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Effectiveness of pharmacists-led provider-focused interventions to improve HPV vaccination rates in adults
5th Asia Pacific Global Summit and Expo on Vaccines & Vaccination
July 27-29, 2015 Brisbane, Australia

Muhammad Shahid Iqbal

Posters-Accepted Abstracts: J Vaccines Vaccin

Abstract:

Human papillomavirus (HPV) vaccination is universally recommended for adolescents, yet vaccination rates remain low worldwide. A pharmacists-led provider-focused interventional study that included repeated contacts, education, individualized feedback, and strong quality improvement incentives to raise HPV vaccination rates at three qualified community health centers was conducted. The effectiveness of the intervention, rates of initiation of vaccination, and completion of the HPV vaccination among teenagers (girls and boys, ages 11?25 years) were compared by means of two follow-ups. We divided the sample size into two groups, intervention group 250 patients and 250 subjects in control group. We conducted multivariable logistic regression accounting for clustering by practice. Patients in interventional study group significantly increased HPV vaccine initiation during the active intervention period relative as compared to control group (girls OR 1.4, boys OR 12.1; p < 0.001 for both). Boys at intervention group were also more likely to continue to initiate vaccination during the post-intervention or maintenance period (OR 7.9; p < 0.01). Girls and boys at intervention practices were also likely to complete their next needed HPV vaccination doses than those in control group (girls OR 1.3, boys OR 21; p < 0.04 for both). Provider-focused interventions including repeated contacts, education, individualized feed-back, and strong quality improvement incentives have the potential to produce sustained improvements in HPV vaccination rates.