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NCT05744960 | RECRUITING | Human Papilloma Virus

Impact of Financial Incentives
Sponsor:

UNC Lineberger Comprehensive Cancer Center

Brief Summary:

This trial will look at the impact of clinic-level financial incentives to improve provider communication and increase HPV vaccine uptake. Some clinics will receive communication training. Other clinics will receive the same training and a clinic-level financial incentive program with a monthly data feedback report to increase HPV vaccine uptake.

Condition or disease

Human Papilloma Virus

Intervention/treatment

Communication training

financial Incentive

Phase

NA

Detailed Description:

The researchers will conduct a cluster randomized control trial. This trial will look at the impact of clinic-level financial incentives to improve provider communication and increase HPV vaccine uptake. The recruitment goal for the trial is 34 clinics in healthcare systems, including 9 rural-serving clinics. The researchers will randomize clinics using simple randomization (1:1). Some clinics will receive communication training. Other clinics will receive the same training and a clinic-level financial incentive program with a monthly data feedback report to increase HPV vaccine uptake. The researchers will use medical record data to compare changes in HPV vaccination among children ages 9-12. Clinics will be followed for 24 months. The study will engage clinical staff. Researchers will not have direct contact with children or their families.

Study Type : INTERVENTIONAL
Estimated Enrollment : 34 participants
Masking : NONE
Primary Purpose : HEALTH_SERVICES_RESEARCH
Official Title : The Impact of Clinic-level Financial Incentives on HPV Vaccine Communication and Uptake
Actual Study Start Date : 2023-02-28
Estimated Primary Completion Date : 2025-07-31
Estimated Study Completion Date : 2026-08-31

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 9 Years to 12 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: 1
Criteria
This trial will enroll clinics and intervene with clinical staff. We will use vaccination data from children to evaluate intervention effectiveness. We will not enroll children or interact with them directly.
  • Inclusion Criteria
    • Clinics are eligible if they are a pediatric or family medicine clinic in North Carolina that in the past year had
      • * less than 72% HPV vaccine initiation rate,
      • * greater than or equal to 50 patients ages 9-12
      • * greater than or equal to 2 HPV vaccine providers
      • * no clinic or provider-level financial incentive programs to increase system, clinic, or provider HPV vaccination rates among patients aged 9-12 in the past two years, and
      • * no HPV vaccine provider communication trainings in the past six months.
      • Children's medical records will be eligible to be included in the dataset if children
        • * are between the ages of 9-12 years at baseline and
        • * are attributed to a participating clinic at 12- or 24-month follow-up.
        Exclusion Criteria
        • Clinics are excluded if they
          • * do not provide HPV vaccine to children ages 9-12
          • * have a specialty other than pediatrics or family medicine
          • * had an HPV vaccine-specific financial incentive program in the past two years
          • * had a formal HPV vaccine communication training in the past 6 months
          • * had an HPV initiation rate greater than 72$
          • * had fewer than 49 patients aged 9-12
          • * had 1 or fewer HPV vaccine providers
          • Children's medical records will not be eligible to be included in the dataset if children
            • * are not between the ages of 9-12 years at baseline
            • * are not attributed to a participating clinic at 12- or 24-month follow-up
    • Impact of Financial Incentives

    Location Details

    NCT05744960

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    Locations

    RECRUITING

    United States, North Carolina

    University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, United States, 27599-7590