Use of concept mapping to inform a participatory engagement approach for implementation of evidence-based HPV vaccination strategies in safety-net clinics DOI Creative Commons
Jennifer Tsui, Michelle Shin,

Kylie Sloan

и другие.

Implementation Science Communications, Год журнала: 2024, Номер 5(1)

Опубликована: Июнь 26, 2024

Abstract Background Multiple evidence-based strategies (EBS) for promoting HPV vaccination exist. However, adolescent rates remain below target levels in communities at high risk HPV-associated cancers and served by safety-net clinics. Participatory engaged approaches are needed to leverage the expertise of community clinical partners selecting EBS relevant their local context. We concept mapping as a method inform adoption adaptation that seeks empower implementation prioritize, select, ultimately implement context-relevant vaccination. Methods Using 38 statements generated from qualitative interviews national vaccine advocacy sources, we conducted modified activity with internal clinics external members two study sites larger (Greater Los Angeles New Jersey), sort into clusters rate each importance feasibility increasing within Concept findings (EBS statement ratings, ladder graphs go-zones) were shared leaders large federally qualified health center (FQHC) system (focusing on three clinic sites), select over 12 months. Results participants (n=23) sorted rated statements, resulting an eight-cluster solution: 1) Community education outreach; 2) Advocacy policy; 3) Data access/quality improvement monitoring; 4) Provider tracking/audit feedback; 5) recommendation/communication; 6) Expanding access; 7) Reducing missed opportunities; 8) Nurse/staff workflow training. The FQHC partner then selected intervene eight 17 “go-zone” action, “reducing opportunities,” “nurse/staff training,” one “provider feedback,” recommendation/communication,” “expanding access,” which research team addressed through multi-level intervention (e.g., physician communication training, staff training assessment, audit feedback processes). Conclusions provided powerful participatory approach identify multilevel context, particularly when several exist, prioritization is necessary. This demonstrates how benefited directly ratings broader context adapt prioritized solutions advance equity.

Язык: Английский

Use of concept mapping to inform a participatory engagement approach for implementation of evidence-based HPV vaccination strategies in safety-net clinics DOI Creative Commons
Jennifer Tsui, Michelle Shin,

Kylie Sloan

и другие.

Implementation Science Communications, Год журнала: 2024, Номер 5(1)

Опубликована: Июнь 26, 2024

Abstract Background Multiple evidence-based strategies (EBS) for promoting HPV vaccination exist. However, adolescent rates remain below target levels in communities at high risk HPV-associated cancers and served by safety-net clinics. Participatory engaged approaches are needed to leverage the expertise of community clinical partners selecting EBS relevant their local context. We concept mapping as a method inform adoption adaptation that seeks empower implementation prioritize, select, ultimately implement context-relevant vaccination. Methods Using 38 statements generated from qualitative interviews national vaccine advocacy sources, we conducted modified activity with internal clinics external members two study sites larger (Greater Los Angeles New Jersey), sort into clusters rate each importance feasibility increasing within Concept findings (EBS statement ratings, ladder graphs go-zones) were shared leaders large federally qualified health center (FQHC) system (focusing on three clinic sites), select over 12 months. Results participants (n=23) sorted rated statements, resulting an eight-cluster solution: 1) Community education outreach; 2) Advocacy policy; 3) Data access/quality improvement monitoring; 4) Provider tracking/audit feedback; 5) recommendation/communication; 6) Expanding access; 7) Reducing missed opportunities; 8) Nurse/staff workflow training. The FQHC partner then selected intervene eight 17 “go-zone” action, “reducing opportunities,” “nurse/staff training,” one “provider feedback,” recommendation/communication,” “expanding access,” which research team addressed through multi-level intervention (e.g., physician communication training, staff training assessment, audit feedback processes). Conclusions provided powerful participatory approach identify multilevel context, particularly when several exist, prioritization is necessary. This demonstrates how benefited directly ratings broader context adapt prioritized solutions advance equity.

Язык: Английский

Процитировано

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