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Feasibility and sustainability of a nurse-led intervention to integrate HPV vaccination into medical processing for active-duty Soldiers.
Penick, Emily; Grabert, Brigid K; Stockton, Emma; Prentice-Dunn, Hannah; Ward, Marion; Kirk, Trinita; Gilkey, Melissa B.
  • Penick E; Department of Obstetrics & Gynecology, Womack Army Medical Center, Fort Bragg, NC, USA.
  • Grabert BK; Lineberger Comprehensive Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
  • Stockton E; Department of Health Behaviors, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Prentice-Dunn H; Department of Health Behaviors, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Ward M; Department of Health Behaviors, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Kirk T; Department of Obstetrics & Gynecology, Womack Army Medical Center, Fort Bragg, NC, USA.
  • Gilkey MB; Medical One Stop, Womack Army Medical Center, Fort Bragg, NC, USA.
Hum Vaccin Immunother ; 18(7): 2153536, 2022 12 30.
Article in English | MEDLINE | ID: covidwho-2276110
ABSTRACT
To increase Soldiers' access to HPV vaccination, we evaluated the feasibility and sustainability of a nurse-led intervention to integrate HPV vaccination into medical processing procedures for Soldiers. We partnered with nursing staff to introduce HPV vaccine into existing vaccination services at a nurse-led clinic that serves Soldiers at Fort Bragg, North Carolina. In addition to stocking the vaccine, the intervention included training nursing staff (n = 11) strategies for recommending HPV vaccination for Soldiers ages 18-26. We conducted surveys of nursing staff to assess their perspectives on feasibility. Nursing staff tracked HPV vaccine uptake among Soldiers for 4 weeks post-training to assess adoption and again for 2 weeks at 4-month follow-up to assess sustainability. We assessed delivery cost as the cost of personnel time, vaccine doses, and other materials during the initial 4-week intervention period. Nursing staff agreed that recommending HPV vaccination fit in with medical processing procedures (mean = 4.6 of 5.0). Of the 516 Soldiers offered HPV vaccine in the 4 weeks following the training, 198 (38%) accepted and received the vaccine. Soldier ages 18-20 more often accepted HPV vaccination than older Soldier ages 21-26 (46% versus 32%, p < .01). Vaccine uptake was similar at follow-up, with 98 of 230 eligible Soldiers (43%) receiving HPV vaccine. The total delivery cost was $12,737, with an average cost per vaccine dose delivered of $64. Our findings suggest that training nursing staff to recommend and administer HPV vaccinations to Soldiers is feasible and warrants wider-scale testing as a strategy to protect soldiers from HPV-attributable cancers.
HPV vaccination is not required for US military service, and Soldiers' uptake is low. We trained nursing staff at a large military clinic to recommend HPV vaccine to Soldiers using a nursing education intervention to integrate HPV vaccination into routine care for active duty Soldiers. Our findings suggest that training nursing staff to recommend and administer HPV vaccines to Soldiers is feasible and low cost, and may warrant wider-scale testing as a strategy for increasing military readiness and protecting Soldiers from HPV-attributable cancers. Until guideline and policy changes are implemented and HPV vaccine is required for military service, use of education strategies is one path to increasing HPV vaccine coverage among Soldiers to ensure protection from HPV-related diseases.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Papillomavirus Infections / Papillomavirus Vaccines / Military Personnel Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Vaccines Limits: Adolescent / Adult / Humans / Young adult Language: English Journal: Hum Vaccin Immunother Year: 2022 Document Type: Article Affiliation country: 21645515.2022.2153536

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Papillomavirus Infections / Papillomavirus Vaccines / Military Personnel Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Vaccines Limits: Adolescent / Adult / Humans / Young adult Language: English Journal: Hum Vaccin Immunother Year: 2022 Document Type: Article Affiliation country: 21645515.2022.2153536