Implementing a Multipartner HPV Vaccination Assessment and Feedback Intervention in an Integrated Health System

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Abstract

Context:

Human papillomavirus (HPV) vaccine initiation rates are persistently lower than rates for other adolescent-recommended vaccines. Assessment and feedback interventions are a recommended strategy for improving vaccination rates.

Objective:

To provide a guide for implementing a multipartner intervention to increase HPV vaccine initiation rates.

Setting:

Nine primary care facilities within the Kaiser Permanente Northwest (KPNW) health care system.

Intervention:

In 2015-2016, we implemented a system-wide assessment and feedback intervention to promote HPV vaccination. In partnership with the Centers for Disease Control and Prevention, the Oregon Immunization Program, and KPNW's leadership, we developed an education session combining information on HPV infection, parental communication strategies, and facility-specific coverage data.

Results:

Twelve months postintervention, HPV dose 1 vaccination coverage increased from 71% to 72% among females and from 65% to 68% among males.

Conclusions:

A collaborative approach was critical to engaging leadership and enlisting support from providers and to developing appropriate materials for clinical audiences. Information provided here can be used as a guide for conducting assessment and feedback interventions focused on HPV vaccination initiation.

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