Evidence map›Paper›PMID 39159866›Full record

ArticlePreventive medicine2024

Conceptualizing vaccine champions from an implementation science perspective: Findings from a national survey of primary care health professionals.

Kathryn L Kennedy, Melissa B Gilkey, Tara L Queen, Jennifer A Heisler-MacKinnon, Bennett Hanson, Wei Yi Kong, Micaela K Brewington, Brigid K Grabert

Abstract read
In one paragraph

Article in Preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

8 authors.

Kathryn L KennedyDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. Electronic address: klkenned@live.unc.edu.
Melissa B GilkeyDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA. Electronic address: gilkey@email.unc.edu.
Tara L QueenDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. Electronic address: tlqueen@unc.edu.
Jennifer A Heisler-MacKinnonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA. Electronic address: heislerm@email.unc.edu.
Bennett HansonDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. Electronic address: bhanson28@wisc.edu.
Wei Yi KongDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. Electronic address: Kong.WeiYi@mayo.edu.
Micaela K BrewingtonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. Electronic address: mbrew@unc.edu.
Brigid K GrabertDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA. Electronic address: bgrabert@wakehealth.edu.

Funding

Program Project – Improving Provider Announcement Communication Training (IMPACT)P01CA250989 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BREWER, NOEL TODD · 2021 to 2025
$11.7M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
NCI NIH HHS P01 CA250989NCI NIH HHS T32 CA057726
6 · The paper itself

Abstract

objectiveClinical champions are healthcare professionals who help their colleagues improve the delivery of evidence-based care. Because little is known about champions working in the context of adolescent vaccination, we sought to identify vaccine champion roles among primary care health professionals (PCHPs).

methodsIn 2022, we surveyed 2527 US PCHPs who serve adolescents. The survey assessed the extent to which respondents identified as vaccine champions and the activities they performed. Guided by the Consolidated Framework for Implementation Research, we used these data to categorize PCHPs as: champions who led projects to increase vaccination rates ("implementation leaders"); facilitating champions who more generally shared vaccination data, information, and encouragement ("facilitators"); or non-champions. We used multinomial logistic regression to identify correlates of being a leader or facilitator as opposed to a non-champion.

resultsAbout one-fifth (21%) of PCHPs were implementation leaders, one-quarter (25%) were facilitators, and the remainder (54%) were non-champions. Leaders were more common among PCHPs with medium or high versus low practice experience (31% and 36% versus 20%, both p < .01) and adolescent patient volume (29% and 39% versus 17%, both p < .01). Being a facilitator was also associated with higher practice experience and patient volume. Leaders and facilitators reported a similar number of barriers to their work (mean = 1.8 and 1.9, respectively), with time and competing quality metrics being most common.

conclusionsOur findings suggest that both implementation leaders and facilitators are common vaccine champions in adolescent primary care. These champions are more often found among PCHPs with higher experience and patient volume.

Indexed as

Health PersonnelImplementation SciencePrimary Health CareVaccinationAdolescentAdultFemaleHumansLeadershipMaleMiddle AgedSurveys and QuestionnairesUnited StatesAdolescent primary careClinical championsEvidence-based careHealth communicationHPV vaccinationImplementation science

Identifiers

PMID39159866
PMCPMC11406705

What OpenQuestion holds

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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.