RecruitingNot ApplicableNCT06598475

Investigating Facilitator-driven, Multi-level Implementation Strategies in Federally Qualified Health Centers to Improve Provider Recommendation and HPV Vaccination Rates Among Latino/a Adolescents

Sponsor

The University of Texas Health Science Center, Houston

Enrollment

2,142 participants

Start Date

Mar 13, 2025

Study Type

INTERVENTIONAL

Conditions

Human Papillomavirus Infection

Summary

The purpose of this study is to determine the provider- and practice-level characteristics that influence the impact of implementation strategies guided by practice facilitation in each clinical practice, to test whether the facilitator-driven provider- and practice-level implementation strategies increase provider recommendations and Human Papilloma Virus (HPV) vaccination rates and to evaluate implementation and future sustainability of the facilitator-driven implementation strategies across nine clinical practice sites

Eligibility

Min Age: 11 YearsMax Age: 17 Years

Inclusion Criteria8

FQHC's with less than 60% HPV vaccine initiation rate for 11-12 year old adolescents overall at their practice sites
FQHC's that have family medicine and/or pediatric practices
a total adolescent patient population at least 50% Latino
be willing for Health Care Provider (HCP) and staff members to receive education, training, and support; complete standardized measurement, and agree to randomization.
Providers, aged 18 and over, employed at each FQHC (4 staff per practice)
Staff, aged 18 and over, employed at each FQHC (5 staff per practice)
Implementation team members (i.e., administrative designee, health care providers, immunization navigators, and other staff), aged 18 and over, employed at each FQHC (4 members per practice)
Parents (aged 18 and over) of patients ages 11-17 seeking care at each FQHC (25 per practice).

Exclusion Criteria1

FQHCs that participated in the pilot study were excluded.

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Interventions

OTHERFacilitator-driven provider- and practice-level implementation strategies for influencing provider recommendations and practice-level HPV vaccination rates

The practice facilitator (UTHealth research staff) will implement the following 4 strategies with providers and immunization navigators at each practice: * Facilitator-driven provider education: The practice facilitator will conduct one provider education module (5 total modules) over three months with health care providers using a booklet and resource binder. * Facilitator-driven clinical practice plan: The practice facilitator will assist the implementation team in creating their clinical practice in two additional modules and encourage providers to identify strategies to increase HPV vaccination. * Training and education for staff (Immunization Navigators): The facilitator will train immunization navigators to implement the plan, and practice immunization navigators will implement the plan. * Technical assistance plus assessment and feedback: During implementation of the plan, the facilitator will provide technical assistance, ongoing assessment and feedback, and booster trainings.