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Human Papillomavirus-Related CarcinomaNCT05831540

Clinical Decision Support Tools to Increase Human Papillomavirus (HPV) Vaccination in Adolescents in Pharmacies

A study testing Discussion, Educational Activity and Healthcare Activity in people with Human Papillomavirus-Related Carcinoma, run by Fred Hutchinson Cancer Center at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This clinical trial develops and tests how well a clinical decision support (CDS) tool works to increase human papillomavirus (HPV) vaccination of children between the age of 9-17 (adolescents) in pharmacies. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Human Papillomavirus-Related Carcinoma
What is being tested?
Discussion, Educational Activity and Healthcare Activity
Could I receive a placebo?
No, everyone receives an active treatment
How many people
31 participants
Where
1 siteUnited States
Study dates
28 Feb 2024to 22 Nov 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • AIM I: >= 18 years
  • AIM I: Pharmacy staff: Employed at the partnering community pharmacies in Washington state
  • AIM I: Scientific Technologies Corportation (STC)Health staff: Employed at STCHealth
  • AIM I: PioneerRx staff: Employed at PioneerRx
  • AIM II: >= 18 years
  • AIM II: Parents: English speaking parent or guardian of at least one child, ages 9-17, living in Washington state and obtained an HPV vaccination for their child at a participating pharmacy and have access to a telephone or computer with internet access.
  • AIM II: Pharmacy staff: Employed at community pharmacies recruited into the study located in Washington state

Who cannot join

  • Pharmacy staff: Floaters/per diem. Those who object to having the focus group discussions audio recorded. Those who object to participating in implementation evaluation surveys
  • STCHealth staff: Those who object to having the focus group discussions audio recorded
  • PioneerRx staff: Those who object to having the focus group discussions audio recorded
  • Parents: Those who decline to provide feedback on their experiences with getting their children vaccinated at the pharmacy

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Fred Hutch/University of Washington Cancer Consortium

    Seattle, Washington, 98109

Other trials in United States

About this study

Official title: Clinical Decision Support Tools to Increase HPV Vaccination in Pharmacies

This clinical trial develops and tests how well a clinical decision support (CDS) tool works to increase human papillomavirus (HPV) vaccination of children between the age of 9-17 (adolescents) in pharmacies. HPV vaccination rate in eligible adolescents remains low even though over 90% of the cancers in adults caused by HPV can be prevented by the HPV vaccine. The National Vaccine Advisory Committee recommends HPV vaccinations to be given in pharmacies to increase access to vaccines, but pharmacy processes and lack of awareness of the service among parents impact the use of local pharmacies for HPV vaccinations. Using a focus group may be an effective method to develop a CDS tool and create a process that may be more convenient for parents to get their adolescent's vaccine at their local pharmacy. A CDS tool may make it easier to obtain HPV vaccines, and as a result increase the adolescent HPV vaccination rate and reduce the incidence of cancer caused by HPV.

Read the detailed description

OUTLINE: Participants are assigned to 1 of 3 groups.

Group I: Staff participate in facilitated planning discussions to develop CDS tools on study. (Aim I)

Group II: Staff receives CDS tools training and implements CDS tools to facilitate HPV vaccination on study. (Aim II)

Group III: Parents complete survey post-intervention on study. (Aim II)

Being tested
Discussion, Educational Activity, Healthcare Activity, Survey Administration

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DiscussionOther

    Also called Discuss

    Participate in focus group

  • Educational ActivityOther

    Undergo training to use CDS tool

  • Healthcare ActivityBehavioural

    Also called Health Care Activity, Healthcare

    Utilize CDS tool

  • Survey AdministrationOther

    Complete survey

Study groups in NCT05831540
Study groupRoleWhat they receive
Group I (staff focus group)ExperimentalStaff participate in facilitated planning discussions to develop CDS tools on study.
Receives: Other: Discussion; Other: Survey Administration
Group II (staff CDS tool utilization)ExperimentalStaff receives CDS tools training and implements CDS tools to facilitate HPV vaccination on study.
Receives: Other: Educational Activity; Behavioral: Healthcare Activity; Other: Survey Administration
Group III (parent survey)ExperimentalParents complete survey post-intervention on study.
Receives: Other: Survey Administration

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Development/refinement of the CDS tools to support and guide any adaptations to the pharmacy staff's vaccination workflow to improve vaccine delivery. (Aim 1)

    The research team will analyze the collected qualitative data using framework-guided rapid analyses described by Gale et al. The qualitative data will be used to direct and document the development and refinement process for the CDS tools to support HPV vaccination and to guide any adaptations to the pharmacy staff's vaccination workflow to improve their delivery of HPV vaccine. Adaptations made to a pharmacy's vaccination workflow will be methodically documented using Stirman's Taxonomy of Adaptation Characteristics.

