Impact of Financial Incentives
Human Papilloma Virus
About this trial
This is an interventional health services research trial for Human Papilloma Virus focused on measuring financial incentives, pediatric medicine, vaccination, pay-for-performance
Eligibility 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
Sites / Locations
- University of North Carolina at Chapel HillRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
HPV vaccine communication training.
HPV vaccine communication training and clinic-level financial incentive program
Staff in clinics randomized to this arm will receive an intervention called Announcement Approach Training (AAT). This training is designed to improve communication about HPV vaccination.
Staff in clinics randomized to this arm will receive the Announcement Approach Training and a clinic-level financial incentive program with a monthly data feedback report to increase HPV vaccine uptake.