609 - Practice-Based HPV Vaccine Promotion: A RE-AIM Evaluation of Co-Created Campaigns

Human papillomavirus (HPV) vaccines have the potential to prevent cancer yet uptake remains low despite substantial efforts rates. Community-engaged approaches to translating medical evidence, such as Boot Camp Translation (BCT), show promise in addressing the barriers to HPV vaccine uptake. Successful implementation of interventions created using BCT may be key to their effectiveness in improving HPV vaccine uptake.


Objective: To evaluate 3 patient-provider co-created campaigns through the BCT process for use in 6 Colorado pediatric clinics for promotion of HPV vaccine using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation evaluation framework.

Design/Methods: We used a mixed methods approach to assess Reach, Adoption, Implementation and (anticipated) Maintenance of 3 HPV vaccination campaigns patient-provider co-created for use in 6 pediatric clinics in urban/suburban Colorado. Effectiveness was not assessed in this pilot study.  Data collection included post-visit parent surveys of HPV vaccine eligible children in the 6 practices, semi-structured interviews of parents, practice staff and providers, exit interviews with BCT group participants, and process tracking data collected by research personnel and practice staff.  (Anticipated) maintenance was assessed by provider and clinic staff descriptions of plans for use of materials beyond the intervention period.

Results:

212 parents completed a post-visit survey and 33 qualitative interviews (19 parent interviews, 8 exit interviews, and 6 RE-AIM interviews) to assess the co-created products and their implementation in clinics. Table 1 shows mixed methods findings by RE-AIM domain.  Reach: 72% of parents reported they encountered the co-created materials before or during their pediatric visit.  Adoption: All clinics agreed to implement materials. Implementation: Clinics reported implementation generally followed intended plans for distribution with some barriers but low time and costs burdens. Maintenance: All clinics reported intention to continue using the co-created materials.


Conclusion(s):

Overall implementation of the co-created materials was successful; however, reach and implementation could be further improved.  Future work will assess effectiveness of BCT co-created materials to improve HPV vaccination rates in a matched case-control study using public health surveillance data on vaccination in Colorado.