HPV Vaccine Promotion in Minnesota Sydney Kuramoto, MPH MIIC Operations Unit Minnesota Department of Health September 30, 2014
HPV #1 Vaccination Rates NIS-Teen Females 13-17, Minnesota vs. US, 2010-2013 100.0 90.0 80.0 70.0 60.0 50.0
40.0 30.0 20.0 10.0 0.0 MN
US
2010
MN
US
2011
MN
US
2012
MN
US
2013 2
HPV #3 Vaccination Rates NIS-Teen Female 13-17, Minnesota vs. US, 2010-2013 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 MN
US 2010
MN
US 2011
MN
US 2012
MN
US 2013 3
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Statewide reminder postcards Households with 11-12 year olds Addresses from Minnesota Immunization Information Connection (MIIC) with Westlaw updates
Results
121,717 sent 9,833 returned (8%)
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Regional reminder mailings
2 MIIC Regions Households with 11-17 year olds Addresses from MIIC with Westlaw updates Client-specific letters Results 2 rounds complete 45,030 letters sent Return Rate: 10%
Immunization Reminder Phone Calls Remaining households with 11-12 year olds Teletask Integrated Autodialer System
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
School Space Media 29 metro-area high schools (high-attendance games) Successive digital messages
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
State high school sports tournaments Basketball (b/g), hockey (b/g), wrestling, football Program print ads, in-arena ads, PA announcements, exhibit tables Broadcast affiliate advertising Close the Door to Cancer (CDC) PSA Banner ads on station website
Hockey dasherboard ad
Basketball courtside display
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Social media Follow-up to postcard mailing- Facebook and Twitter Later March – Facebook and Twitter Making the game-winning shot is hard. Getting vaccinated is easy. Do something easy today—get vaccinated! www.health.state.mn.us/vax4teens
August- National Immunization Awareness Month
Facebook and Twitter posts during adolescent week
Images for social media posts
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Diverse media placements Radio PSAs in Hmong, Khmer, Vietnamese, Oromo, Somali, Amharic, Spanish, and Tagalog Print materials for American Indian, Spanishspeaking, Hmong, African-American, and African-born (Somali, Liberian, Ethiopian) audiences Sample ads
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
Statewide Advertising
Minnesota Newspaper Association Weekly newspapers • Public awareness Star-Tribune • Provider education Banner Ads • Assess. & feedback Real-time targeting • Provider videos Weather Channel Website • Adolescent PPHF grant Rural zip codes Facebook • Assess. reports Start to Success program • Evaluation • Lessons Learned • Future Plans
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Minnesota State Fair Largest state fair (by average daily attendance) in the U.S. Dedicated exhibit, participation in Prep Day
MDH exhibit space Photo from Minnesota Daily
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Provider education On-demand webcast, 11 lectures, 9 in-services CME/CE credit provided
Assessment & feedback Quality improvement planning at in-services Webinar follow-up after adolescent AFIX visits
MDH activities
Provider education locations
• HPV PPHF grant • Stakeholders • Reminder/recall
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Bemidji
• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Morris Evaluation Willmar Lessons Learned Montevideo Future Plans Glencoe
Duluth (3)
Marshall (2)
Rochester
St. Cloud Minneapolis St. Paul
Pipestone Southwest Region Audioconference Lecture
Inservice
New Ulm Mankato Fairmont Special appearance
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
www.wevaxteens.org
Video Series for Health Care Providers: It’s Effective
HPV Vaccine Video for Health Care Providers Link
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Adolescent assessment summary report Missed opportunity measure in development Tdap, MCV4, and HPV client followup capacity added to IIS
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Evaluation Reminder/Recall Mail Sent Return Rates Autodialer Public Awareness Impressions Attendance Clicks on Banner ads Provider Education/AFIX Attendance Materials Immunization Rates
Rate changes to date All children 11-12 y/o in MN 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
65% 54% 33%
31% 21% 10%
HPV #1
47%
16%
HPV #2
4%
8%
HPV #3
February 2014
MCV4
August 2014
Tdap
Rate changes to date Children 13-17 y/o in the 2 participating MIIC Regions 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
77% 79%
54% 46% 29%
34%
HPV #1
21% 24%
HPV #2 March 2014
14% 17%
HPV #3 August 2014
MCV4
Tdap
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Lessons Learned Reminder/Recall Handling return mail for statewide efforts Budget more time for Autodialer set up Public Awareness Don’t be afraid of social media Be creative with outreach efforts Provider Education/AFIX Partner with someone to drive attendance Utilize facilitator during in-services Large lectures were more worthwhile
MDH activities • HPV PPHF grant • Stakeholders • Reminder/recall
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• Public awareness • Provider education • Assess. & feedback Provider videos Adolescent PPHF grant • Assess. reports Evaluation Lessons Learned Future Plans
Future Plans Reminder/Recall Regional level IIS regional coordinators Public Awareness Web Social media Diverse Media Provider Education/AFIX Physician-led lectures
[email protected] www.health.state.mn.us/immunize www.vax4teens.org (public) www.wevaxteens.org (providers)
Program manager
[email protected] (Margo)
Stakeholder engagement
[email protected]
Statewide reminder/recall
[email protected]
Public awareness
[email protected]
Provider education/AFIX
[email protected]