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Papillomavirus VaccinesAFIXNCT02370459

AFIX to Improve HPV Vaccination

A study testing AFIX in-person consultation and AFIX webinar consultation in people with Papillomavirus Vaccines and Adolescent Health Services, run by University of North Carolina, Chapel Hill at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The University of North Carolina will test the effectiveness of the Centers for Disease Control and Prevention's AFIX model for increasing HPV vaccination coverage among adolescents. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
What is being tested?
AFIX in-person consultation and AFIX webinar consultation
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
223 participants
Where
4 sitesUnited States
Study dates
Apr 2015to Nov 2016
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 Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Inclusion Criteria: Pediatric or family medicine clinics or practices in WA, IL, or MI with

  • at least 500 active records for patients, ages 11-17, in their states' immunization information systems.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • University of North Carolina

    Chapel Hill, North Carolina, 27599

  • Michigan Department of Community Health

    Lansing, Michigan, 48909

  • Washington State Department of Health

    Olympia, Washington, 98504

  • Illinois Department of Public Health

    Springfield, Illinois, 62761

Other trials in United States

About this study

Official title: Adolescent AFIX: A Multi-state RCT to Increase Adolescent Vaccination by Facilitating Providers' Adoption of Best Practices

The University of North Carolina will test the effectiveness of the Centers for Disease Control and Prevention's AFIX model for increasing HPV vaccination coverage among adolescents. AFIX (Assessment, Feedback, Incentives and eXchange) consists of brief quality improvement consultations that immunization specialists from state health departments deliver to vaccine providers in primary care settings. Using immunization registry data, the specialist evaluates the clinic's vaccination coverage and delivers education on best practices to improve coverage. We will compare changes in HPV vaccination coverage before and after consultations for high-volume pediatric and family medicine clinics across three study conditions: traditional consultations (in-person group), virtual consultations (webinar group), or no consultations (control group). In each participating state, 30 clinics will be randomly assigned to each study arm, for a total of 90 clinics per state, or 270 clinics overall. The primary objective of this study is to compare the change in coverage for HPV vaccine initiation among 11-12 year old patients, from baseline to 6-month follow-up. Secondarily, we will compare the change in coverage for other vaccines and age groups.

Being tested
AFIX in-person consultation, AFIX webinar consultation
Keywords
Papillomavirus Vaccines, Immunization, Quality Improvement, Adolescent Health Services

What participants receive

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

  • AFIX in-person consultationOther

    Also called AFIX, Assessment, Feedback, Incentives, and eXchange Program

    The adolescent AFIX (Assessment, Feedback, Incentives, and eXchange) Program is a quality improvement strategy developed by the CDC to improve the immunization practices and vaccination coverage levels of public and private health care providers. It has four main components: 1) Assessment of a provider's current immunization practices and vaccination levels, 2) Feedback of the assessment results and strategies to improve coverage levels, 3) Incentives to improve coverage levels, and 4) eXchange of information and resources necessary to facilitate improvement. Relevant AFIX information will be communicated to vaccine providers using several intervention and quality improvement components.

  • AFIX webinar consultationOther

    Also called AFIX, Assessment, Feedback, Incentives, and eXchange Program

    The adolescent AFIX (Assessment, Feedback, Incentives, and eXchange) Program is a quality improvement strategy developed by the CDC to improve the immunization practices and vaccination coverage levels of public and private health care providers. It has four main components: 1) Assessment of a provider's current immunization practices and vaccination levels, 2) Feedback of the assessment results and strategies to improve coverage levels, 3) Incentives to improve coverage levels, and 4) eXchange of information and resources necessary to facilitate improvement. Relevant AFIX information will be communicated to vaccine providers using several intervention and quality improvement components.

Study groups in NCT02370459
Study groupRoleWhat they receive
controlNo interventionThis arm includes 30 high-volume primary care clinics in each of three states (Washington, Illinois, Michigan) for a total of 90 clinics. Clinics randomly assigned to this arm will receive no AFIX consultation.
AFIX in-person consultationExperimentalThis arm includes 30 high-volume primary care clinics in each of three states (Washington, Illinois, Michigan) for a total of 90 clinics. Clinics randomly assigned to this arm will receive an in-person AFIX consultation. Consultations will be delivered by state health department staff.
Receives: Other: AFIX in-person consultation
AFIX webinar consultationExperimentalThis arm includes 30 high-volume primary care clinics in each of three states (Washington, Illinois, Michigan) for a total of 90. Clinics randomly assigned to this arm will receive an AFIX consultation via interactive webinar. Consultations will be delivered by state health department staff.
Receives: Other: AFIX webinar consultation

What is being measured

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

  1. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to six months in HPV vaccine initiation (≥1 dose), among 11- to 12-year old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by electronic immunization information system (IIS) records, controlling for child's sex

    Measured: Six months

Secondary outcomes (35)
  1. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to six months in HPV vaccine initiation (≥1 dose), among 11- 12-year old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records, stratifying by child's sex.

