38 - Strategies to Improve HPV Vaccination Rates Among Eligible Undergraduates and Graduate Students at Johns Hopkins University

Background:

• Study
  
  Objectives: Increase HPV vaccination in students attending Johns Hopkins University and create a toolkit of strategies for use on other college campuses.


• HPV is the most common sexually transmitted infection in the US:
  
  
  
  • 5% of adults have genital HPV
  
  
  • 3 % of adults have oral HPV 
  
  
  
  


• Each year in the U.S., there are more than:
  
  
  
  • 24,886 cases of HPV-associated cancer in females
  
  
  • 19,113 cases in males.
  
  
  
  


• Uptake of the vaccine in the U.S. has not been robust:
  
  
  
  • 1% of adolescents have > one dose, and 51.1% have completed the series.
  
  
  • 5% of adult females and 21.2% of adult males have at least one dose
  
  
  
  

Completed Poster Presentation


Methods:

• In partnership with Medical Logix, LLC, we created an HPV toolkit with the following components:
  
  
  
  • Continuing medical education (CME) certified presentation
  
  
  • Visual Messaging Tools: customizable brochures, posters, videos, and yard signs
  
  
  • HPV questionnaire for patient and provider use (Toolkit available at https://www.hpv-cvc.org/, usage free with registration)
  
  
  
  

• A CME presentation on strategies to improve HPV vaccination rates was presented to health center providers before the study period.


• Visual messaging on HPV was strategically placed throughout campus.


• An electronic medical record (EMR) form was initiated during self-check-in, prompting students and providers to discuss the HPV vaccine.

Results: Study period (8/15/2018 – 5/31/2019) was compared to prior year as a historical control (8/15/2017 – 5/31/2018). During the study, 888 HPV vaccines were administered vs. 504 in the control period (76.1 % increase). The difference between # of vaccines given during these 2 years was statistically significant at p< 0.01. The increase was particularly notable among male students: 383 vaccinations vs. 120 (219.2% increase). About half of the students who completed the EMR form saw the marketing materials on campus: 1,579 out of 3,228 responses. Of the marketing materials, the greatest number of students noticed the yard signs (596). The most frequently cited reason that providers did not give the HPV vaccine during their visit was that the patient already completed the HPV vaccine series (1,603).

Conclusion:

• A well-coordinated campaign with extensive awareness efforts and focused clinical interventions can dramatically impact the number of HPV vaccinations on college campuses.