A Bundled, Practice-Based Intervention to Increase HPV Vaccination
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Le résumé fourni par la source
BACKGROUND AND OBJECTIVES: Human papillomavirus (HPV) vaccination rates are suboptimal, and missed vaccination opportunities are common. We hypothesized that a bundled intervention improves missed HPV vaccination opportunities. METHODS: We used a pre-post design to assess differences in HPV vaccine missed opportunities (visits when vaccine-eligible adolescents are not vaccinated). We compared rates for a 12-month period before vs those for a 6-month period (February 23, 2022, to August 9, 2022) during a bundled intervention. We implemented the bundled intervention in 24 primary care pediatric practices that had been usual care controls for a prior randomized trial. The bundled intervention involved 3 components: online clinician training on HPV vaccine communication, performance feedback on missed HPV vaccination opportunities, and clinician prompts for HPV vaccination. As a secondary analysis, we compared missed opportunities for these 24 practices vs 48 contemporaneous comparison group practices identified retrospectively. RESULTS: For well-child care (WCC) visits, missed HPV vaccination opportunities were improved during vs before the intervention by 4.8 percentage points (95% CI, -7.2% to -2.4%) for initial HPV vaccine doses and a modest 2.2 percentage points (95% CI, -4.4% to -0.0%) for subsequent doses. For other visit types, findings ruled out changes beyond minimal improvements. Missed vaccination opportunity rates for initial HPV vaccination at WCC visits were similar for the 24 intervention practices vs the 48 comparison practices for a 4.5-year period before the intervention, but they improved for intervention practices and worsened for comparison practices during the intervention period (difference, -6.6%; 95% CI, -9.3% to -3.8%). CONCLUSIONS: This bundled intervention appeared to improve HPV vaccination during WCC visits.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A Bundled, Practice-Based Intervention to Increase HPV Vaccination
- Date Crossref
- 06/01/2025
- Éditeur
- American Academy of Pediatrics (AAP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of California pays non établi dans la noticeUniversité ou école supérieure
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Mattel Children's Hospital pays non établi dans la noticeÉtablissement de santé
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Children's Hospital of Philadelphia pays non établi dans la noticeOrganisme public
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University of Rochester pays non établi dans la noticeUniversité ou école supérieure
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University of Pennsylvania pays non établi dans la noticeUniversité ou école supérieure
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American Academy of Pediatrics pays non établi dans la noticeOrganisation à but non lucratif
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Waldorf College pays non établi dans la noticeUniversité ou école supérieure
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Perelman School of Medicine Epidemiology and Informatics pays non établi dans la noticeUniversité ou école supérieure
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Saint Paul pays non établi dans la noticeInstitution
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DBA pays non établi dans la noticeInstitution
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Chanute pays non établi dans la noticeInstitution
University of California, Mattel Children's Hospital et Children's Hospital of Philadelphia, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.