Integrating HPV Vaccination Into HIV Care Services for Adolescent Girls Living With HIV in Zambia
Integrating HPV Vaccination Into HIV Care Services for Adolescent Girls Living With HIV in Zambia: A Mixed-Methods Feasibility and Implementation Evaluation Study
HPV vaccination can prevent up to 90% of cervical cancer cases, but adolescents living with HIV (ALHIV) require additional doses for sufficient protection beyond the single dose recommended for adolescent girls in Zambia. There are challenges to ensuring ALHIV receive all necessary doses without increasing burden and stigma on the girls. Integrating HPV vaccination into ART clinics can be an effective approach to doing so but requires a multi-pronged strategy for successful implementation.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Michelle Silver, PhD, ScM
- Numer telefonu: 314-454-7903
- E-mail: michelle.silver@wustl.edu
Kopia zapasowa kontaktu do badania
- Nazwa: Jean Hunleth, PhD, MPH
- Numer telefonu: 314-747-8066
- E-mail: jean.hunleth@wustl.edu
Lokalizacje studiów
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Copperbelt
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Ndola, Copperbelt, Zambia
- Tropical Diseases Research Centre Ndola
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Kontakt:
- Sam Miti, MD
- Numer telefonu: +260 96 6293508
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Główny śledczy:
- Sam Miti, MD
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Healthcare workers providing HIV, adolescent or vaccination services at one of the 3 study sites (including registration, data collection, clinical care, pharmacy, administration)
- Facility leadership, district, provincial, national health managers and program coordinators
Exclusion Criteria:
- No involvement in HIV, adolescent or vaccination services
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Badania usług zdrowotnych
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
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Eksperymentalny: Tertiary Care Cohort
Participants in this arm will complete the multi-component training that aims at improving healthcare worker competencies around HPV and HPV vaccines. Participants will complete pre- and post- training questionnaires, as well as quantitative surveys administered at baseline, 6 months, and 12 months that measure implementation outcomes. |
The HPV-HIV integration training covers six core modules. The six core modules include HPV epidemiology and vaccine indications, identification of eligible adolescents, adolescent-centered communication, workflow integration procedures, documentation and reporting systems, and strategies to reduce missed opportunities. The training will occur over a period of 3 days. Participants will receive facilitator manuals, screening tools, referral algorithms, and job aids. Audit & Feedback of vaccination data will support integration and documentation. |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Tertiary Care Cohort: Changes in HPV knowledge
Ramy czasowe: At time of pre-training assessment (day 1) and at time of post-training assessment (day 3) (total estimated time: 3 days)
|
Changes in HPV knowledge will be assessed by changes in the HPV knowledge portion of the pre/post training questionnaire. This portion of the questionnaire is composed of 10 questions that are answered True/False/Don't Know. Correct answers are scored as 1 point. The total score is calculated by the number of questions answered correctly with a total score range of 0-10. A higher score represents higher knowledge. |
At time of pre-training assessment (day 1) and at time of post-training assessment (day 3) (total estimated time: 3 days)
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Tertiary Care Cohort: Changes in HPV vaccine knowledge
Ramy czasowe: At time of pre-training assessment (day 1) and at time of post-training assessment (day 3) (total estimated time: 3 days)
|
Changes in HPV vaccine knowledge will be assessed by changes in the HPV vaccine knowledge portion of the pre/post training questionnaire. This portion of the questionnaire is composed of 6 questions with one question being open ended, three questions answered as True/False/Don't Know, and two questions answered as Strongly disagree, Disagree, Agree, Strongly agree, or Don't Know. Correct answers are scored as 1 point. The total score is calculated by the number of questions answered correctly with a total score range of 0-6. A higher score represents higher knowledge. |
At time of pre-training assessment (day 1) and at time of post-training assessment (day 3) (total estimated time: 3 days)
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Tertiary Care Cohort: Changes in Self-Efficacy and Provider Confidence score
Ramy czasowe: At time of pre-training assessment (day 1) and at time of post-training assessment (day 3) (total estimated time: 3 days)
|
