Intervention Core - Improving Provider Announcement Communication Training (IMPACT)

干预核心 - 改进提供商公告沟通培训 (IMPACT)

• 批准号: 10266277
• 负责人: Melissa B Gilkey
• 金额: $ 25.34万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-23 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10266277
• 关键词: Academia; Address; Adolescent; Advocacy; Advocate; Behavioral Sciences; Childhood; Clinic; Clinical; Communication; Cost Effectiveness Analysis; Data; Data Collection; Discipline of Nursing; Educational Curriculum; Educational Intervention; Educational workshop; Effectiveness; Effectiveness of Interventions; Ensure; Environment; Evaluation; Evidence based intervention; Family; Family Practice; Feedback; Future; Goals; Health Policy; Healthcare Systems; Hour; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papillomavirus; Instruction; Intervention; Lead; Malignant Neoplasms; Measures; Medical; Medicine; Monitor; Nurse Practitioners; Nurses; Parents; Patients; Pediatrics; Performance; Physician Assistants; Physicians; Policies; Population; Preparation; Preventive care; Primary Health Care; Procedures; Production; Provider; Public Health; Randomized Clinical Trials; Recommendation; Research; Research Project Grants; Resources; Safety; Social Sciences; Speed; Sum; Testing; Time; Trainers Training; Training; Training Programs; Translations; Update; Vaccination; Work; Youth; cancer prevention; clinical practice; clinical research site; cost; cost effectiveness; data sharing; design; financial incentive; health economics; implementation barriers; implementation facilitation; implementation measures; implementation outcomes; improved; meetings; multidisciplinary; program dissemination; programs; recruit; research to practice; rural area; social media; therapy development; tool; tool development; trend; vaccine acceptance; web site

ABSTRACT – Intervention Core The Intervention Core will support the proposed Program Project, “Improving Provider Announcement Communication Training (IMPACT)” with the goal of improving HPV vaccination in healthcare systems. The Intervention Core will synthesize project-specific findings regarding the implementation and effectiveness of standing orders support (Project 1), financial incentives (Project 2), and clinical champions (Project 3) into the Announcement Approach Training (AAT) Intervention Package. AAT is a brief communication workshop that helps primary care teams improve the way they recommend HPV vaccine and address parents' concerns. In a prior randomized clinical trial, AAT increased HPV vaccine coverage by 5 percentage points over the control within just 3 months. The proposed Program Project seeks to amplify AAT's impact by combining it with the interventions to be tested in Projects 1-3. The Program Project will then compare the population impact and cost-effectiveness of these interventions, including in rural areas (Project 4). The Intervention Core will support the four research projects in the P01 to maximize the quality and comparability of AAT interventions delivered and evaluated over the 5-year study period. Aim 1 is to convene a Clinical Advisory Board to provide projects with multi-disciplinary implementation support. Our board includes leaders in pediatrics, family medicine, nursing, quality improvement, and patient and family advocacy. Through quarterly meetings, the board will support the development of intervention materials, the recruitment and retention of clinical sites, and the interpretation and dissemination of study findings. Aim 2 is to prepare AAT facilitators and training materials for intervention delivery. To achieve the highest-quality interventions, we will centralize (1) the training of the facilitators who will deliver our AAT workshops to primary care teams and (2) the preparation of intervention materials. Aim 3 is to harmonize assessment of implementation measures, including cost. The Intervention Core will monitor the quality of implementation data collected in Projects 1-3 to ensure timeliness, completeness, and accuracy. This quality monitoring will support the successful completion of Project 4's cost-effectiveness analyses and other information for the AAT Intervention Package. Aim 4 is to facilitate the national dissemination of study findings and intervention materials. Collaborating with Projects 1-4, the Intervention Core will disseminate study deliverables to audiences in academia, clinical practice, and public health. Most notably, the Core will lead the production of the AAT Intervention Package for improving HPV vaccination in healthcare systems. In sum, the Intervention Core will be instrumental to the Program Project's goals of improving primary care teams' communication, increasing HPV vaccine uptake, and ensuring that today's youth have the highest level of protection against future HPV cancers. The Intervention Core addresses the IMPACT Program Project theme by building capacity for HPV vaccine communication interventions among primary care teams in healthcare systems.

摘要 – 干预核心 干预核心将支持拟议的计划项目“改进提供商公告 沟通培训 (IMPACT)”，目标是改善医疗系统中的 HPV 疫苗接种。 干预核心将综合有关项目具体实施和有效性的调查结果 常规订单支持（项目 1）、财务激励（项目 2）和临床冠军（项目 3） 公告方法培训 (AAT) 干预包是一个简短的沟通研讨会。 帮助初级保健团队改进推荐 HPV 疫苗的方式并解决家长的担忧。 之前的随机临床试验中，AAT 使 HPV 疫苗覆盖率比对照提高了 5 个百分点 拟议的计划项目旨在通过将其与 AAT 相结合来扩大其影响。 然后，项目将比较人口影响和项目 1-3 中要测试的干预措施。 这些干预措施的成本效益，包括在农村地区（项目 4）。 P01 中的四个研究项目旨在最大限度地提高 AAT 干预措施的质量和可比性 并在 5 年研究期间进行评估，目标 1 是召集临床顾问委员会提供建议。 我们的董事会包括儿科、家庭领域的领导者。 医学、护理、质量改进以及患者和家庭宣传 通过季度会议， 董事会将支持干预材料的开发、临床站点的招募和保留，以及 目标 2 是为 AAT 协调员和培训做好准备。 为了实现最高质量的干预措施，我们将集中 (1) 培训将向初级保健团队举办 AAT 研讨会的协调员，以及 (2) 准备 目标 3 是协调实施措施的评估，包括成本。 干预核心将监控项目 1-3 中收集的实施数据的质量，以确保 这种质量监控将支持项目的成功完成。 项目 4 的成本效益分析和 AAT 干预方案的其他信息旨在： 与合作促进研究结果和干预材料的全国传播。 项目 1-4，干预核心将向学术界、临床界的受众传播研究成果 最值得注意的是，核心将领导 AAT 干预措施的制定。 改善医疗保健系统中的 HPV 疫苗接种的一揽子计划总之，干预核心将是。 有助于实现该计划项目的目标，即改善初级保健团队的沟通、增加 HPV 疫苗接种，并确保当今的年轻人获得针对未来 HPV 的最高水平的保护 干预核心通过建设 HPV 能力来解决 IMPACT 计划的主题。 医疗保健系统中初级保健团队之间的疫苗沟通干预。