Increasing Human Papillomavirus Vaccine Initiation Among Publicly Insured Florida Adolescents

Abstract Purpose We evaluated the feasibility of a multilevel intervention to increase the human papillomavirus (HPV) vaccine initiation among adolescents. Methods We used a four-arm factorial, quasi-experimental trial to assess feasibility and short-term, preliminary effectiveness of a health syste...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of adolescent health 2015-05, Vol.56 (5), p.S40-S46
Main Authors:	Staras, Stephanie A.S., Ph.D, Vadaparampil, Susan T., Ph.D, Livingston, Melvin D., Ph.D, Thompson, Lindsay A., M.D., M.S, Sanders, Ashley H., M.S, Shenkman, Elizabeth A., Ph.D
Format:	Article
Language:	eng
Subjects:	Adolescent Adolescent Health Services Adolescents Boys Cervical cancer Child Clinics Female Females Florida Girls Health information technology Health Promotion - methods HPV vaccine Humans Immunization Programs - statistics & numerical data Information technology Intervention Male Medicaid and CHIP Papillomavirus Infections - prevention & control Papillomavirus Vaccines - administration & dosage Parents Pediatrics Postal Service Poverty Primary Health Care Public Health - methods Reminders State Health Plans Trials Vaccination Vaccination and vaccines
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Abstract Purpose We evaluated the feasibility of a multilevel intervention to increase the human papillomavirus (HPV) vaccine initiation among adolescents. Methods We used a four-arm factorial, quasi-experimental trial to assess feasibility and short-term, preliminary effectiveness of a health system-level, gender-specific postcard campaign and an in-clinic health information technology (HIT) system. Between August and November 2013, we tested the intervention among 11- to 17-year-olds without prior HPV vaccine claims in the Florida Medicaid or Children's Health Insurance Program encounters (2,773 girls and 3,350 boys) who attended or were assigned to primary care clinics in North Central Florida. Results At least one postcard was deliverable to 95% of the parents. Most parents (91% boys' and 80% girls') who participated in the process evaluation survey (n = 162) reported seeking additional information about the vaccine after receiving the postcard. Only 8% (57 of 1,062) of the adolescents assigned to a HIT provider with an office visit during the study used the HIT system. When compared with arms not containing that component, HPV vaccine initiation increased with the postcard campaign (girls, odds ratio [OR] = 1.6; 95% confidence interval [CI] = 1.1–2.3 and boys, not significant), the HIT system (girls, OR = 1.5; 95% CI = 1.0–2.3 and boys, OR = 1.4; 95% CI = 1.0–2.0), and the combined HIT and postcard intervention (girls, OR = 2.4; 95% CI = 1.4–4.3 and boys, OR = 1.6; 95% CI = 1.0–2.5). Conclusions A system-level postcard campaign was feasible. Despite low recruitment to the in-clinic HIT system, the intervention demonstrated short-term, preliminary effectiveness similar to prior HPV vaccine interventions.
ISSN:	1054-139X 1879-1972