An Electronic Medical Record Alert Intervention to Improve HPV Vaccination Among Eligible Male College Students at a University Student Health Center |
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Authors: | Suzanne Martin Echo L Warner Anne C Kirchhoff Ryan Mooney Laura Martel Deanna Kepka |
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Institution: | 1.University of Utah College of Nursing,Salt Lake City,USA;2.University of Utah Student Health Center,Salt Lake City,USA;3.Cancer Control and Population Sciences,Huntsman Cancer Institute,Salt Lake City,USA;4.University of Utah Department of Pediatrics,Salt Lake City,USA |
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Abstract: | This pilot study aims to improve HPV vaccination for college aged males at a student health center. The first part of the study consisted of a focus group that assessed the barriers and facilitators of HPV vaccination among healthcare providers and clinic staff (N?=?16). Providers reported missed opportunities for HPV vaccination. For the second part of the study, providers and staff reviewed medical records of patients ages 18–26 with student health insurance and with <?3 doses of the HPV vaccine at baseline (12/1/2014 to 7/31/2015) and follow-up (12/1/2015 to 7/31/2016). A computer-automated EMR alert was generated in the medical record of eligible male patients (N?=?386). Z-scores were estimated for two-sample proportions to measure change in HPV vaccine rates at baseline and follow-up for males and females. HPV vaccine initiation rates increased among males (baseline: 5.2% follow-up: 25.1%, p?<?0.001). This study shows that EMR alerts improved HPV vaccine initiation rates among insured college-aged males. |
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