Multilevel Peer-to-Peer HPV Vaccination and Wellness Educational Program in School Based Health Centers

Conditions

• School Health Services

Eligibility Criteria

Sex

ALL

Age

9 Years - 18 Years

Healthy Volunteers

Not accepted

Interventions

• Mailers — BEHAVIORAL
  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.
• Provider Materials — BEHAVIORAL
  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.
• Peer-to-Peer Educational Sessions — BEHAVIORAL
  Educational sessions delivered in schools by OSBHA interns. Session content includes SBHC information and HPV awareness.

Study Details

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.

Key Dates

Start date

Jan 12, 2026

Status verified

Apr 2026

Primary completion

Aug 31, 2028

Completion

Jun 30, 2029

Study Design

Enrollment

4,000 participants (estimated)

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

PREVENTION

Arms

• No Intervention: Control time (pre-implementation)
  All participating SBHCs offer routine HPV vaccination recommendations as part of clinical care and SBHC staff will continue to follow standard procedures to deliver these services. Further, all SBHCs have existing relationships with the affiliated schools, so the delivery of these healthcare services in the context of schools will not deviate from usual care.
• Experimental: Intervention (post-implementation)
  Intervention components (mailers, provider materials, and peer-to-peer educational sessions) will be administered during the intervention portion of each cluster.

Primary Outcome Measure

Rate of Vaccination for HPV (n of patients with HPV vaccination/n of patients eligible for vaccination) [ Time Frame: 6 and 12 months ]

Locations (1)

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