DOI: 10.3886/icpsr36757.v1
title: Process Evaluation of an In-person Versus Webinar Human Papillomavirus (HPV) Vaccination Quality Improvement Program (Illinois, Michigan and Washington State), 2015-2016
title: Version 1

description: These data were collected as part of an assessment of in-person and
webinar AFIX consultations on best practices for adolescent HPV
immunization. AFIX (which stands for Assessment, Feedback, Incentives,
and eXchange) is a program of the Center for Disease Control and
Prevention aimed at increasing vaccination of children and adolescents
by reducing missed opportunities to vaccinate and improving
immunization delivery practices at the provider level.
High-volume primary care clinics serving over 370,000 patients ages
11-17 in three states were randomly assigned to receive no
consultation or an in-person or webinar AFIX consultation focused on
improving adolescent HPV immunization. Immunization specialists from
participating state health departments delivered the consultations.
Physicians, nurses and other clinic staff in the in-person and webinar
arms who participated in the consultation sessions completed web-based
surveys pre-consultation (pre-visit survey), post-consultation
(post-visit survey) and at six-month follow up (follow-up survey).
Topics covered by the surveys include participation in and
satisfaction with the assigned consultation delivery mode; strategies
for improving HPV vaccination coverage used by the respondents'
clinics; opinions about the level of HPV vaccination coverage in the
respondents' clinics; and the respondents' self-efficacy for improving
HPV vaccination coverage.
description: ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of 
				disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major 
				statistical software formats as well as standard codebooks to accompany the data. In addition to 
				these procedures, ICPSR performed the following processing steps for this data collection:
			   		Checked for undocumented or out-of-range codes..
description: Response Rates: 
					Pre-visit survey: 88 pecent
Post-visit survey: 85 percent
Follow-up survey: 62 percent
description: Datasets: 
					
						DS0: Study-Level Files
						DS1: Pre-visit Survey Data
						DS2: Post-visit Survey Data
						DS3: Follow-up Survey Data
description: web-based survey
description: Pediatric and primary care clinics -- private practices,
hospital-based clinics, public health department clinics and other types of clinics -- serving at least 500 adolescent patients in Illinois, Michigan, and Washington State.
				   		Smallest Geographic Unit: State
description: Altogether, 270 clinics were randomly assigned to the three study arms: no consultation, in-person consultation or webinar consultation. State health department immunization specialists recruited 223 of them (76 in-person, 72 webinar, 75 control) from each randomized list to
participate in the study. In some clinics more than one provider responded to the surveys. Overall, 165 consultation participants in the recruited in-person and webinar arms (148 clinics) completed the pre-visit survey, 229 the post-visit survey and 102 the follow-up survey.