Details:

Alternative Title:
Acad Pediatr
Personal Author:
Irving, Stephanie A. ; Groom, Holly C. ; Stokley, Shannon ; McNeil, Michael M. ; Gee, Julianne ; ... More +
Irving, Stephanie A. ; Groom, Holly C. ; Stokley, Shannon ; McNeil, Michael M. ; Gee, Julianne ; Smith, Ning ; Naleway, Allison L. Less -
Description:
BACKGROUND:

Human papillomavirus (HPV) vaccination has been recommended in the United States for female and male adolescents since 2006 and 2011, respectively. Coverage rates are lower than those for other adolescent vaccines. The objective of this study was to evaluate an assessment and feedback intervention designed to increase HPV vaccination coverage and quantify missed opportunities for HPV vaccine initiation at preventive care visits.

METHODS:

We examined changes in HPV vaccination coverage and missed opportunities within the adolescent (11–17 years) population at 9 Oregon-based Kaiser Permanente Northwest outpatient clinics after an assessment and feedback intervention. Quarterly coverage rates were calculated for the adolescent populations at the clinics, according to age group (11–12 and 13–17 years), sex, and department (Pediatrics and Family Medicine). Comparison coverage assessments were calculated at 3 nonintervention (control) clinics. Missed opportunities for HPV vaccine initiation, defined as preventive care visits in which a patient eligible for HPV dose 1 remained unvaccinated, were examined according to sex and age group.

RESULTS:

An average of 29,021 adolescents were included in coverage assessments. Before the intervention, 1-dose and 3-dose quarterly coverage rates were increasing at intervention as well as at control clinics in both age groups. Postimplementation quarterly trends in 1-dose or 3-dose coverage did not differ significantly between intervention and control clinics for either age group. One-dose coverage rates among adolescents with Pediatrics providers were significantly higher than those with Family Medicine providers (56% vs 41% for 11- to 12-year-old and 82% vs 69% for 13- to 17-year-old girls; 55% vs 40% for 11- to 12-year-old and 78% vs 62% for 13- to 17-year-old boys).

CONCLUSIONS:

No significant differences in HPV vaccine coverage were identified at intervention clinics. However, coverage rates were increasing before the start of the intervention and might have been influenced by ongoing health system best practices. HPV vaccine coverage rates varied significantly according to department, which could allow for targeted improvement opportunities.


Subjects:
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Adolescent Article Human Papillomavirus Vaccine Vaccine Coverage Vaccine Initiation
Source:
Acad Pediatr. 18(2 Suppl):S85-S92
Pubmed ID:
29502643
Pubmed Central ID:
PMC6541918
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:86c7bc86920b21edbde41fb7b50ae52899ef6c46830cd4637b0a5ed1478feed6
Download URL:
https://stacks.cdc.gov/view/cdc/79071/cdc_79071_DS1.pdf
File Type:

Supporting Files

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