be prevented by the HPV vaccine. The National Vaccine Advisory Committee recommends HPV vaccinations to be given in pharmacies to increase access to vaccines, but pharmacy processes and lack of awareness of the service among parents impact the use of local pharmacies for HPV vaccinations. Using a focus group may be an effective method to develop a CDS tool and create a process that may be more convenient for parents to get their adolescent's vaccine at their local pharmacy. A CDS tool may make it easier to obtain HPV vaccines, and as a result increase the adolescent HPV vaccination rate and reduce the incidence of cancer caused by HPV.

Full description

OUTLINE: Participants are assigned to 1 of 3 groups.

Group I: Staff participate in facilitated planning discussions to develop CDS tools on study. (Aim I)

Group II: Staff receives CDS tools training and implements CDS tools to facilitate HPV vaccination on study. (Aim II)

Group III: Parents complete survey post-intervention on study. (Aim II)

Enrollment: 31 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• AIM I: >= 18 years
• AIM I: Pharmacy staff: Employed at the partnering community pharmacies in Washington state
• AIM I: Scientific Technologies Corportation (STC)Health staff: Employed at STCHealth
• AIM I: PioneerRx staff: Employed at PioneerRx
• AIM II: >= 18 years
• AIM II: Parents: English speaking parent or guardian of at least one child, ages 9-17, living in Washington state and obtained an HPV vaccination for their child at a participating pharmacy and have access to a telephone or computer with internet access.
• AIM II: Pharmacy staff: Employed at community pharmacies recruited into the study located in Washington state

Exclusion criteria

• Pharmacy staff: Floaters/per diem. Those who object to having the focus group discussions audio recorded. Those who object to participating in implementation evaluation surveys
• STCHealth staff: Those who object to having the focus group discussions audio recorded
• PioneerRx staff: Those who object to having the focus group discussions audio recorded
• Parents: Those who decline to provide feedback on their experiences with getting their children vaccinated at the pharmacy

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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31 participants in 3 patient groups

Group I (staff focus group)

Experimental group

Description:

Staff participate in facilitated planning discussions to develop CDS tools on study.

Treatment:

Other: Survey Administration

Other: Discussion

Group II (staff CDS tool utilization)

Experimental group

Description:

Staff receives CDS tools training and implements CDS tools to facilitate HPV vaccination on study.

Treatment:

Other: Educational Activity

Behavioral: Healthcare Activity

Other: Survey Administration

Group III (parent survey)

Experimental group

Description:

Parents complete survey post-intervention on study.

Treatment:

Other: Survey Administration