    Measured: Six months

  2. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to six months in HPV vaccine initiation (≥1 dose), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records, stratifying by state (IL, MI or WA).

    Measured: Six months

  3. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to twelve months in HPV vaccine initiation (≥1 dose), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records, stratifying by child's sex.

    Measured: Twelve months

  4. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to twelve months in HPV vaccine initiation (≥1 dose), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records, stratifying by state (IL, MI or WA).

    Measured: Twelve months

  5. HPV vaccination (3 doses), 11-12 year olds

    Coverage change from baseline to six months in HPV vaccine completion (3 doses), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Six months

  6. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination, 11-12 year olds

    Coverage change from baseline to six months in Tdap vaccination among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Six months

  7. Meningococcal vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to six months in meningococcal vaccination (≥1 dose), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Six months

  8. HPV vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to six months in HPV vaccine initiation (≥1 dose), among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Six months

  9. HPV vaccination (3 doses), 13-17 year olds

    Coverage change from baseline to six months in HPV vaccine completion (3 doses), among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Six months

  10. Tdap vaccination, 13-17 year olds

    Coverage change from baseline to six months in Tdap vaccination among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Six months

  11. Meningococcal vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to six months in meningococcal vaccination (≥1 dose), among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Six months

  12. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to twelve months in HPV vaccine initiation (≥1 dose), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  13. HPV vaccination (3 doses), 11-12 year olds

    Coverage change from baseline to twelve months in HPV vaccine completion (3 doses), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  14. Tdap vaccination, 11-12 year olds

    Coverage change from baseline to twelve months in Tdap vaccination among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  15. Meningococcal vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to twelve months in meningococcal vaccination (≥1 dose), among 11- to 12-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  16. HPV vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to twelve months in HPV vaccine initiation (≥1 dose), among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  17. HPV vaccination (3 doses), 13-17 year olds

    Coverage change from baseline to twelve months in HPV vaccine completion (3 doses), among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  18. Tdap vaccination, 13-17 year olds

    Coverage change from baseline to twelve months in Tdap vaccination among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  19. Meningococcal vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to twelve months in meningococcal vaccination (≥1 dose), among 13- to 17-year-old patients in the control arm versus the combined in-person and webinar intervention arms, as measured by IIS records.

    Measured: Twelve months

  20. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to six months in HPV vaccine initiation (≥1 dose), among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  21. HPV vaccination (3 doses), 11-12 year olds

    Coverage change from baseline to six months in HPV vaccine completion (3 doses), among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  22. Tdap vaccination, 11-12 year olds

    Coverage change from baseline to six months in Tdap vaccination among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  23. Meningococcal vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to six months in meningococcal vaccination (≥1 dose), among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  24. HPV vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to six months in HPV vaccine initiation (≥1 dose), among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  25. HPV vaccination (3 doses), 13-17 year olds

    Coverage change from baseline to six months in HPV vaccine completion (3 doses), among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  26. Tdap vaccination, 13-17 year olds

    Coverage change from baseline to six months in Tdap vaccination among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  27. Meningococcal vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to six months in meningococcal vaccination (≥1 dose), among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Six months

  28. HPV vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to twelve months in HPV vaccine initiation (≥1 dose), among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

  29. HPV vaccination (3 doses), 11-12 year olds

    Coverage change from baseline to twelve months in HPV vaccine completion (3 doses), among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

  30. Tdap vaccination, 11-12 year olds

    Coverage change from baseline to twelve months in Tdap vaccination among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

  31. Meningococcal vaccination (≥1 dose), 11-12 year olds

    Coverage change from baseline to twelve months in meningococcal vaccination (≥1 dose), among 11- to 12-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

  32. HPV vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to twelve months in HPV vaccine initiation (≥1 dose), among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

  33. HPV vaccination (3 doses), 13-17 year olds

    Coverage change from baseline to twelve months in HPV vaccine completion (3 doses), among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

  34. Tdap vaccination, 13-17 year olds

    Coverage change from baseline to twelve months in Tdap vaccination among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

  35. Meningococcal vaccination (≥1 dose), 13-17 year olds

    Coverage change from baseline to twelve months in meningococcal vaccination (≥1 dose), among 13- to 17-year-old patients in the webinar versus in-person intervention arm, as measured by IIS records.

    Measured: Twelve months

Timeline

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

  1. First posted25 Feb 2015 (estimated)
  2. Study startApr 2015
  3. Primary completionNov 2016
  4. Study completionNov 2016

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
223 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02370459
Sponsor's protocol ID
13-3599
Other IDs
71272
Acronym
AFIX
Status last verified
Feb 2017
First submitted
5 Feb 2015
Last updated
24 Feb 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
No: No raw data will be shared with the general public or other researchers.

Questions about this trial

What is this clinical trial studying?

A study testing AFIX in-person consultation and AFIX webinar consultation in people with Papillomavirus Vaccines and Adolescent Health Services, run by University of North Carolina, Chapel Hill at 4 sites in United States.

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

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

HPV vaccination (≥1 dose), 11-12 year olds (time frame: Six months). 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 24 Feb 2017.

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