Increasing Human Papillomavirus Vaccine Uptake in Low-Income, Ethnic Minority Adolescents in Los Angeles County
Human Papilloma Virus Infection
About this trial
This is an interventional prevention trial for Human Papilloma Virus Infection focused on measuring Human Papillomavirus, Immunization, Oncogenic viruses, Cervical Cancer, Health Disparities
Eligibility Criteria
Recruitment Venue 1 (LACDPH) Criteria:
Inclusion Criteria:
- Adult male or female
- Current or previous user of the Los Angeles County Office of Women's Health Hotline
- Speaks one of the hotline languages (English, Spanish, Korean, Mandarin, Cantonese, Armenian)
- Is the medical decision-maker for a male or female adolescent aged 11-17 in his or her home
- Adolescent has not started the HPV vaccine series
- Current resident of Los Angeles County
Exclusion Criteria:
- Younger than 18 or older than 70 years of age
- Not conversant in one of the hotline languages (English, Spanish, Korean, Mandarin, Cantonese, Armenian)
- Is not the medical decision-maker for an adolescent aged 11-17 in his or her home
- Adolescent has initiated the HPV vaccine series
- Not a current resident of Los Angeles County
Recruitment Venue 2 (AltaMed) Criteria:
Inclusion Criteria:
- Adolescent male or female (9-17 years)
- Has received at least one service at the FQHC in the past 2 years
Exclusion Criteria:
- Younger than 9 or older than 17 years of age
- Has not received any services at the FQHC in the past 2 years
Recruitment Venue 3 (NEVHC) Criteria:
Inclusion Criteria:
- Adolescent male or female (12-13 years)
- Has received at least one service at the FQHC in the past 2 years
- Has received no doses or 1 dose of the HPV vaccine
Exclusion Criteria:
- Younger than 12 or older than 13 years of age
- Has not received any services at the FQHC in the past 2 years
- Has completed the 3-dose HPV vaccine
Sites / Locations
- Los Angeles County Department of Public Health
- Northeast Valley Health Corporation
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
No Intervention
Experimental
Experimental
Experimental
Control
Tailored education and referral
Staff training and patient reminders
Clinic-level reminder systems
LACDPH Site: CDC-developed small media in preferred language AltaMed Health Services Corporation Site: Usual care - Standing order for the HPV vaccine; required web-based training module for medical assistants and nurses containing basic information on HPV, the HPV vaccine, and standing order implementation Northeast Valley Health Corporation Site: Usual care
LACDPH Site: Tailored education and referral intervention administered at LACDPH Site
Staff training and patient reminders administered at AltaMed Health Services Corporation Site
Clinic-level reminders administered at Northeast Valley Health Corporation Site