Evidence map›Paper›PMID 33409429›Full record

ArticlePediatric quality & safety

A Quality Improvement Learning Collaborative for Human Papillomavirus Vaccination.

Kristin Oliver, Kera Beskin, Laura Noonan, Amy Shah, Rebecca Perkins, Sharon Humiston

Abstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Evaluating implementation by rural clinics of evidence-based interventions to promote HPV vaccination.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  4. Article
  5. Article
  6. Project ECHO for Cancer Care: a Scoping Review of Provider Outcome Evaluations.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  7. Article
  8. Article
  9. 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

6 authors.

Kristin OliverDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, N.Y.
Kera BeskinAmerican Academy of Pediatrics, Itasca, Ill.
Laura NoonanDepartment of Pediatrics, Levine Children's Hospital, Charlotte, N.C.
Amy ShahAmerican Academy of Pediatrics, Itasca, Ill.
Rebecca PerkinsDepartment of Obstetrics and Gynecology, Boston University School of Medicine, Boston, Mass.; and.
Sharon HumistonDepartment of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, Mo.

Funding

Improving Immunization Rates and Enhancing Disease Prevention through Partnerships with ProvidersH23IP000952 · IP · AMERICAN ACADEMY OF PEDIATRICS · PI SOBCZYK, ELIZABETH · 2014 to 2015
$3.0M
NCIRD CDC HHS H23 IP000952
6 · The paper itself

Abstract

Many published accounts have shown that quality improvement (QI) initiatives within medical practice settings can increase vaccination rates. Project ECHO is a telementoring platform that uses video conferencing technology to educate and support healthcare professionals through case-based learning and brief lectures. This manuscript explores the results of a learning collaborative focused on combining QI and Project ECHO to increase human papillomavirus (HPV) vaccination rates within pediatric practices.

methodsThe American Academy of Pediatrics (AAP) recruited 3 AAP chapters that then recruited individual pediatricians and their practices for participation. Participants responded to surveys regarding chapter and pediatrician experience and satisfaction. Impact on HPV immunization rates (HPV initiation, series completion, and missed opportunities to vaccinate during visits) was measured using practice reports of chart reviews to AAP's data aggregator, which produced run charts.

resultsThirty-four pediatricians within 8 practices completed the project; 1 practice withdrew. Physicians self-reported increased confidence in communicating with vaccine-hesitant families and implementing QI activities. We analyzed practice run charts utilizing QI run chart rules and found nonrandom change towards improvement for aggregate missed opportunities to vaccinate but not for HPV vaccine initiation or series completion.

conclusionsAn HPV QI learning collaborative improved participant confidence in HPV vaccine communication and QI skills and decreased missed opportunities to vaccinate. Future projects should consider a more extended project period or more frequent data collection to reduce data variability to make it easier to spot nonrandom changes.

Identifiers

PMID33409429
PMCPMC7781351

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.