Provider and Practice Experience Integrating the Dose-HPV Intervention into Clinical Practice

Area of Science:

• Public Health
• Health Services Research
• Vaccination Science

Background:

• Few studies have rigorously evaluated the success factors for interventions aimed at increasing human papillomavirus (HPV) vaccination rates.
• The Development of Systems and Education for HPV Vaccination (DOSE HPV) intervention was designed to improve HPV vaccination coverage.

Purpose of the Study:

• To evaluate the implementation of the DOSE HPV performance improvement intervention.
• To identify factors contributing to the successful implementation and barriers encountered.

Main Methods:

• Qualitative interviews were conducted with primary care providers (PCPs), nurses, and leaders from pediatric and family medicine practices post-intervention.
• Interviews were professionally transcribed and analyzed using inductive coding and the Promoting Action on Research implementation in Health Services (PARiHS) model.

Main Results:

• Participants identified five success factors: evidence-based education, personalized data feedback, clinical leadership support, collaborative facilitation, and repeated intervention contacts.
• Identified barriers included workflow standardization issues, low pediatric volume, competing priorities, ineffective nurse involvement, and poor communication.

Conclusions:

• Effective implementation of HPV vaccination interventions like DOSE HPV requires more than just evidence-based design; it necessitates attention to collaborative approaches, data utilization, and sustained engagement.
• Addressing workflow, communication, and competing priorities is crucial for overcoming implementation barriers and ensuring the sustainability of interventions to improve HPV vaccination rates.