Program Project – Improving Provider Announcement Communication Training (IMPACT)

计划项目 — 改进提供商公告沟通培训 (IMPACT)

基本信息

批准号：
10266271
负责人：
Noel Todd Brewer
金额：
$ 238.1万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
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/10266271
关键词：
Address Administrative Coordination Adolescent Adoption Area Behavioral Cancer Control Clinic Clinical Communication Communities Data Data Collection Decision Aid Educational Intervention Effectiveness Evolution Face Goals Healthcare Systems Human Papilloma Virus Vaccination Human Papilloma Virus Vaccine Human Papillomavirus Intervention Malignant Neoplasms Medical Modeling National Cancer Institute Nurse&apos s Role Online Systems Parents Perception Prevention Primary Health Care Program Research Project Grants Provider Randomized Clinical Trials Recommendation Research Research Activity Research Project Grants Resources Rural Surveys System Testing Training Training Activity Training Programs Work budget impact cancer prevention contextual factors cost cost effectiveness effective intervention financial incentive improved insight intervention program novel population health prevent programs rural area support tools synergism uptake vaccine acceptance

项目摘要

ABSTRACT – Overall Widespread HPV vaccination in the US could prevent 32,100 cancers every year. Despite this tremendous potential, HPV vaccination coverage is far short of the nation's goal of 80%. Provider recommendations are uniquely powerful in increasing HPV vaccine uptake. However, primary care teams and healthcare systems face barriers to effective HPV vaccine communication, and many questions remain unanswered about how to increase the potency of provider recommendations. We propose the P01 Program Project, “Improving Provider Announcement Communication Training (IMPACT).” The goal of IMPACT is to improve HPV vaccine communication and uptake among adolescents. IMPACT's specific aims are to 1) Identify opportunities to improve HPV vaccine communication; 2) Evaluate the impact and cost of HPV vaccine communication interventions in cluster randomized clinical trials; and 3) Support implementation of HPV vaccine communication interventions in healthcare systems. The IMPACT Program Project's shared theme is amplifying the impact of a Research-Tested Intervention Program to improve HPV vaccine communication in healthcare systems. The projects will work together to enhance the impact of the Announcement Approach Training (AAT), an HPV vaccine communication training for primary care professionals, which received designation as a Research-Tested Intervention Program (RTIP) from the National Cancer Institute. Project 1 will establish how to involve the whole primary care team in HPV vaccine recommendations. The project will examine whether optimizing the use of standing orders support increases HPV vaccine uptake in clinics receiving the AAT. Project 2 will examine what motivates providers to recommend HPV vaccination. The project will establish whether clinic-level financial incentives increase vaccine uptake in clinics receiving the AAT. Project 3 will examine who should facilitate the trainings. The project will establish whether engaging clinical champions in healthcare systems to implement the AAT within their own systems increases vaccine uptake. Project 4 will examine which interventions fit systems' resources. The project will examine the budget impact, cost-effectiveness, and population health impact of HPV vaccine interventions in rural and nonrural communities and aid decision makers with a decision support tool to facilitate the adoption of promising interventions. The research projects will receive support from 3 cores: Administrative, Data, and Intervention. IMPACT's activities will culminate with the creation of the AAT Intervention Package to support improving HPV vaccine uptake in healthcare systems. Throughout the proposed Program Project, the shared theme and AAT focus will create synergies among the projects and cores that generates significant and novel scientific insights into how to improve HPV vaccine communication and uptake. Our approach will also accelerate the evolution of communication trainings for primary care professionals, accomplishing in 5 years what might otherwise take two decades.

摘要——总体尽管这一数字巨大，但在美国广泛普及 HPV 疫苗接种每年仍可预防 32,100 例癌症。 HPV 疫苗接种覆盖率远低于国家 80% 的目标。然而，初级保健团队和医疗保健系统在增加 HPV 疫苗接种方面具有独特的作用。 HPV 疫苗的有效沟通面临障碍，并且关于如何接种疫苗的许多问题仍未得到解答提高提供者推荐的效力我们提出了 P01 计划项目“改善提供者”。公告沟通培训（IMPACT）。”IMPACT 的目标是改进 HPV 疫苗。 IMPACT 的具体目标是 1) 确定机会改善 HPV 疫苗沟通；2) 评估 HPV 疫苗沟通的影响和成本集群随机临床试验的干预措施；以及 3) 支持 HPV 疫苗的实施 IMPACT 计划项目的共同主题是医疗保健系统中的沟通干预。扩大经过研究测试的干预计划的影响以改进 HPV 疫苗这些项目将共同努力增强医疗保健系统的影响。公告方法培训 (AAT)，针对初级保健的 HPV 疫苗沟通培训专业人士，该项目被指定为研究测试干预计划（RTIP）国家癌症研究所项目 1 将确定如何让整个初级保健团队参与 HPV 疫苗接种。该项目将研究优化常规订单支持是否会增加。接受 AAT 的诊所对 HPV 疫苗的使用情况项目 2 将检查提供者的动机。建议 HPV 疫苗接种，该项目将确定是否增加诊所层面的财政激励措施。接受 AAT 的诊所的疫苗接种情况项目 3 将检查谁应该促进培训。项目将确定是否让医疗保健系统中的临床冠军参与其中以实施 AAT 他们自己的系统增加了疫苗的接种率项目 4 将检查哪些干预措施适合系统资源。该项目将研究 HPV 疫苗的预算影响、成本效益和人口健康影响对农村和非农村社区进行干预，并通过决策支持工具帮助决策者促进采用有前景的干预措施，这些研究项目将得到 3 个核心的支持：行政、数据和干预的活动将随着 AAT 的创建而达到顶峰。支持提高整个医疗系统中 HPV 疫苗接种率的干预措施。拟议的计划项目、共同主题和 AAT 重点将在项目和为如何改善 HPV 疫苗传播提供重要且新颖的科学见解的核心我们的方法还将加速初级保健沟通培训的发展。专业人士在 5 年内完成原本需要 20 年才能完成的工作。