A bundled intervention comprising quality improvement (QI) training plus provider prompts, communication skills training, and performance feedback may improve human papillomavirus (HPV) vaccination rates in pediatric clinics, according to a study published online in Pediatrics.

Cynthia M. Rand and colleagues examined the impact of QI training plus a bundled practice-based intervention on improving HPV vaccinations in pediatric resident continuity clinics. Staff and providers from eight resident clinics participated in the 12-month study.

The intervention comprised training to strengthen provider communication relating to the HPV vaccine, as well as provider prompts, monthly performance feedback, and collaborative-calls training. The primary outcome measure was captured HPV vaccination opportunities (eligible visits with vaccination divided by vaccine-eligible visits).

The researchers observed an increase in captured opportunities for HPV vaccination, from 46.9 to 63.3%. Centerline shift demonstrated special cause, with eight consecutive points above the preintervention mean.

Patients were more likely to receive a vaccine during the intervention compared with before the intervention, on adjusted analyses (odds ratio, 1.87). At both well-child and other visits, there were improvements in captured HPV vaccination rates (by 11.7 and 13% points, respectively).

"A bundled intervention of provider prompts and training in communication skills plus performance feedback increased captured opportunities for HPV vaccination," the authors write.