Transcript NVPO March 2013 Project Successes and Challenges Welcome

NVPO Webinar Series: Project
Successes and Challenges
August 26, 2013
Welcome and Overview
• Bruce Gellin, M.D., M.P.H.
• Shary M. Jones, Pharm.D., M.P.H., BCPS CDR—
U.S. Public Health Service National Vaccine
Program Office
• Alaysia Phillips, M.P.H.—JBS International,
Inc.
Presenters
• Tiffany Mackey, M.P.H. — Orange County
Health Department
• Hannah Baker, M.P.H.— University of North
Carolina
• Wendy Rose — Marshall County Health
Department
Bruce G. Gellin, M.D., M.P.H.
Deputy Assistant Secretary for Health and Director
National Vaccine Program Office
U.S. Department of Health and Human Services
Insert video here
Orange County Health Department
Teen Health Advocates to Promote Healthy Sexual
Behaviors
Tiffany Mackey, M.P.H.
Centers for Disease Control and Prevention-Public Health
Associate
Orange County Health Department
[email protected]
Successes
• Obtained school system permission to offer a Teen Health
Advocate program
• Developed and implemented the program at a local high
school
• Recruited school advisor for program
• 14 students joined the program and 11 participated in HPV training
• Developed promotional materials and logo for HPV prevention
• 24 students vaccinated at school-site HPV clinics – 46% male
• Hosted summer retreat for Teen Health Advocates
Challenges
• Obtaining school system approval in a timely manner
• Getting students to respond and submit registration
forms
• Getting media approval from schools – i.e. Facebook
and Twitter
• Maintaining student interest during summer
• Staff changes mid project
• Limited time with students prior to end of school year
• Recruiting diverse participants
Lessons Learned/Best Practices
• Tailor promotions to target audience- promotional
materials, presentations, incentives
• Include teens in planning process – teens designed
program logo, incentives, planned activities
• Meeting during school “plus period” (break time)
instead of after or before school
• Schedule vaccination clinics during school hours
• Identifying the best form of communication for
students
Evaluation/Measurable Outcomes
• Establishment of functioning
Teen Health Advocate group
• Comparison of pre and post
test results following HPV
training
• Vaccination of 24 students with
HPV vaccine within 12 months
Closing
• Next Steps
‒ Implementing the Teen Health
Advocate program in other high
schools
‒ Expanding the role of the
group
‒ Offering presentations at local
Middle Schools
‒ Offering more HPV vaccination
clinics at both high schools and
middle schools
University of North Carolina: Cervical
Cancer-Free America
Evidence-Based Interventions: Building Capacity Among
UNC Project Cervical Cancer-Free America
Hannah Baker, M.P.H.
Project Coordinator
University of North Carolina:
Cervical Cancer Free America
[email protected]
Successes
• Held 3 web-based workshops to share evidence-based
interventions (EBI’s), attendance high at each
• Great discussion regarding EBI’s and cervical cancer prevention
• Enthusiasm among State Partners about EBI’s and evaluation
methods
• Lessons shared amongst State Partners about evaluation design
and best practices
• Increased intentions to implement EBI’s among State
Partners
Challenges
• Scheduling:
‒ 26 individuals from 8 different states to attend the same
meeting
‒ Scheduled meeting had to fit for presenter as well
• Response rates for pre- and post-workshop surveys
• State Partners commitment to implement
presented EBI’s without specified funding
Lessons Learned/Best Practices
• Doodle poll for scheduling meeting one month in
advance
• Provide time during the workshop for pre/postworkshop survey
• Provide more time for discussion
• Get face validity of pre/post measures from
presenter prior to disseminating survey
Evaluation/Measurable Outcomes
Target
Method of
Measurement
Actual
100% representation of CCFA
State partners at web-based
workshop
Attendance records from
workshop
1st: 75% representation
2nd: 75% representation
3rd: 88% representation
High satisfaction with delivery
methods
Satisfaction items on postevaluation survey
Reached
100% response rate to pre- and
post-test surveys
Existence of surveys from all
CCFA partner attendees
1st: pre=100%, post=73%
2nd: pre=20%, post=n/a
3rd: pre=69%, post=50%
Increased knowledge of 3
evidence-based strategies
Pre- and post-test survey
Reached
Increased intent to implement
an evidence-based strategy
Pre- and post-test survey
Reached
Closing
• Continue bi-monthly workshops, sharing
evidence-based strategies
• Assist State Partners in continuing with their
plans for implementing evidence-based
strategies
• Assist State Partners in searching for
funding opportunities
Marshall County Health Department
Increasing the HPV Vaccination Rate in Marshall County,
Kentucky
Wendy Rose
Laboratory Director
Marshall County Health Department
[email protected]
• Background
‒ Marshall County has a population ~31,448. Demographically
most residents are Caucasian and of moderate-socio economic
status. 27.8% of the population is <24 years old. 11.6% of the
population is below the poverty level.
• 3 Project Goals
‒ Increase HPV vaccination rate for Health Department clients
‒ Inform and educate incoming 6th grade students parents about
HPV vaccine
‒ Discuss HPV vaccine as a prevention strategy to 9th
grade students
Successes
• 43 people have completed the series
• 50 new patients have initiated the series. 13 High
School aged, 29 6th grade aged and 8 >18 years
• ~400 9th grade students were reached during the
‘Reducing the Risk’ Classes
• ~350 incoming 6th grade students received HPV
vaccine information
Challenges
• Initial Data Retrieval for
baseline
• Mail/Telephone Outreach
–
–
–
–
Incorrect number
Incorrect addresses
Disconnected numbers
No return call when message left
• Vaccine questionnaire
–
–
Voluntary response
Lack of incentive to client
• Demographic
– Some have moved
– Receive services elsewhere
Lesson Learned/Best Practices
• Be very specific in data requests for initial baseline
• Incomplete contact data for patients – address, phone
• Rate of voluntary survey completion is not high
• Not able to capture entire county’s HPV
vaccination data
Evaluation/Measureable Outcomes
• Able to calculate a new completion rate
• Can draw a loose connection among the ages of those
initiating the vaccine and outreach efforts of the Health
Department
• If the return rate of completed surveys was higher,
future outreach efforts could be guided by the
response from those surveys
Closing
• Next Steps
‒ Health Department personnel will come together to
discuss what, if any, components of this project will be
continued
 Could continue to follow-up with persons who have started the
series…
 Continue outreach efforts in the schools – same as this year or
change the approach
 Come up with other ways to inform citizens regarding
HPV
Question and Answer Session
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