    Measured: Up to 6 months

  2. Acceptability of CDS tools: Pharmacy staff (Aim II)

    Will use validated survey measure to assess pharmacy staff's report of the acceptability of the CDS tools to support HPV Vaccination.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Post-implementation of CDS tools survey (at Months 11-12)

  3. Change in Acceptability of pharmacy-based HPV vaccination: Pharmacy staff (Aim II)

    The survey will ask pharmacy staff to respond to statements designed to measure acceptability of pharmacy-based HPV vaccination.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Pre-implementation of CDS Tools survey (at Months 4-5) and post- test implementation survey (at Months 11-12)

  4. Acceptability of pharmacy-based HPV vaccination: Parents (Aim II)

    The survey will ask parents to respond to statements designed to measure acceptability of their vaccine experience at the pharmacy.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Post-vaccination experience survey (at Months 8-12)

  5. Appropriateness of CDS tools: Pharmacy staff (Aim II)

    The survey will ask pharmacy staff to respond to statements designed to measure appropriateness of the CDS tools to support HPV vaccination.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Post-test implementation survey (at Months 11-12)

  6. Appropriateness of pharmacy-based HPV vaccination: Pharmacy staff (Aim II)

    The survey will ask pharmacy staff to respond to statements designed to measure appropriateness of pharmacy-based HPV vaccination.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Pre-test implementation survey (at Months 4-5) and post- test implementation survey (at Months 11-12)

  7. Appropriateness of pharmacy-based HPV vaccination: Parents (Aim II)

    The survey will ask parents to respond to statements designed to measure appropriateness of their vaccine experience at the pharmacy.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Post-vaccination experience survey (at Months 8-12)

  8. Feasibility of CDS tools: Pharmacy staff (Aim II)

    The survey will ask pharmacy staff to respond to statements designed to measure feasibility of the CDS tools to support HPV vaccination.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Post-test implementation survey (at Months 11-12)

  9. Feasibility of pharmacy-based HPV vaccination: Pharmacy staff (Aim II)

    The survey will ask pharmacy staff to respond to statements designed to measure feasibility of pharmacy-based HPV vaccination.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Pre-test implementation survey (at Months 4-5) and post- test implementation survey (at Months 11-12)

  10. Feasibility of pharmacy-based HPV vaccination: Parents (Aim II)

    The survey will ask parents to respond to statements designed to measure feasibility of their vaccine experience at the pharmacy.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Post-vaccination experience survey (at Months 8-12)

  11. Usability of CDS tools: Pharmacy staff (Aim II)

    The survey will ask pharmacy staff to respond to statements designed to measure usability of the CDS tools to support HPV vaccination.

    Survey responses will include 5-point scales:

    1. = Not at all confident
    2. = Not very confident
    3. = Neither (neutral)
    4. = Moderately confident
    5. = Completely confident

    And

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    Measured: Post-test implementation survey (at Months 11-12)

  12. Parents' experience Survey (Aim II)

    This is a 30-question survey asking about experience with getting child vaccinated at participating pharmacy.

    Survey responses will include a 5-point scales:

    1. = Strongly disagree
    2. = Somewhat disagree
    3. = Neither agree nor disagree
    4. = Somewhat agree
    5. = Strongly agree

    And

    1. Completely dissatisfied
    2. Somewhat dissatisfied
    3. Neither satisfied nor dissatisfied
    4. Somewhat satisfied
    5. Completely satisfied

    Measured: Post-implementation of CDS tools up to 12 months

  13. HPV vaccination rate per pharmacist at each pharmacy (Aim II)

    Outcomes of implementation analyzed using nonparametric tests appropriate for small sample statistics, like Wilcoxon sign-rank test.

    Measured: 12 months prior to CDS tool implementation (baseline) up to 5 months post-implementation

Secondary outcomes (1)
  1. Rate of other adolescent vaccinations per pharmacist at each pharmacy (Aim II)

    Outcomes of implementation analyzed using nonparametric tests appropriate for small sample statistics, like Wilcoxon sign-rank test.

    Measured: 12 months prior to CDS tool implementation (baseline) up to 5 months post-implementation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Apr 2023
  2. Study start28 Feb 2024
  3. Primary completion22 Nov 2024
  4. Study completion22 Nov 2024

Why it stopped: This study has been terminated due to the conclusion of funding. We were able to collect data on primary outcomes through pharmacy staff, but due to recruitment challenges were not able to complete secondary outcome recruitment.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
31 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05831540
Sponsor's protocol ID
RG1122655
Other IDs
NCI-2023-01989, 11086
Status last verified
Dec 2024
First submitted
20 Mar 2023
Last updated
19 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Discussion, Educational Activity and Healthcare Activity in people with Human Papillomavirus-Related Carcinoma, run by Fred Hutchinson Cancer Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 19 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: This study has been terminated due to the conclusion of funding. We were able to collect data on primary outcomes through pharmacy staff, but due to recruitment challenges were not able to complete secondary outcome recruitment.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Development/refinement of the CDS tools to support and guide any adaptations to the pharmacy staff's vaccination workflow to improve vaccine delivery. (Aim 1) (time frame: Up to 6 months). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Dec 2024; AzTrials last refreshed its copy on 7 Nov 2026.

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