Increasing HPV Vaccination Rates through Virtual Immersive Communication Training on Recommending Immunizations: An Efficacy Study of VICTORI

通过虚拟沉浸式推荐免疫沟通培训提高 HPV 疫苗接种率：VICTORI 的功效研究

基本信息

批准号：
10059195
负责人：
Francis Real
金额：
$ 22.35万
依托单位：
CINCINNATI CHILDRENS HOSP MED CTR
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-12-01 至 2022-11-30
项目状态：
已结题

项目摘要

PROJECT SUMMARY Despite strong evidence the human papillomavirus (HPV) vaccine is effective in preventing certain anogenital cancers, only 69% of adolescent females and 63% of males in the U.S. have initiated the series. Research has demonstrated that the leading predictor of parents’ decision to vaccinate their child against HPV is a strong recommendation from physicians. Recent interventions have focused on improving physicians’ recommendations through education about national recommendations via presentations, webinars, electronic health record alerts, and quality improvement incentives. Despite the rigorous and innovative methods used, these studies have resulted in variable effects, perhaps, in part, because of the lack of immersive, deliberate practice of communicating vaccine recommendations. Our research team’s long-term goal is to increase HPV vaccination rates in adolescents, which will decrease rates of HPV-associated cancers and pre-cancers. The objective of this application is to evaluate the effectiveness of a novel virtual reality intervention, Virtual Immersive Communication Training on Recommending Immunizations (VICTORI), designed to enhance the strength of physicians’ HPV vaccine recommendations through deliberate practice. We will evaluate whether VICTORI improves HPV vaccine initiation and completion rates among 11 to 17-year-old patients, as well as improves physicians’ HPV vaccine attitudes, self-efficacy, and strength of recommendation. Our hypothesis is that the implementation of VICTORI will be positively associated with an increase in vaccine initiation and completion rates, and that this association will be mediated by improvements in physician attitudes, self-efficacy, and strength of recommendation. The rationale for the proposed research is that an evaluation of VICTORI will inform effective and scalable strategies to train physicians to provide strong vaccine recommendations, resulting in increased HPV vaccine rates and ultimately lower rates of HPV-associated cancers. To achieve our objective, we will accomplish these specific aims: (1) evaluate VICTORI for acceptability and feasibility, and (2) conduct a single- site intervention assessing the efficacy of VICTORI in increasing HPV vaccine rates. The proposed research is significant because it is the first step in determining the effect of deliberate practice using virtual reality simulations to increase HPV vaccine initiation and completion rates. The approach is innovative because it is the first rigorous effort to develop and evaluate the efficacy of virtual reality as a training platform to teach best-practice communication skills related to HPV vaccine counseling. The expected outcome of this work is successful implementation of VICTORI, designed to increase strong HPV vaccination recommendations by physicians, which in turn will increase HPV vaccination rates.

项目摘要尽管有强烈的证据，人乳头瘤病毒（HPV）疫苗仍有效预防某些肛门生殖器癌症，只有69％的青少年女性和63％的男性开始了该系列。研究有证明父母决定为孩子接种HPV的决定的主要预测指标是强大的最近的干预措施重点是改善医生通过教育通过演示，网络研讨会，电子健康记录的教育建议警报和质量改进激励措施。尽管使用了严格而创新的方法，但这些研究可能会导致可变影响，部分原因是缺乏沉浸式，故意的实践传达疫苗建议。我们的研究团队的长期目标是增加HPV疫苗建议青少年的比率将降低与HPV相关的癌症和前癌的率。目的该应用是为了评估新颖的虚拟现实干预，虚拟沉浸式的有效性推荐免疫的沟通培训（Victori），旨在提高医师通过故意实践提出的HPV疫苗建议。我们将评估是否维多利改善11至17岁患者的HPV疫苗倡议和完成率以及改进医师的HPV疫苗与会者，自我效能感和推荐力量。我们的假设是维多利的实施将与疫苗倡议的提高和完成率的提高呈正相关，并且这种关联将通过提高身体出勤，自我效能和力量的提高来调节推荐。拟议研究的理由是对维多利的评估将为有效以及可扩展的策略，以培训医生提供强有力的疫苗建议，从而增加 HPV疫苗率和最终降低了与HPV相关的癌症的速率。为了实现我们的目标，我们将完成这些具体目标：（1）评估Victori的可接受性和可行性，（2）进行单一现场干预评估维多利人在增加HPV疫苗率的效率。拟议的研究是意义重大，因为这是确定使用虚拟现实的故意实践效果的第一步仿真以增加HPV疫苗计划和完成率。这种方法是创新的，因为它是第一个严格的努力来发展和评估虚拟现实的效率，作为教授最佳实践的培训平台与HPV疫苗咨询有关的沟通技巧。这项工作的预期结果成功了维多利的实施，旨在增加医生的强烈HPV疫苗接种建议，反过来将增加HPV疫苗接种率。

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Impact of a Virtual Reality Curriculum on Human Papillomavirus Vaccination: A Pilot Trial.

DOI：
10.1016/j.amepre.2022.05.003
发表时间：
2022-11
期刊：
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
影响因子：
5.5
作者：
Real, Francis J.;Ollberding, Nicholas J.;Meisman, Andrea R.;DeBlasio, Dominick J.;Pero, Mary Beth;Davis, David;Cruse, Bradley;Klein, Melissa D.;Kahn, Jessica A.;Rosen, Brittany L.
通讯作者：
Rosen, Brittany L.

Usability matters for virtual reality simulations teaching communication.