Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05831540
Other study ID # RG1122655
Secondary ID NCI-2023-0198911
Status Recruiting
Phase N/A
First received
Last updated
Start date February 28, 2024
Est. completion date July 31, 2024

Study information

Verified date April 2024
Source Fred Hutchinson Cancer Center
Contact Parth Shah
Phone 206-667-6120
Email pshah@fredhutch.org
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This clinical trial develops and tests how well a clinical decision support (CDS) tool works to increase human papillomavirus (HPV) vaccination of children between the age of 9-17 (adolescents) in pharmacies. HPV vaccination rate in eligible adolescents remains low even though over 90% of the cancers in adults caused by HPV can be prevented by the HPV vaccine. The National Vaccine Advisory Committee recommends HPV vaccinations to be given in pharmacies to increase access to vaccines, but pharmacy processes and lack of awareness of the service among parents impact the use of local pharmacies for HPV vaccinations. Using a focus group may be an effective method to develop a CDS tool and create a process that may be more convenient for parents to get their adolescent's vaccine at their local pharmacy. A CDS tool may make it easier to obtain HPV vaccines, and as a result increase the adolescent HPV vaccination rate and reduce the incidence of cancer caused by HPV.


Description:

OUTLINE: Participants are assigned to 1 of 3 groups. Group I: Staff participate in facilitated planning discussions to develop CDS tools on study. (Aim I) Group II: Staff receives CDS tools training and implements CDS tools to facilitate HPV vaccination on study. (Aim II) Group III: Parents complete survey post-intervention on study. (Aim II)


Recruitment information / eligibility

Status Recruiting
Enrollment 114
Est. completion date July 31, 2024
Est. primary completion date July 31, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - AIM I: >= 18 years - AIM I: Pharmacy staff: Employed at the partnering community pharmacies in Washington state - AIM I: Scientific Technologies Corportation (STC)Health staff: Employed at STCHealth - AIM I: PioneerRx staff: Employed at PioneerRx - AIM II: >= 18 years - AIM II: Parents: English speaking parent or guardian of at least one child, ages 9-17, living in Washington state and obtained an HPV vaccination for their child at a participating pharmacy and have access to a telephone or computer with internet access. - AIM II: Pharmacy staff: Employed at community pharmacies recruited into the study located in Washington state Exclusion Criteria: - Pharmacy staff: Floaters/per diem. Those who object to having the focus group discussions audio recorded. Those who object to participating in implementation evaluation surveys - STCHealth staff: Those who object to having the focus group discussions audio recorded - PioneerRx staff: Those who object to having the focus group discussions audio recorded - Parents: Those who decline to provide feedback on their experiences with getting their children vaccinated at the pharmacy

Study Design


Related Conditions & MeSH terms

  • Human Papillomavirus-Related Carcinoma

Intervention

Other:
Discussion
Participate in focus group
Educational Activity
Undergo training to use CDS tool
Behavioral:
Healthcare Activity
Utilize CDS tool
Other:
Survey Administration
Complete survey

Locations

Country Name City State
United States Fred Hutch/University of Washington Cancer Consortium Seattle Washington

Sponsors (1)

