A5056687294- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Primary Care and Health Outcomes
- Hepatitis B Virus Studies
- Health Policy Implementation Science
- Global Cancer Incidence and Screening
- Interprofessional Education and Collaboration
- Food Security and Health in Diverse Populations
- Economic and Financial Impacts of Cancer
- Mobile Health and mHealth Applications
- Adolescent Sexual and Reproductive Health
- Early Childhood Education and Development
- T-cell and Retrovirus Studies
- Mental Health and Patient Involvement
- Obesity, Physical Activity, Diet
- Health Systems, Economic Evaluations, Quality of Life
- Digital Mental Health Interventions
- Healthcare cost, quality, practices
- Asthma and respiratory diseases
- Public Health Policies and Education
- Ethics and Legal Issues in Pediatric Healthcare
University of North Carolina at Chapel Hill
2004-2024
UNC Lineberger Comprehensive Cancer Center
2024
Segeberger Kliniken
2024
Government of Western Australia Department of Health
2022
This article provides best and promising practices for recommending HPV vaccination at age 9 as a way to ensure high uptake. An effective method is the Announcement Approach, which consists of 3 evidence-based steps. The first step, Announce, involves noting that child years old, saying they are due vaccine prevents 6 cancers, you'll vaccinate today. adapted version Announce step simplifies bundled approach used ages 11–12 emphasizes prevention meningitis whooping cough in addition cancers....
Abstract Background Implementation science researchers often cite clinical champions as critical to overcoming organizational resistance and other barriers the implementation of evidence-based health services, yet relatively little is known about who are or how they effect change. To inform future efforts identify engage support HPV vaccination, we sought describe key characteristics strategies vaccine working in adolescent primary care. Methods In 2022, conducted a national survey with...
State health departments commonly use quality improvement coaching as an implementation strategy for improving low human papillomavirus (HPV) vaccination coverage, but such can be resource intensive. To explore opportunities efficiency, we compared in-person and webinar delivery of sessions on outcomes, including reach, acceptability, cost. In 2015, randomly assigned 148 high-volume primary care clinics in Illinois, Michigan, Washington to receive either or coaching. Coaching lasted about 1...
Human papillomavirus (HPV) vaccination could prevent most of the ~34,000 HPV-attributable cancers diagnosed annually in US, but uptake remains suboptimal. Healthcare systems are key partners implementing HPV quality improvement (QI) programs. To inform future system-level vaccine initiatives, we sought to understand QI from perspective program leaders healthcare systems. We conducted telephone interviews with a multi-state sample 17 15 analyzed data qualitatively via thematic analysis...
US health departments routinely conduct in-person quality improvement (QI) coaching to strengthen primary care clinics' vaccine delivery systems, but this intervention achieves only small, inconsistent improvements in human papillomavirus (HPV) vaccination. Thus, we sought evaluate the effectiveness of combining QI with remote provider communication training improve impact.
Quality improvement (QI) coaching improves human papillomavirus (HPV) vaccination coverage, but effects of have been small, and little is known about how when QI works. To assess implementation outcomes explore factors that might explain variation in outcomes, we conducted a process evaluation intervention for HPV vaccination.QI coaches received tools training to support 4 core competencies: 1) expertise using clinic-level adolescent data drive change, 2) knowledge the evidence base change...
Many US health departments (HDs) conduct in-person quality improvement (QI) coaching to help primary care clinics improve their HPV vaccine delivery systems and communication. Some HDs additionally remote communication training prescribers recommend vaccination more effectively. Our aim was compare QI on key implementation outcomes. In a cluster randomized trial, we offered 855 clinics: 1) coaching; 2) training; or 3) both interventions combined. each trial arm, assessed adoption (proportion...
Abstract Background: Health departments in the United States routinely conduct quality improvement (QI) coaching to help primary care providers optimize vaccine delivery. In a prior trial focusing on multiple adolescent vaccines, this light-touch intervention yielded only short-term improvements HPV vaccination. We sought evaluate impact of an enhanced, vaccine-specific QI when delivered person or virtually. Methods: partnered with health three states pragmatic cluster randomized 2015 2016....
Implementation science research identifies clinical champions as instrumental in aligning healthcare professionals' (HCPs) behavior with practice guidelines for delivering health services, including vaccinations. However, we know relatively little about identifying or supporting champions. To characterize who vaccine are, what they do, and how to support their work pediatric primary care. In 2022, interviewed a purposive sample of peer-nominated self-identified (n=20) HCPs worked (n=4). We...
Provider communication training is effective for increasing HPV vaccination rates among U.S. adolescents. However, such trainings often rely on in-person meetings, which can be burdensome providers and costly to implement. To evaluate the feasibility of Checkup Coach, an app-based coaching intervention, improve provider about vaccination. In 2021, we offered Coach in 7 primary care clinics a large integrated delivery system. Participating (n = 19) attended 1-h interactive virtual workshop...
The US's 64 CDC-funded immunization programs are at the forefront of efforts to improve quality adolescent vaccination services. We sought understand program managers' perspectives on partnering with healthcare systems HPV vaccine uptake. Managers 44 state and local completed our online survey in 2019. Immunization managers strongly endorsed importance uptake (mean = 3.8/4.0), most wanted do so next year 3.5). reported that common barriers included difficulty contacting systems' leadership...
Abstract HPV vaccination could prevent most of the 34,000 HPV-attributable cancers diagnosed in U.S. each year, but uptake remains suboptimal. Given increasing consolidating pediatric primary care, large healthcare systems are key partners implementing interventions to improve vaccination. To inform future partnerships, we sought explore implementation strategies currently use Methods: We conducted in-depth telephone interviews with a multi-state sample QI leaders 15 systems. Guided by...