Evidence map›Paper›PMID 30866981›Full record

ArticleImplementation science : IS2019

A stepped-wedge cluster randomized trial designed to improve completion of HPV vaccine series and reduce missed opportunities to vaccinate in rural primary care practices.

Patricia A Carney, Brigit Hatch, Isabel Stock, Caitlin Dickinson, Melinda Davis, Rex Larsen, Steele Valenzuela, Miguel Marino, Paul M Darden, Rose Gunn and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03604393 (Increasing Human Papillomavirus), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03604393 naunknown statusnot on this map

Increasing Human Papillomavirus (HPV) Immunization Rates: The Rural Adolescent Vaccine Enterprise (RAVE)

TypeinterventionalSponsorOregon Health and Science UniversityRan2019 to 2023Enrolled22,000ConditionsHuman Papilloma VirusArmsPractice facilitation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Determining the Impact of a Community-Based Intervention on Knowledge Gained and Attitudes Towards the HPV Vaccine in Virginia.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  5. Article
  6. Review
  7. Human Papillomavirus Immunization in Rural Primary Care.American journal of preventive medicine · 2020
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Patricia A CarneyOregon Health & Science University, 3181 SW Sam Jackson Park Rd. MC: FM, Portland, OR, 97239, USA. carneyp@ohsu.edu.ORCID 0000-0002-2937-655X
Brigit HatchOregon Health & Science University, 3181 SW Sam Jackson Park Rd. MC: FM, Portland, OR, 97239, USA.
Isabel StockOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA.
Caitlin DickinsonOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA.
Melinda DavisOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA.
Rex LarsenOregon Immunization Program, Portland, OR, USA.
Steele ValenzuelaDepartment of Family Medicine, Oregon Health & Science University, Portland, OR, USA.
Miguel MarinoOregon Health & Science University, 3181 SW Sam Jackson Park Rd. MC: FM, Portland, OR, 97239, USA.
Paul M DardenOklahoma Child Health Research Network (OCHRN), University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Rose GunnOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA.
Laura FerraraOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA.
Lyle J FagnanOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA.

Funding

Using Context to Improve Implementation of Evidenced-based Interventions for Colorectal Cancer Screening in Rural Primary Care (Precise CRC)K07CA211971 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAVIS, MELINDA MARIE · 2017 to 2020
$683k
NCI NIH HHS K07 CA211971
6 · The paper itself

Abstract

objectivesTo test the effectiveness of a comprehensive team-based intervention to improve human papillomavirus (HPV) vaccination completion rates and reduce missed opportunities to vaccinate in rural Oregon.

designStepped-wedge cluster randomized trial.

participantsForty family physicians and pediatricians who are members of the Oregon Rural Practice-based Research Network.

interventionTailored to individual practice needs, components will include (1) practice facilitation with clinicians, nurses, front office staff, and others who have patient contact to redesign patient care and communication strategies to optimize HPV vaccine series completion; (2) workflow mapping adapted to practice context to support HPV vaccine delivery; (3) a practice improvement model designed to firmly establish reminder and recall systems and then standing orders; (4) education for patients and parents that underscores HPV vaccination is safe, effective, and an important approach for reducing cancer risk; and (5) partnering with community organizations to plan and implement a social marketing campaign on HPV vaccination.

main outcome measuresInitiation and completion of the HPV vaccine series as well as reduction in rates of missed opportunities to vaccinate derived from Oregon Immunization Program data.

trial registrationClinicalTrials.govPRS, NCT03604393 : .Trial was registered on July 11, 2018. The first participant was enrolled on September 11, 2018.

Indexed as

Papillomavirus VaccinesAdolescentChildChild Health ServicesCluster AnalysisData CollectionFacilities and Services UtilizationFamily PracticeFemaleHumansMaleMulticenter Studies as TopicOregonPapillomavirus InfectionsPatient Acceptance of Health CarePrimary Health CarePapillomavirus VaccinesCancer prevention social media campaignsCervical cancer preventionHPV vaccinationPractice-based research networkStepped-wedge cluster randomized trial

Identifiers

PMID30866981
PMCPMC6417191

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.