Lead Sponsor Collaborator
Fred Hutchinson Cancer Center

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Development/refinement of the CDS tools to support and guide any adaptations to the pharmacy staff's vaccination workflow to improve vaccine delivery. (Aim 1) The research team will analyze the collected qualitative data using framework-guided rapid analyses described by Gale et al. The qualitative data will be used to direct and document the development and refinement process for the CDS tools to support HPV vaccination and to guide any adaptations to the pharmacy staff's vaccination workflow to improve their delivery of HPV vaccine. Adaptations made to a pharmacy's vaccination workflow will be methodically documented using Stirman's Taxonomy of Adaptation Characteristics. Up to 6 months
Primary Acceptability of CDS tools: Pharmacy staff (Aim II) Will use validated survey measure to assess pharmacy staff's report of the acceptability of the CDS tools to support HPV Vaccination.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Post-implementation of CDS tools survey (at Months 11-12)
Primary Change in Acceptability of pharmacy-based HPV vaccination: Pharmacy staff (Aim II) The survey will ask pharmacy staff to respond to statements designed to measure acceptability of pharmacy-based HPV vaccination.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Pre-implementation of CDS Tools survey (at Months 4-5) and post- test implementation survey (at Months 11-12)
Primary Acceptability of pharmacy-based HPV vaccination: Parents (Aim II) The survey will ask parents to respond to statements designed to measure acceptability of their vaccine experience at the pharmacy.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Post-vaccination experience survey (at Months 8-12)
Primary Appropriateness of CDS tools: Pharmacy staff (Aim II) The survey will ask pharmacy staff to respond to statements designed to measure appropriateness of the CDS tools to support HPV vaccination.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Post-test implementation survey (at Months 11-12)
Primary Appropriateness of pharmacy-based HPV vaccination: Pharmacy staff (Aim II) The survey will ask pharmacy staff to respond to statements designed to measure appropriateness of pharmacy-based HPV vaccination.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Pre-test implementation survey (at Months 4-5) and post- test implementation survey (at Months 11-12)
Primary Appropriateness of pharmacy-based HPV vaccination: Parents (Aim II) The survey will ask parents to respond to statements designed to measure appropriateness of their vaccine experience at the pharmacy.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Post-vaccination experience survey (at Months 8-12)
Primary Feasibility of CDS tools: Pharmacy staff (Aim II) The survey will ask pharmacy staff to respond to statements designed to measure feasibility of the CDS tools to support HPV vaccination.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Post-test implementation survey (at Months 11-12)
Primary Feasibility of pharmacy-based HPV vaccination: Pharmacy staff (Aim II) The survey will ask pharmacy staff to respond to statements designed to measure feasibility of pharmacy-based HPV vaccination.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Pre-test implementation survey (at Months 4-5) and post- test implementation survey (at Months 11-12)
Primary Feasibility of pharmacy-based HPV vaccination: Parents (Aim II) The survey will ask parents to respond to statements designed to measure feasibility of their vaccine experience at the pharmacy.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Post-vaccination experience survey (at Months 8-12)
Primary Usability of CDS tools: Pharmacy staff (Aim II) The survey will ask pharmacy staff to respond to statements designed to measure usability of the CDS tools to support HPV vaccination.
Survey responses will include 5-point scales:
= Not at all confident
= Not very confident
= Neither (neutral)
= Moderately confident
= Completely confident
And
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
Post-test implementation survey (at Months 11-12)
Primary Parents' experience Survey (Aim II) This is a 30-question survey asking about experience with getting child vaccinated at participating pharmacy.
Survey responses will include a 5-point scales:
= Strongly disagree
= Somewhat disagree
= Neither agree nor disagree
= Somewhat agree
= Strongly agree
And
Completely dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Completely satisfied
Post-implementation of CDS tools up to 12 months
Primary HPV vaccination rate per pharmacist at each pharmacy (Aim II) Outcomes of implementation analyzed using nonparametric tests appropriate for small sample statistics, like Wilcoxon sign-rank test. 12 months prior to CDS tool implementation (baseline) up to 5 months post-implementation
Secondary Rate of other adolescent vaccinations per pharmacist at each pharmacy (Aim II) Outcomes of implementation analyzed using nonparametric tests appropriate for small sample statistics, like Wilcoxon sign-rank test. 12 months prior to CDS tool implementation (baseline) up to 5 months post-implementation
See also
  Status Clinical Trial Phase
Active, not recruiting NCT02379520 - HPV-16/18 E6/E7-Specific T Lymphocytes, Relapsed HPV-Associated Cancers, HESTIA Phase 1
Completed NCT02624349 - Immunogenicity and Safety of Human Papilloma Virus Vaccine in Solid Organ Transplant Recipients Phase 4
Recruiting NCT04474821 - HPV Educational Intervention to Increase Acceptance and Completion of Free HPV Vaccination Among Underserved Adults Phase 4
Withdrawn NCT05472220 - Alpelisib in Combination With Carboplatin in Patients With Solid Tumors and HPV-Positive Squamous Cell Carcinoma Phase 1
Active, not recruiting NCT02568566 - Recombinant Human Papillomavirus Nonavalent Vaccine in Preventing Human Papilloma Virus in Younger Healthy Participants Phase 2
Recruiting NCT05232851 - A Vaccine (PDS0101) Alone or in Combination With Pembrolizumab for the Treatment of Locally Advanced Human Papillomavirus-Associated Oropharynx Cancer Phase 1/Phase 2
Not yet recruiting NCT05985681 - Testing RG1-VLP Vaccine to Prevent HPV-related Cancers Phase 1
Completed NCT04189003 - Molecular Signatures of HPV+ ORL Cancers (OROPAP)
Recruiting NCT04927650 - Prevention and Early Detection of Cervical Cancer Through Self-Administered Screening
Completed NCT01769560 - MeFirst: A Tailored Intervention to HPV Vaccine Decision Making N/A
Active, not recruiting NCT04580446 - HYHOPE: De-intensified Hypofractionated Radiation Therapy for HPV-associated Oropharynx Cancer Phase 1
Active, not recruiting NCT03634267 - MRI-Guided Brachytherapy in Treating Participants With HPV-Associated Stage IB2-IVA Cervical or Stage II-IVA Vaginal Cancer Phase 1
Not yet recruiting NCT04142398 - Incidence of HPV Infection and HPV-Associated Disease in Screening Indian Men Who Have Sex With HIV-Positive Men
Completed NCT04880837 - Human Papillomavirus Education Programs N/A