Healthcare Provider Human Papillomavirus Education and Professional Skills Intervention

Study Overview
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Brief Summary
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Healthcare providers (HCP) serving the El Paso U.S.-Mexico Border Region will be recruited to compare educational and professional skills interventions focused on the human papillomavirus (HPV). Our hypothesis is that improving provider knowledge and communication strategies about HPV and its vaccine will reduce hesitancy and increase uptake and completion among the populations they serve.

Detailed Description
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A sample of emerging [in training] and current [in practice] health professionals from the El Paso U.S.-Mexico Border Region will be recruited to participate in a human papillomavirus (HPV) educational and professional skills intervention. Hypothesis: improving provider knowledge and communication strategies about HPV and its vaccine will reduce hesitancy and increase uptake and completion among eligible individuals through a tailored multi-media intervention to strengthen providers' ability to discuss HPV and vaccination in an informed and culturally competent manner, and increase subsequent provider recommendations.

Official Title
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Implementing Innovative and Strategic Approaches to Prevent and Mitigate the Deleterious Effects of HPV Across the Lifespan of Hispanics of Mexican Origin: Healthcare Provider Intervention

Conditions
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Health Personnel Attitude, Health Knowledge, Attitudes, Practice

Intervention / Treatment
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* Behavioral: Tailored HPV Education and Professional Skills Intervention Group
* Behavioral: General HPV Education and Communication Skills Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Current (in practice) or emerging (in training - medical student, resident, or fellow) healthcare provider Working/training or living in the El Paso U.S.-Mexico Border Region (i.e., El Paso County, TX-Southern New Mexico) Have the authorization to recommend/prescribe/administer the HPV vaccine Exclusion Criteria: Unaffiliated with the El Paso U.S.-Mexico Border Region (i.e., El Paso County, TX-Southern New Mexico) Participation in Phases I or II of the larger research project [cross-sectional phases] Does not identify as a current or emerging healthcare provider Declines or is unable to participate in the full intervention and follow-up time-points Unable to complete participation and activities in the English language

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: A parallel trial design will be used to examine the effectiveness of a tailored HPV education and professional skills intervention. Emerging and current healthcare providers will be randomly assigned to one of two conditions: 1) treatment condition in which they will receive a tailored Education and Professional Skills Intervention, and 2) control condition in which they will receive general, publicly available information about HPV and communication skills. Participants will then be followed over time and the responses will be compared between groups.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment<br>A tailored HPV education and professional skills intervention. | Behavioral: Tailored HPV Education and Professional Skills Intervention Group<br>* The provider education and professional skills intervention will involve audio and visual content and will be delivered in the English language.<br>|
| Active Comparator: Control<br>General/publicly available educational materials on HPV and communication skills. | Behavioral: General HPV Education and Communication Skills Control Group<br>* The general provider education intervention will involve audio and visual content and will be delivered in the English language.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Between-group changes in proportions from baseline scores on the Healthcare Provider (HCP) Practices scale and post-intervention scores of the Healthcare Personnel Survey | 8-item HCP Practices scale (HCP vaccine recommendations, HCP screening recommendations, HCP communication practices) scored on a likert scale from Never (1) to Always (5). | Baseline (pre-assessment), immediately post-intervention (0 months), 3 months post-intervention, and 6 months post-intervention | 
| Between-group changes in proportions from baseline scores on the Human Papillomavirus (HPV) Vaccine Attitudes scale and post-intervention scores of the Healthcare Personnel Survey | 9-item HPV Vaccine Attitudes scale (perceived safety [Brab-in et al., 2006], perceived harm [Mc-Ree et al., 2010], perceived effectiveness [Brab-in et al., 2006]) scored on a likert scale from Strongly disagree (1) to Strongly agree (5). | Baseline (pre-assessment), immediately post-intervention (0 months), 3 months post-intervention, and 6 months post-intervention | 
| Between-group changes in proportions from baseline scores on the Human Papillomavirus (HPV) Knowledge scale and post-intervention scores of the Healthcare Personnel Survey | 14-item HPV Knowledge scale (Katz, Krieger & Robert-o, 2011) scored as True (1) or False (0). | Baseline (pre-assessment), immediately post-intervention (0 months), 3 months post-intervention, and 6 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Between-group changes in proportions from baseline scores on the Healthcare Provider (HCP) Communication scale and post-intervention scores on the Provider Educational/Skills Activity Assessment of the Healthcare Personnel Survey | 7-item HCP Communication scale scored on a likert scale from Strongly Disagree (1) to Strongly Agree (3). | Baseline (pre-assessment), immediately post-intervention (0 months), 3 months post-intervention, and 6 months post-intervention | 
| Between-group changes in proportions from baseline scores on the Self-practice Human Papillomavirus (HPV) vaccine/screening and Intentions scale and post-intervention scores of the Healthcare Personnel Survey | 8-item Self-practice HPV vaccine/screening and intentions scale scored on a likert scale from Strongly disagree/Extremely unlikely (1) to Strongly agree/Extremely likely (5). | Baseline (pre-assessment), immediately post-intervention (0 months), 3 months post-intervention, and 6 months post-intervention | 
| Between-group differences of Personal/Family Human Papillomavirus (HPV) Attitudes scale of the Healthcare Personnel Survey | 10-item Personal/Family HPV Attitudes scale (individual and family beliefs about vaccines, government trust, HPV infection perceived severity [Katz, Krieger & Robert-o, 2011], likelihood of previous HPV Infection, HPV health-related community stigma) scored on a likert scale from Strongly disagree (1) to Strongly agree (5). | Baseline (pre-assessment) and immediately post-intervention (0 months) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HPV Cancer Prevention, HPV Cancer Mitigation, Sexual and Reproductive Health, U.S.-Mexico Border Health, Behavioral Research, Community Engaged Research, Health Disparities, Healthcare Professionals, Health Personnel Knowledge, Attitudes, Practices, Healthcare Skills and Training, Human Papillomavirus Vaccination, Human Papillomavirus Cancer Screening, Health Inequities, Social Determinants of Health, Coronavirus disease 2019 (COVID-19) Pandemic