Effect of an HPV Vaccination Multi-Level, Multi-Component Program on HPV Vaccination Initiation and Completion in a Pediatric Clinic Network

Authors

• Lara S Savas
• Ross Shegog
• Erica L Frost
• C Mary Healy
• Dale S Mantey
• Sharon P Coan
• L Aubree Shay
• Travis A Teague
• Juan J Ferreris
• Sharice M Preston
• Sally W Vernon

Language

English

Publication Date

5-8-2024

Journal

Vaccine

DOI

10.3390/vaccines12050510

PMID

38793761

PMCID

PMC11126005

Abstract

Despite clear evidence of the public health benefits of the human papillomavirus (HPV) vaccine in preventing HPV-related cancers and genital warts, underutilization of HPV vaccination in the United States persists. Interventions targeting multi-level determinants of vaccination behavior are crucial for improving HPV vaccination rates. The study's purpose was to implement and evaluate the adapted Adolescent Vaccination Program (AVP), a clinic-based, multi-level, multi-component intervention aimed at increasing HPV vaccine initiation and completion rates in a five-clinic pediatric network in Bexar County, Texas. The adaptation process was guided by established frameworks and involved formative work with clinic stakeholders. The study utilized a quasi-experimental single group pre- and post- study design, with an external comparison data using the National Immunization Survey-Teen (NIS-Teen) datasets for the same time period to examine the AVP's effect on HPV vaccination initiation and completion. A series of interrupted time series analyses (ITSA) compared the clinic system patient outcomes (HPV vaccination initiation and completion rates) in the post-intervention to the general adolescent population (NIS-Teen). Of the 6438 patients (11-17 years) with clinic visits during the 3-year study period, HPV vaccination initiation rates increased from 64.7% to 80.2% (

Keywords

human papillomavirus, HPV vaccination, clinic-based multi-level intervention, implementation, quality improvement, adolescents

Published Open-Access

yes

Recommended Citation

Savas, Lara S; Shegog, Ross; Frost, Erica L; et al., "Effect of an HPV Vaccination Multi-Level, Multi-Component Program on HPV Vaccination Initiation and Completion in a Pediatric Clinic Network" (2024). Faculty, Staff and Student Publications. 1502.
https://digitalcommons.library.tmc.edu/uthsph_docs/1502