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

Roswell Park Comprehensive Cancer Center

Status

Enrolling

Conditions

Human Papillomavirus Infection

Treatments

Other: Educational Intervention

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT06256718

R01MD016850 (U.S. NIH Grant/Contract)

I 1998021 (Other Identifier)

NCI-2021-12381 (Registry Identifier)

Details and patient eligibility

About

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.

Full description

PRIMARY OBJECTIVES:

I. Identify practices from across 20 rural counties in central and western New York (CWNY) using registry data from New York State Immunization Information System.

II. Leverage established community network contacts of primary care practices across 20 rural counties in CWNY to support and enhance recruitment and retention activities.

III. Establish a Rural Cancer Health Equity Community Advisory Board (CAB) to enhance capacity to implement evidence-based cancer prevention activities in rural primary care settings (like primary care practice-level, medical office-based intervention [PC-TEACH] for Human Papilloma Virus Vaccine [HPVV]).

IV. Recruit rural primary care practices to implement PC TEACH intervention and contribute practice, provider, and patient-level data including adolescent vaccination rates.

V. Implement systematic practice-level changes (i.e., PC TEACH strategies) in rural community-based primary care practices.

V. Evaluate effectiveness of PC TEACH intervention and quality improvement within the practices using process and outcome evaluation measures.

OUTLINE:

Primary practice providers sites receive PC TEACH over 3.5 hours for 12 months.

After completion of study, primary care provider sites are followed up for 3-6 months.

Enrollment

16 estimated patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

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