The overarching goal of this proposal is to develop and test a 3-phase intervention to improve provider-level communication and recommendation for the HPV vaccine for adolescent patients. Our intervention will target provider-patient communication before, during and after the clinical encounter so as to have the potential to impact various stages of parents' decision-making about the vaccine.
Aim 1. To assess baseline adolescent vaccination levels and HPV vaccine communication activities among the study practices.
Aim 2. To develop in conjunction with provider feedback the in-clinic HPV Fact Sheet, and overall study implementation procedures.
Aim 3. To assess the impact of the intervention on adolescent vaccine utilization, clinical practice and provider communication.
The study population consists of: