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This study will assess the usefulness of parent-targeted strategies in improving care seeking among parents of 11-12 year old adolescents. Specifically, the study team will focus on reminders (postcard or text message) and motivational interviewing to improve adolescent vaccination.
Despite the impressive cancer preventing potential of human papillomavirus (HPV) vaccines, HPV vaccine coverage rates in the United States remain substantially lower than other vaccines and Healthy People 2020 targets. HPV vaccine initiation can be improved through targeted reminders that motivate parents. Our long-term goal is to maximize HPV vaccination rates among girls and boys within the United States using efficient and sustainable strategies. The objective of this protocol is to evaluate the usefulness of a tiered strategy of a parent-targeted strategies in improving care seeking and receptiveness to vaccine recommendations. Strategies include HPV vaccine reminders via postcard or text message and phone-based Motivational Interview sessions. The central hypothesis is addressing key health beliefs (e.g., perceived benefits and barriers) will increase parental acceptance and, thus, HPV vaccine initiation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parents of Girls | Experimental | Parents of 11-to-12-year-old girls who did not have records of the HPV vaccine in the EHR or Medicaid claims. |
|
| Parents of Boys | Experimental | Parents of 11-to-12-year-old girls who did not have records of the HPV vaccine in the EHR or Medicaid claims. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Text Message | Behavioral | Vaccine reminder notification sent via text |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Patients with deliverable text messages | Percentage of Patients with deliverable text messages | up to 2 weeks |
| Percentage of phone calls where interviewer is adherent to MI | Adherence to MI | During phone interview |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of adolescent who get one dose of the HPV vaccine | HPV vaccine initiation (1 dose) | Six months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stephanie Staras | University of Florida | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UF Health Pediatrics - Gerold L. Schiebler CMS Center | Gainesville | Florida | 32608 | United States |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| D062405 | Motivational Interviewing |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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| PostCard | Behavioral | Vaccine reminder notification sent via standard mail |
|
| Standard of Care | Behavioral | No additional information given to parents |
|
| Motivational Interview | Behavioral | Phone-based semi-guided discussion with parents who had not yet agreed to vaccination after reminders sent |
|
| D037001 | Directive Counseling |
| D003376 | Counseling |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |