I Vaccinate: Testing Multi-Level Interventions to Improve HPV Vaccination

NCT ID: NCT04452526

Last Updated: 2025-08-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

372 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-21

Study Completion Date

2025-09-30

Brief Summary

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This trial studies how well a multi-level health system-based intervention works in improving human papillomavirus (HPV) vaccine initiation and completion among children in health systems in four Appalachian states. Utilizing educational and promotional materials and electronic health record reminders, may improve the uptake of the HPV vaccine in children and young adults, ultimately preventing the development of cervical cancer.

Detailed Description

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PRIMARY OBJECTIVE:

I. Test the effectiveness of a multi-level intervention (MLI) directed at clinics, providers, and patients (parents of children aged 11-12) to improve HPV vaccine initiation and completion in health systems in four Appalachian states (Kentucky \[KY\], Ohio \[OH\], West Virginia \[WV,\] and Virginia \[VA\]) among children aged 11-12 and assess the effectiveness of the intervention program among subgroups, e.g., females versus (vs) males.

SECONDARY OBJECTIVES:

I. Assess sustainability of the intervention. II. Assess cost impacts of the intervention III. Assess changes in clinic practices that occur as a result of the intervention in terms of staff responsibilities for the vaccination process and reducing missed opportunities for vaccination.

IV. Assess whether interventions focused on 13-26 year olds increases catch-up vaccination.

V. Examine changes in knowledge and attitudes of providers via educational session pre-post surveys.

VI. Satisfaction with the intervention at the multiple levels.

OUTLINE: Health systems are randomized to 1 of 2 arms.

ARM I (EARLY INTERVENTION): Health systems receive educational materials consisting of posters, brochures and table tents. Providers complete survey about HPV knowledge, participate in educational session over 1 hour and receive educational handouts on the HPV vaccine. Patients receive educational materials about HPV vaccine and reminder letters for HPV vaccination.

ARM II (DELAYED INTERVENTION): Health systems, providers, and patients receive usual care for 12 months, then receive multi-level intervention as in Arm I.

Conditions

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Cervical Carcinoma Human Papillomavirus-Related Malignant Neoplasm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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ARM I (EARLY INTERVENTION) (educational material, reminders)

Health systems receive educational materials consisting of posters, brochures and handouts. Providers complete survey about HPV knowledge, participate in educational session over 1 hour and receive educational handouts on the HPV vaccine. Patients receive educational materials about HPV vaccine and reminder letters for HPV vaccination

Group Type EXPERIMENTAL

Best Practice

Intervention Type OTHER

Receive usual care

Educational Intervention

Intervention Type OTHER

Receive educational materials

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Reminder

Intervention Type OTHER

Receive reminder letter

ARM II (DELAYED INTERVENTION)(education, reminder, usual care)

Health systems, providers, and patients receive usual care for 12 months, then receive multi-level intervention as in Arm I.

Group Type EXPERIMENTAL

Best Practice

Intervention Type OTHER

Receive usual care

Educational Intervention

Intervention Type OTHER

Receive educational materials

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Reminder

Intervention Type OTHER

Receive reminder letter

Interventions

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Best Practice

Receive usual care

Intervention Type OTHER

Educational Intervention

Receive educational materials

Intervention Type OTHER

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Reminder

Receive reminder letter

Intervention Type OTHER

Other Intervention Names

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standard of care standard therapy Education for Intervention Intervention by Education Intervention through Education Intervention, Educational

Eligibility Criteria

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Inclusion Criteria

CLINIC

* Located in one of the counties that are part of this program
* Provides care to patients aged 11-26
* Provides immunizations

HEALTH CARE PROVIDERS (PHYSICIANS, NURSES) AND OFFICE STAFF

* Practicing in a clinic in one of the participating health systems
* Personnel involved in the vaccine process (determined by individual clinics)
* Able to speak, read, and write English
Minimum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Ohio State University Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Electra Paskett

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Electra D Paskett

Role: PRINCIPAL_INVESTIGATOR

Ohio State University Comprehensive Cancer Center

Locations

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University of Kentucky/Markey Cancer Center

Lexington, Kentucky, United States

Site Status

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

West Virginia University

Morgantown, West Virginia, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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NCI-2020-01225

Identifier Type: REGISTRY

Identifier Source: secondary_id

P01CA229143

Identifier Type: NIH

Identifier Source: secondary_id

View Link

OSU-20058

Identifier Type: -

Identifier Source: org_study_id

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