A “Sense”-ational HPV Vaccination Quality Improvement Project in a Family Medicine Residency Practice

McGaffey, Ann; Lombardo, Nicole Payette; Lamberton, Nathan; Klatt, Patricia M.; Siegel, Jason T.; Middleton, Donald B.; Hughes, Kristin; Susick, Michael; Lin, Chyongchiou J.; Nowalk, Mary Patricia

doi:10.1016/j.jnma.2019.06.004

Cited by 7 publications

(26 citation statements)

References 33 publications

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“…Previsit interventions to increase HPV vaccinations have focused on staff and provider education about the importance of vaccination and how to recommend it to patients and their family members (Cates et al, 2018; McClean et al, 2017; McGaffey et al, 2019; Perkins et al, 2020; Szilagyi et al, 2015). In addition, nurses prescreened patient charts daily to see which patients were eligible for vaccination, and placed either sticky notes or electronic health records (EHR) alerts in eligible patients’ charts to remind providers to recommend vaccination during visits (Szilagyi et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Zimmerman et al (2017) offered walk‐in access to HPV vaccination throughout regular office hours, as well as express HPV vaccine clinics outside of regular office hours. Another study trialled sensory incentives to promote vaccination, including opportunities to hit a special ‘HPV gong’ or pet an ‘HPV Prevention Pup’ for patients who obtained the vaccine (McGaffey et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Measures were also implemented following office visits in which HPV vaccination was recommended. Reported interventions included reminders to patients using various mechanisms of communication, such as emails, text messages, voicemails, postcards and online resources (Table 4) (Bar‐Shain et al, 2015; Henrikson et al, 2018; McClean et al, 2017; McGaffey et al, 2019; Perkins et al, 2020; Rand et al, 2017; Zimmerman et al, 2017). Online educational resources about HPV vaccination were also provided to patients following office visits (Cates et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Provider and staff education in combination with other interventions listed in Table 5 worked effectively (Cates et al, 2018; McClean et al, 2017; McGaffey et al, 2019; Perkins et al, 2020), but a tailored iPad messaging programme did not show a change in HPV vaccination rates (Dempsey et al, 2019). Perkins et al (2020) found that provider EHR prompts increased vaccination rates, while Szilagyi et al (2015) found similar prompts to be ineffective.…”

Section: Resultsmentioning

confidence: 99%

“…The overall theme identified in reviewing these studies is that a multimodal approach is most likely to be successful. McGaffey et al (2019) and Zimmerman et al (2017) used the University of Pittsburgh School Of Medicine's 4 Pillars Practice Transformation Program, and both studies successfully demonstrated increased rates of HPV vaccination. The programme offers a three‐step approach to maximise vaccination rates: (1) determine the practice's current vaccination rate; (2) select and implement evidence‐based strategies from the 4 Pillars; and (3) evaluate for an improvement in the vaccination rate.…”

Section: Resultsmentioning

confidence: 99%

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Strategies to improve human papillomavirus vaccination rates among adolescents in family practice settings in the United States: A systematic review

Eisenhauer

Hansen

Pandian

2020

Journal of Clinical Nursing

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Aims and Objectives To explore the interventions aimed at increasing human papillomavirus (HPV) vaccination rates among adolescents in family practice settings. Background HPV is the most common sexually transmitted disease in the United States, and the cause of thousands of anogenital and oropharyngeal cancers annually. Although HPV infection can be prevented with recommended vaccination during adolescence, national HPV vaccine rates remain low. Design Systematic review. Methods Four databases (MEDLINE, CINAHL, EMBASE and the Cochrane Library) were searched. The search was guided by PRISMA and by the question, ‘What are targeted interventions that improve HPV vaccination rates among adolescents in family practice settings?’ Articles were reviewed for study characteristics and appraised for quality using the revised Cochrane risk of bias tools. Results Eleven studies met inclusion and exclusion criteria. Individual study size samples ranged from 749–147,294, with a combined total from all included studies of 276,205; the largest sample reviewed to date from family practice settings. Interventions used to increase HPV vaccination rates included reminder systems; provider and staff education; sensory incentives such as hitting a gong or petting a puppy; and iPad tailored messaging programmes. Studies that employed interventions pre‐, during and postvisit were most effective in increasing HPV vaccination rates. Conclusions This review provides the largest data supporting multimodal strategies to increase HPV vaccination rates among adolescent populations. It provides strong evidence to suggest that vaccination rates can be improved using measures at varying times of the patient visit. Relevance to Clinical Practice Adolescents seek health care in various settings. Many studies have examined interventions to increase HPV vaccination in paediatric settings, but few have examined interventions in family practice settings. This review suggests that family practices should implement multimodal measures before, during and after visits to increase HPV vaccination among adolescent patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Strategies to improve human papillomavirus vaccination rates among adolescents in family practice settings in the United States: A systematic review

Eisenhauer

Hansen

Pandian

2020

Journal of Clinical Nursing

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A Select Bibliography of Actions to Promote Vaccine Literacy: A Resource for Health Communication

Rauh

Lathan

Masiello

et al. 2020

Journal of Health Communication

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HPV immunization among young adults (HIYA!) in family practice: A quality improvement project

Eisenhauer

Hansen

Pandian

2021

Journal of Advanced Nursing

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Aims: Thousands of anogenital and oropharyngeal cancers every year might be prevented through increased receipt of vaccination against the human papillomavirus (HPV). This project aimed to (1) increase the rate of HPV vaccination status assessment, and (2) improve HPV vaccine initiation and completion rates among 18 to 26-year-old patients in the family practice setting. Design: Quality improvement project, pre/post intervention design. Methods: This project implemented the HIYA! (HPV Immunization among Young Adults) Intervention in a private sports and family practice in central New Jersey. HIYA! implemented 10 pre-, during, and post-visit outcome measures during every family medicine visit with an 18 to 26-year-old patient for HPV. Data collection involved retrospective chart review of every eligible patient during the 12-week implementation period from 17 August to 06 November 2020 and during the same 12-week control period in 2019.Results/Findings: One hundred sixteen charts from 2019 and 129 charts from 2020 were reviewed for assessment of HPV vaccination status and HPV vaccine initiation and/or completion. Multivariable logistic regression analysis demonstrated that participants in the control group were 84% less likely to be assessed for HPV vaccination status and were 91% less likely to initiate and complete HPV vaccination compared with the intervention group. Conclusion:This QI project found HIYA! to be an effective and feasible strategy to improve HPV vaccination rates among 18 to 26-year-old patients in a family practice setting. Impact:The human papillomavirus (HPV) is the most common sexually transmitted disease in the United States, and causes thousands of cancers annually. Although vaccination against HPV can prevent these cancers, vaccination rates remain low, particularly among young adults ages 18 to 26 years. The positive impact of HIYA! was evident based on its success despite the unique challenges presented during the implementation period due to the COVID-19 pandemic.

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A “Sense”-ational HPV Vaccination Quality Improvement Project in a Family Medicine Residency Practice

Cited by 7 publications

References 33 publications

Strategies to improve human papillomavirus vaccination rates among adolescents in family practice settings in the United States: A systematic review

Strategies to improve human papillomavirus vaccination rates among adolescents in family practice settings in the United States: A systematic review

A Select Bibliography of Actions to Promote Vaccine Literacy: A Resource for Health Communication

HPV immunization among young adults (HIYA!) in family practice: A quality improvement project

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