School Health Services
Conditions
Brief summary
School-based health centers (SBHCs) are an important setting to improve health through detecting, managing and preventing chronic illness. Too few people are educated about the human papillomavirus (HPV), which can prevent tens of thousands of deaths from cancer each year. PEER will evaluate a program to increase health and wellness and the use of SBHCs for primary and preventive care. If successful, PEER could significantly increase the use of SBHCs, and decrease HPV-associated cancers and, thus, reduce the burden of cancer in the United States.
Interventions
BEHAVIORALMailers
Letter and fact sheet (infographic) mailed to caregivers of 9-14 year-olds and to teens 15-18, with optional phone call for "confidential patients" aged 15-18.
BEHAVIORALProvider Materials
Clinic team/staff training based on qualitative interviews, recommended strategies and evidence-based interventions. Training materials include FAQs and Smart phrases. FAQs and informational sheets containing the same content as the mailers distributed in clinic to teen SBHC patients and their caregivers.
BEHAVIORALPeer-to-Peer Educational Sessions
Educational sessions delivered in schools by OSBHA interns. Session content includes SBHC information and HPV awareness.
Sponsors
Kaiser Permanente
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
The PEER study is a concurrent stepped wedge and patient randomized trial that will take place in 9 School Based Health Centers (SBHCs) in Oregon serviced by Multnomah County Health Department (MC) clinics. All clusters start in control and cross over in a randomized, staggered fashion, with all eventually receiving the intervention.
Eligibility
Sex/Gender
ALL
Age
9 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Aged 9-18 * New or established patients * Flagged if due for an HPV vaccine
Exclusion criteria
\- None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Vaccination for HPV (n of patients with HPV vaccination/n of patients eligible for vaccination) | 6 and 12 months | Vaccination among eligible clinic patients, and time to vaccination |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rates of new patients to the clinic (n of new patients/n of established patients) | 6 and 12 months | New patients seen (vs. prior seen pts.) - New patient characteristics (age, rural) |
| Rate of use of other SBHC services (primary care visits, wellness assessments) (n of patients with primary care visits/n of new and established patients) | 6 and 12 months | Use of other SBHC services and visits among eligible clinic patients |
| Rate of vaccination for other adolescent vaccinations (COVID-19, flu, Meningitis, or uptick of other vax's (TDAP, MMR, etc.)) (n of patients with additional vaccination among new and eligible clinic patients) | 6 and 12 months | Vaccination among eligible clinic patients, and time to vaccination |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAmanda Petrik, PhD
Kaiser Permanente
Outcome results
None listed