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Primary Care and Community-Based Partnerships to Enhance HPV Vaccine Delivery.


ABSTRACT:

Introduction/objectives

With growing vaccination misinformation and mistrust, strategies to improve vaccination communication across community-based settings are needed.

Methods

The Rural Adolescent Vaccine Enterprise (RAVE), a 5-year (2018-2022) stepped-wedge cluster randomized study, tested a clinic-based practice facilitation intervention designed to improve HPV vaccination. An exploratory aim sought to explore the use of partnerships between primary care clinics and a community partner of their choosing, to implement a social marketing campaign related to HPV immunization. We assessed perceptions about the value and success of the partnership, and barriers and facilitators to its implementation using a 29-item community partner survey, key informant interviews, and field notes from practice facilitators.

Results

Of the initial 45 clinics participating in RAVE, 9 were unable to either start or complete the study, and 36 participants (80.0%) were actively engaged. Of these, 16/36 clinics (44.4%) reported establishing successful partnerships, 10 reported attempting to develop partnerships (27.8%), and another 10 reported not developing a partnership (27.8%), which were often caused by the COVID-19 pandemic. The most common partnership was with public health departments at 27.3%. Other partnerships involved libraries, school districts, and local businesses. More than half (63.7%) reported that creating messages regarding getting HPV vaccination was moderately to very challenging. Just under half reported (45.5%) that messaging was hard because of a lack of understanding about the seriousness of diseases caused by HPV, parents being against vaccines because of safety concerns, and religious values that result in a lack of openness to HPV vaccines. Community partners' health priorities changed as a result of RAVE, with 80% prioritizing childhood immunizations as a result of the RAVE partnership.

Conclusions

Community groups want to partner with primary care organizations to serve their patients and populations. More research is needed on how best to bring these groups together.

SUBMITTER: Carney PA 

PROVIDER: S-EPMC10901053 | biostudies-literature | 2024 Jan-Dec

REPOSITORIES: biostudies-literature

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Publications

Primary Care and Community-Based Partnerships to Enhance HPV Vaccine Delivery.

Carney Patricia A PA   Engstrom Marie B MB   Barnes Chrystal C   Ramalingam NithyaPriya N   Dickinson Caitlin C   Cox Cort C   Ferrara Laura K LK   Darden Paul M PM   Fagnan Lyle J LJ   Marino Miguel M   Hatch Brigit A BA  

Journal of primary care & community health 20240101


<h4>Introduction/objectives</h4>With growing vaccination misinformation and mistrust, strategies to improve vaccination communication across community-based settings are needed.<h4>Methods</h4>The Rural Adolescent Vaccine Enterprise (RAVE), a 5-year (2018-2022) stepped-wedge cluster randomized study, tested a clinic-based practice facilitation intervention designed to improve HPV vaccination. An exploratory aim sought to explore the use of partnerships between primary care clinics and a communit  ...[more]

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