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Comparative Effectiveness of System Interventions to Increase HPV Vaccine Receipt in FQHCs
Sponsor: University of California, Los Angeles
Summary
UCLA and Northeast Valley Health Center (NEVHC), a large, multi-site Federally Qualified Health Center (FQHC), are partnering to address underutilization of the prophylactic HPV vaccine among underserved, ethnic minority adolescents receiving care through FQHCs. We will use a cluster randomized 2x2 stepped-wedge factorial study design, implemented in seven NEVHC clinics, to compare the effectiveness of parent reminders (mailed and text), multi-component clinic system strategies, a combined intervention (parent reminders + clinic system strategies) and usual care on HPV vaccine series completion among NEVHC adolescent patients. FQHCs provide essential health care to underserved groups and have the infrastructure to sustain effective strategies to improve preventive care delivery. Therefore, study findings will be invaluable for informing future efforts to improve HPV vaccination at the population-level.
Key Details
Gender
All
Age Range
11 Years - 17 Years
Study Type
INTERVENTIONAL
Enrollment
17000
Start Date
2018-05-01
Completion Date
2024-05-31
Last Updated
2026-05-12
Healthy Volunteers
No
Conditions
Interventions
Parent Reminders
Automated, system-generated mailed or text message reminders
Multicomponent clinic-system strategies
1. Workflow modifications to reduce missed opportunities for vaccination 2. Provider- and clinic-level audit and feedback 3. Provider \& staff training on workflow modifications and communication strategies
Combined Condition
Parent reminders and multicomponent clinic-system strategies
Locations (7)
Northeast Valley Health Corporation- Canoga Park
Canoga Park, California, United States
Northeast Valley Health Corporation- Pacoima
Pacoima, California, United States
Northeast Valley Health Corporation- San Fernando
San Fernando, California, United States
Northeast Valley Health Corporation- Santa Clarita
Santa Clarita, California, United States
Northeast Valley Health Corporation- Sun Valley
Sun Valley, California, United States
Northeast Valley Health Corporation- Valencia
Valencia, California, United States
Northeast Valley Health Corporation- Van Nuys
Van Nuys, California, United States