{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Gilkey MB"],"funding":["National Cancer Institute","NCI NIH HHS","Robert Wood Johnson Foundation"],"pagination":["957-962"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10244480"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["32(7)"],"pubmed_abstract":["<h4>Background</h4>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 in HPV vaccination. We sought to evaluate the impact of an enhanced, HPV vaccine-specific QI coaching intervention when delivered in person or virtually.<h4>Methods</h4>We partnered with health departments in three states to conduct a pragmatic cluster randomized trial in 2015 to 2016. We randomized 224 primary care clinics to receive no intervention (control), in-person coaching, or virtual coaching. Health department staff delivered the brief (45-60 minute) coaching interventions, including HPV vaccine-specific training with assessment and feedback on clinics' vaccination coverage (i.e., proportion of patients vaccinated). States' immunization information systems provided data to assess coverage change for HPV vaccine initiation (≥1 doses) at 12-month follow-up, among patients ages 11 to 12 (primary outcome) and 13 to 17 (secondary outcome) at baseline.<h4>Results</h4>Clinics served 312,227 patients ages 11 to 17. For ages 11 to 12, coverage change for HPV vaccine initiation was higher in the in-person and virtual coaching arms than in the control arm at 12-month follow-up (1.2% and 0.7% point difference, both P < 0.05). For ages 13 to 17, coverage change was higher for virtual coaching than control (1.4% point difference, P < 0.001), but in-person coaching did not yield an intervention effect.<h4>Conclusions</h4>Our brief QI coaching intervention produced small long-term improvements in HPV vaccination.<h4>Impact</h4>Health departments may benefit from targeting QI coaching to specific vaccines, like HPV vaccine, that need them most."],"journal":["Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology"],"pubmed_title":["Impact of Brief Quality Improvement Coaching on Adolescent HPV Vaccination Coverage: A Pragmatic Cluster Randomized Trial."],"pmcid":["PMC10244480"],"funding_grant_id":["R25CA116339","R25 CA116339","71272"],"pubmed_authors":["Moss JL","Brewer NT","Gilkey MB","Calo WA","Heisler-MacKinnon J","Boynton MH"],"additional_accession":[]},"is_claimable":false,"name":"Impact of Brief Quality Improvement Coaching on Adolescent HPV Vaccination Coverage: A Pragmatic Cluster Randomized Trial.","description":"<h4>Background</h4>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 in HPV vaccination. We sought to evaluate the impact of an enhanced, HPV vaccine-specific QI coaching intervention when delivered in person or virtually.<h4>Methods</h4>We partnered with health departments in three states to conduct a pragmatic cluster randomized trial in 2015 to 2016. We randomized 224 primary care clinics to receive no intervention (control), in-person coaching, or virtual coaching. Health department staff delivered the brief (45-60 minute) coaching interventions, including HPV vaccine-specific training with assessment and feedback on clinics' vaccination coverage (i.e., proportion of patients vaccinated). States' immunization information systems provided data to assess coverage change for HPV vaccine initiation (≥1 doses) at 12-month follow-up, among patients ages 11 to 12 (primary outcome) and 13 to 17 (secondary outcome) at baseline.<h4>Results</h4>Clinics served 312,227 patients ages 11 to 17. For ages 11 to 12, coverage change for HPV vaccine initiation was higher in the in-person and virtual coaching arms than in the control arm at 12-month follow-up (1.2% and 0.7% point difference, both P < 0.05). For ages 13 to 17, coverage change was higher for virtual coaching than control (1.4% point difference, P < 0.001), but in-person coaching did not yield an intervention effect.<h4>Conclusions</h4>Our brief QI coaching intervention produced small long-term improvements in HPV vaccination.<h4>Impact</h4>Health departments may benefit from targeting QI coaching to specific vaccines, like HPV vaccine, that need them most.","dates":{"release":"2023-01-01T00:00:00Z","publication":"2023 Jul","modification":"2025-04-19T18:55:58.596Z","creation":"2025-04-19T18:55:58.596Z"},"accession":"S-EPMC10244480","cross_references":{"pubmed":["36480272"],"doi":["10.1158/1055-9965.epi-22-0866","10.1158/1055-9965.EPI-22-0866"]}}