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Pragmatic trial of an intervention to increase human papillomavirus vaccination in safety-net clinics.
Sanderson, Maureen; Canedo, Juan R; Khabele, Dineo; Fadden, Mary K; Harris, Cynthia; Beard, Katina; Burress, Marilyn; Pinkerton, Helen; Jackson, Cynthia; Mayo-Gamble, Tilicia; Hargreaves, Margaret K; Hull, Pamela C.
Afiliação
  • Sanderson M; Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd, Nashville, TN, 37208, USA. msanderson@mmc.edu.
  • Canedo JR; Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd, Nashville, TN, 37208, USA.
  • Khabele D; Departments of Obstetrics and Gynecology and Cancer Biology, Vanderbilt University Medical Center, Nashville, TN, USA.
  • Fadden MK; Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd, Nashville, TN, 37208, USA.
  • Harris C; Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd, Nashville, TN, 37208, USA.
  • Beard K; Matthew Walker Comprehensive Health Center, Nashville, TN, USA.
  • Burress M; Memphis Health Center, Memphis, TN, USA.
  • Pinkerton H; Southside/Dodson Avenue Community Health Centers, Chattanooga, TN, USA.
  • Jackson C; Department of Internal Medicine, Meharry Medical College, Nashville, TN, USA.
  • Mayo-Gamble T; Department of Family and Community Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd, Nashville, TN, 37208, USA.
  • Hargreaves MK; Department of Internal Medicine, Meharry Medical College, Nashville, TN, USA.
  • Hull PC; Division of Epidemiology, Vanderbilt University Medical Center, Nashville, TN, USA.
BMC Public Health ; 17(1): 158, 2017 02 02.
Article em En | MEDLINE | ID: mdl-28153042
BACKGROUND: Human papillomavirus (HPV) infection has been causally linked to six cancers, and many disproportionately affect minorties. This study reports on the development and effectiveness of an intervention aimed at increasing HPV vaccine uptake among African American and Hispanic pediatric patients in safety-net clinics. METHODS: Formative research, community engagement, and theory guided development of the intervention. A clustered, non-randomized controlled pragmatic trial was conducted in four clinics providing healthcare for the underserved in Tennessee, U.S., with two intervention sites and two usual care sites. Patients aged 9-18 years (N = 408) and their mothers (N = 305) enrolled, with children clustered within families. The intervention consisted of two provider/staff training sessions and provision of patient education materials, consisting of a video/flyer promoting HPV vaccine. Medical records were reviewed before/after the initial visit and after 12 months. RESULTS: At the initial visit, provision of patient education materials and provider recommendation were higher at intervention sites versus usual care sites, and receipt of HPV vaccine was higher at intervention sites (45.4% versus 32.9%) but not significantly after adjusting for patient's age and mother's education. Provider recommendation, but not education materials, increased the likelihood of vaccine receipt at the initial visit, although over one-third of intervention mothers cited the flyer/video as motivating vaccination. Completion of the 3-dose series at follow-up was lower in the intervention arm. CONCLUSIONS: Future interventions should combine patient education, intensive provider/staff education, and patient reminders. Research should compare patient education focusing on HPV vaccine only versus all adolescent vaccines. TRIAL REGISTRATION: Retrospectively registered with ClinicalTrials.gov NCT02808832 , 9/12/16.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Negro ou Afro-Americano / Hispânico ou Latino / Educação de Pacientes como Assunto / Infecções por Papillomavirus / Vacinas contra Papillomavirus / Provedores de Redes de Segurança Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Negro ou Afro-Americano / Hispânico ou Latino / Educação de Pacientes como Assunto / Infecções por Papillomavirus / Vacinas contra Papillomavirus / Provedores de Redes de Segurança Idioma: En Ano de publicação: 2017 Tipo de documento: Article