ArticleJournal of public health management and practice : JPHMP
Using an Implementation Research Framework to Identify Potential Facilitators and Barriers of an Intervention to Increase HPV Vaccine Uptake.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of cancer caregiver interventions: Appraising the potential for implementation of evidence into practice.Psycho-oncology · 2019Pooled it
- An exploratory study to determine the feasibility and processes needed to implement the Immunization Neighborhood to increase HPV vaccination among African American adolescents and adolescents in the general population: A multi-partner perspective.Human vaccines & immunotherapeutics · 2026Article
- Evaluation of a Minigrant Program for Multilevel Interventions to Promote Human Papillomavirus Vaccination in Rural Communities in Georgia.Preventing chronic disease · 2026Article
- Cervical cancer trends, HPV vaccine utilization, and screening in low- and lower-middle-income countries: an updated review.Therapeutic advances in vaccines and immunotherapy · 2025Review
- Implementation of Point-of-Care PCR-testing for the diagnosis of respiratory infections in vulnerable patient populations.PloS one · 2025Article
- Barriers and facilitators to implementing a Canadian shared-care ADHD program in pediatric settings in Shanghai: a consolidated framework for implementation research approach.BMC health services research · 2024Article
- Understanding Clinic and Community Member Experiences with Implementation of Evidence-Based Strategies for HPV Vaccination in Safety-Net Primary Care Settings.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Drivers of early childhood vaccination success in Nepal, Senegal, and Zambia: a multiple case study analysis using the Consolidated Framework for Implementation Research.Implementation science communications · 2023Article
- Burden of vaccine-preventable diseases, trends in vaccine coverage and current challenges in the implementation of the expanded program on immunization: A situation analysis of Cameroon.Human vaccines & immunotherapeutics · 2022Review
- Measurement of provider fidelity to immunization guidelines: a mixed-methods study on the feasibility of documenting patient refusals of the human papillomavirus vaccine.BMC medical informatics and decision making · 2022Observational
- Attitude and hesitancy of human papillomavirus vaccine among Saudi parents.Journal of family medicine and primary care · 2022Article
- Implementation of the human papillomavirus school-entry requirement in Puerto Rico: barriers and facilitators using the consolidated framework for implementation research.Human vaccines & immunotherapeutics · 2021Article
- The implementation process of the Confident Birth method in Swedish antenatal education: opportunities, obstacles and recommendations.Health promotion international · 2021Article
- Understanding primary care physician perspectives on recommending HPV vaccination and addressing vaccine hesitancy.Human vaccines & immunotherapeutics · 2021Article
- Implementation of a neonatal hepatitis B immunization program in rural Karenni State, Myanmar: A mixed-methods study.PloS one · 2021Article
- Implementation of a context-specific accreditation assessment tool for affirming quality midwifery education in Bangladesh: a qualitative research study.Global health action · 2020Article
- What will it take? Using an implementation research framework to identify facilitators and barriers in implementing a school-based referral system for sexual health services.BMC health services research · 2020Article
- Facilitators and Barriers to the Implementation of the HPV VACs (Vaccinate Adolescents Against Cancers) Program: A Consolidated Framework for Implementation Research Analysis.Preventing chronic disease · 2019Article
- Human papillomavirus vaccine delivery in Mozambique: identification of implementation performance drivers using the Consolidated Framework for Implementation Research (CFIR).Implementation science : IS · 2018Article
- Barriers, facilitators, and potential strategies for increasing HPV vaccination: A statewide assessment to inform action.Papillomavirus research (Amsterdam, Netherlands) · 2018Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundAlthough the incidence of cervical cancer has been decreasing in the United States over the last decade, Hispanic and African American women have substantially higher rates than Caucasian women. The human papillomavirus (HPV) is a necessary, although insufficient, cause of cervical cancer. In the United States in 2013, only 37.6% of girls 13 to 17 years of age received the recommended 3 doses of a vaccine that is almost 100% efficacious for preventing infection with viruses that are responsible for 70% of cervical cancers. Implementation research has been underutilized in interventions for increasing vaccine uptake. The Consolidated Framework for Implementation Research (CFIR), an approach for designing effective implementation strategies, integrates 5 domains that may include barriers and facilitators of HPV vaccination. These include the innovative practice (Intervention), communities where youth and parents live (Outer Setting), agencies offering vaccination (Inner Setting), health care staff (Providers), and planned execution and evaluation of intervention delivery (Implementation Process).
methodsSecondary qualitative analysis of transcripts of interviews with 30 community health care providers was conducted using the CFIR to code potential barriers and facilitators of HPV vaccination implementation.
resultsAll CFIR domains except Implementation Process were well represented in providers' statements about challenges and supports for HPV vaccination.
conclusionA comprehensive implementation framework for promoting HPV vaccination may increase vaccination rates in ethnically diverse communities. This study suggests that the CFIR can be used to guide clinicians in planning implementation of new approaches to increasing HPV vaccine uptake in their settings. Further research is needed to determine whether identifying implementation barriers and facilitators in all 5 CFIR domains as part of developing an intervention contributes to improved HPV vaccination rates.
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