Journal article
Evaluating implementation by rural clinics of evidence‐based interventions to promote HPV vaccination
The Journal of rural health, Vol.41(1), e70006
01/2025
DOI: 10.1111/jrh.70006
PMCID: PMC11832805
PMID: 39962360
Appears in UI Libraries Support Open Access
Abstract
Purpose
Despite the well-established link between vaccination against human papillomavirus (HPV) and a decreased risk of cancer, HPV vaccine uptake in rural communities is low. Evidence-based interventions (EBIs) to promote HPV vaccination exist but are not universally implemented in rural settings due to various challenges. To understand the support needed by rural clinics in implementing EBIs, the University of Iowa partnered with the American Cancer Society (ACS) to evaluate an ACS HPV Vaccinating Adolescents against Cancers Quality Improvement Learning Collaborative that was delivered to six clinics in two rural health systems. The study aimed to assess the effectiveness of the learning collaborative approach for helping rural clinics implement EBIs aimed at increasing HPV vaccine uptake.
Methods
Semistructured interviews were conducted with clinic staff at six time points throughout the 2-year intervention. Interviews were conducted over the phone and were recorded and transcribed. Members of the research team coded the interviews using codebooks informed by the interview guides. The analysis compared the health systems and identified the changes they made in response to assistance provided by the collaborative.
Results
Clinic staff implemented the following EBIs: utilizing the immunization registry, strong provider recommendation, and provider education. Implementation of scheduling next dose fluctuated during the intervention. Differences were noted in the two health systems’ implementation using electronic health records for patient and provider reminders.
Conclusion
Small, rural clinics can implement effective EBIs, given proper support. This is important as such EBIs can increase HPV vaccination rates and help prevent HPV-associated cancers.
Details
- Title: Subtitle
- Evaluating implementation by rural clinics of evidence‐based interventions to promote HPV vaccination
- Creators
- Stephanie Evett - University of IowaShelley Walker - American Cancer SocietyGrace W. Ryan - University of Massachusetts Chan Medical SchoolEliza Steere - University of IowaEliza Daly - Division of Administration Iowa Department of Health and Human Services Des Moines Iowa USAEmily A. Janio - University of IowaStephanie Pedraza Marin - Northeastern Illinois UniversityNatoshia M. Askelson - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of rural health, Vol.41(1), e70006
- DOI
- 10.1111/jrh.70006
- PMID
- 39962360
- PMCID
- PMC11832805
- NLM abbreviation
- J Rural Health
- ISSN
- 0890-765X
- eISSN
- 1748-0361
- Publisher
- Wiley
- Grant note
- Centers for Disease Control and Prevention cooperative agreement: U48 DP006389
Financial support for this article comes from the Centers for Disease Control and Prevention cooperative agreement U48 DP006389. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
- Language
- English
- Date published
- 01/2025
- Academic Unit
- Injury Prevention Research Center; Community and Behavioral Health
- Record Identifier
- 9984791030702771
Metrics
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