Changes in Self-Efficacy and Provider Confidence score will be assessed by changes in the Self-Efficacy and Provider Confidence portion of the Post Training Survey. This portion of the questionnaire is composed of 4 questions answered as either Strongly disagree, Disagree, Neither agree nor disagree, Agree, or Strongly agree. Correct answers are scored as 1 point. The total score is calculated by the number of questions answered correctly with a total score range of 0-4. A higher score represents greater self-efficacy/confidence. |
At time of pre-training assessment (day 1) and at time of post-training assessment (day 3) (total estimated time: 3 days)
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Tertiary Care Cohort: Proportion of eligible/invited staff that attended training
Ramy czasowe: At start of training through completion of training (total estimated time: 3 days)
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At start of training through completion of training (total estimated time: 3 days)
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Tertiary Care Cohort: Feasibility as assessed by training attendance
Ramy czasowe: At start of training through completion of training (total estimated time: 3 days)
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At start of training through completion of training (total estimated time: 3 days)
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Tertiary Care Cohort: Feasibility of Intervention Measure (FIM) score
Ramy czasowe: At time of post-session survey completion on day 3 (total estimated time: 1 day)
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FIM will be assessed by implementation champions' response to the 4 items in from the FIM measure on the follow up survey. FIM is measured by a 5-point Likert scale: 1-Completely disagree, 2-Disagree, 3-Neither agree nor Disagree, 4-Agree, or 5-Completely agree. A higher score indicates greater feasibility of the intervention in practice. Scores above 3.0 are typically viewed as favorable/positive. |
At time of post-session survey completion on day 3 (total estimated time: 1 day)
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Tertiary Care Cohort: Adoption measured as rate of HPV vaccination
Ramy czasowe: Through 12 months post training (total estimated time: 12 months 3 days)
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Rate of HPV vaccination will be assessed through vaccination records. |
Through 12 months post training (total estimated time: 12 months 3 days)
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Tertiary Care Cohort: Acceptability measured as Acceptability of Intervention Measure (AIM) score
Ramy czasowe: At time of post-session survey completion on day 3 (total estimated time: 1 day)
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AIM will be assessed by implementation champions' response to the 4 items of the AIM measure on the follow up survey. AIM is 5-point Likert scale question measured as follows: 1-Completely disagree, 2-Disagree, 3-Neither agree nor Disagree, 4-Agree, or 5-Completely agree. A higher score indicates greater acceptability. Scores above 3.0 are typically viewed as favorable/positive. |
At time of post-session survey completion on day 3 (total estimated time: 1 day)
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Tertiary Care Cohort: Appropriateness measured as Intervention Appropriateness Measure (IAM) score
Ramy czasowe: At time of post-session survey completion on day 3 (total estimated time: 1 day)
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IAM will be assessed by implementation champions' response to 4 items from the IAM measure on the follow up survey. IAM is measured by a 5-point Likert scale: 1-Completely disagree, 2-Disagree, 3-Neither agree nor Disagree, 4-Agree, or 5-Completely agree. A higher score indicates greater appropriateness of the intervention. Scores above 3.0 are typically viewed as favorable/positive. |
At time of post-session survey completion on day 3 (total estimated time: 1 day)
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Współpracownicy i badacze
Sponsor
Sponsor
Współpracownicy
Współpracownicy
Śledczy
Śledczy
- Główny śledczy: Michelle Silver, PhD, ScM, Washington University School of Medicine
- Główny śledczy: Jean Hunleth, PhD, MPH, Washington University School of Medicine
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- 202211001
- U01CA275033 (Grant/umowa NIH USA)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Deidentified individual participant data that support publication findings will be shared upon request following publication. Requests for any additional data must include a proposal for use of the requested data.
Typ informacji pomocniczych dotyczących udostępniania IPD
- PROTOKÓŁ BADANIA
- SOK ROŚLINNY
- ICF
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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