ArticlePediatrics2019
Implementing Evidence-Based Strategies to Improve HPV Vaccine Delivery.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Audit and feedback: effects on professional practice.The Cochrane database of systematic reviews · 2025Pooled it
- Exploring the content and delivery of feedback facilitation co-interventions: a systematic review.Implementation science : IS · 2024Pooled it
- Identifying behaviour change techniques in 287 randomized controlled trials of audit and feedback interventions targeting practice change among healthcare professionals.Implementation science : IS · 2023Pooled it
- A Multicomponent Strategy to Increase Human Papillomavirus Vaccination Rates in Primary Care: A Cluster Randomized Clinical Trial.JAMA network open · 2026Article
- HPV Vaccination Knowledge and Decision-Making Among Adults 27 to 45 Years: A Large Online Survey.Laryngoscope investigative otolaryngology · 2025Article
- Review
- Pervasiveness and clinical staff perceptions of HPV vaccination feedback.The American journal of managed care · 2024Article
- Contemporary provider perspectives on how to address HPV vaccine hesitancy in the US: A qualitative study.Vaccine: X · 2024Article
- Clinician Communication Training to Increase Human Papillomavirus Vaccination Uptake: A Systematic Review and Meta-Analysis.Vaccines · 2024Review
- Effectiveness of provider communication training for increasing human papillomavirus vaccine initiation at a safety-net health system.Preventive medicine reports · 2024Article
- Prevalence and characteristics of HPV vaccine hesitancy among parents of adolescent females across Saudi Arabia.Frontiers in public health · 2024Article
- Implementing interventions to start HPV vaccination at age 9: Using the evidence we have.Human vaccines & immunotherapeutics · 2023Article
- Sustainability, spread, and scale in trials using audit and feedback: a theory-informed, secondary analysis of a systematic review.Implementation science : IS · 2023Article
- Association between Religious Beliefs and HPV Vaccination Attitudes among College Students.Vaccines · 2023Article
- Review
- Feasibility of using an app-based coaching intervention to improve provider communication about HPV vaccination.Translational behavioral medicine · 2023Article
- Communicating effectively with patients about vaccination: A systematic review of randomized controlled trials.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2023Article
- Article
- Article
- Predictors of HPV vaccination in the southern US: A survey of caregivers from 13 states.Vaccine · 2021Article
Corrections and comments
- Commented on by
Authors and funding
5 authors.
Funding
Abstract
backgroundHigh-quality evidence indicates that intervening with health care providers improves human papillomavirus (HPV) vaccine delivery. However, scaling up evidence-based strategies in real-world clinical practice remains challenging. We sought to improve the reach and impact of strategies for HPV vaccination quality improvement (QI) through local adaptation and implementation in a large, not-for-profit health care system.
methodsWe conducted an HPV vaccination QI program using existing materials to support physician training coupled with assessment and feedback. Local physicians with high HPV vaccination rates facilitated training, which included didactic instruction and video vignettes modeling effective communication. We randomly assigned 25 clinics with 77 physicians to the QI arm or the wait-list control arm. We used hierarchical linear models to assess HPV vaccination coverage (≥1 dose) over 6 months among patients aged 12 to 14.
resultsOf 45 physicians in the QI arm, the program reached 43 (95%) with training plus assessment and feedback. In the overall sample, HPV vaccination coverage increased in both the QI and control arms (8.6 vs 6.4 percentage points, respectively), although the 2.2-percentage point difference did not reach statistical significance. Sensitivity analyses that excluded physicians with poor data quality indicated a statistically significant advantage of 3.3 percentage points for QI versus control (
conclusionsOur locally adapted QI program achieved excellent reach, with small improvements in HPV vaccination coverage. Future implementation research is needed to bolster program impact and support health systems in leveraging local resources to conduct these programs efficiently.
Indexed as
Identifiers
What OpenQuestion holds
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.