NCT03429413

Brief Summary

Human papillomavirus (HPV) vaccines have potential to prevent an average of 26,900 cancer cases each year in the United States, but vaccine coverage rates remain low. The study team has developed an electronic application (app), Protect Me 4, to help parents and providers assess and have more productive conversations about needed vaccines. The specific aims of this study are to: (1) evaluate the feasibility of implementing Protect Me 4, and (2) estimate preliminary efficacy of Protect Me 4 to increase HPV vaccine initiation (receipt of first dose).

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,296

participants targeted

Target at P75+ for not_applicable

Timeline
12mo left

Started Sep 2026

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 5, 2018

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 12, 2018

Completed
8.6 years until next milestone

Study Start

First participant enrolled

September 15, 2026

Expected
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2027

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2027

Last Updated

August 17, 2025

Status Verified

August 1, 2025

Enrollment Period

1 year

First QC Date

February 5, 2018

Last Update Submit

August 14, 2025

Conditions

Keywords

Health Information Technology (HIT)

Outcome Measures

Primary Outcomes (6)

  • Reach - Feasibility

    Goal will be to have 80% of the parents of 11-12 year olds offered the Protect Me 4 app.

    After month 9

  • Adoption - Feasibility

    Goal will be to have 70% of parents complete the Protect Me 4 app for each provider. App will be considered feasible of 80% or more of providers use the app during the study.

    After month 9

  • Provider-level Implementation - Feasibility

    Goal will be to have providers report using the discussion tips approximately half the time they are provided and offering HPV vaccine 75% of the time it is due. App will be considered feasible if providers view shot lists for 60% of their patients with screens indicating that shots are due. Will aim for providers to look at specific hesitations reported by parents 60% of the time they login to the app and hesitations are reported.

    After month 9

  • Parent-level Implementation - Feasibility

    Goal will be to have 95% of people who start the app successfully enter the app and 80% agree to participate (consent and assent.)

    After month 9

  • Maintenance - Feasibility

    During months 7-9, the study team will assess clinic and provider maintenance of use of the Protect Me 4 app

    Months 7-9

  • Acceptability - Feasibility

    At both the end of the implementation and the maintenance period, providers will complete the Post Intervention Survey.

    Month 6, Month 9

Secondary Outcomes (2)

  • Data Collection Strategy

    After month 9

  • Efficacy Measurements

    After month 9

Study Arms (5)

Parents

ACTIVE COMPARATOR

Parents of 11-12 year old children who visit participating interventional clinics during study period.

Behavioral: Protect Me 4 Application + External Quality Improvement SupportBehavioral: Protect Me 4 Application Alone

Health Care Provider

ACTIVE COMPARATOR

Health care providers and clinic staff for 11-12 year old patients at 4 participating pediatric clinics.

Behavioral: Protect Me 4 Application + External Quality Improvement SupportBehavioral: Protect Me 4 Application Alone

Adolescents at Intervention clinics

NO INTERVENTION

Adolescents between 11-12 years of age. Adolescent vaccination data is used in the study, adolescents will assent to participate. The parents, however, use the HIT system.

Adolescents at Control Clinic

NO INTERVENTION

Parents of 11-12 year old children who visit participating control clinics during study period.

Health Care Provider at Control Clinic

NO INTERVENTION

Health care providers and clinic staff for 11-12 year old patients at 3 participating pediatric control clinics.

Interventions

Participants will be asked to interact with the Protect Me 4 application, using an iPad tablet. During the implementation period (months 4-6), intervention clinics will receive the Protect Me 4 app and External Quality Improvement Support (practice facilitation and external and internal provider peer opinion leaders and provider incentives). Providers from intervention clinics will complete audit and feedback reports to assess HPV vaccination rates with the assistance of the practice facilitator. Providers at the intervention clinic will complete a pre-intervention survey to obtain background information (demographics, approximate HPV vaccination rates, comfort with the use of technology etc.)

Health Care ProviderParents

During the maintenance period (months 7-9), intervention clinics will receive Protect Me 4 without external support (practice facilitation and external provider peer opinion leaders). Providers from intervention clinics will complete audit and feedback reports to assess HPV vaccination rates without the assistance of the practice facilitator. Providers at the intervention clinic will complete a post-intervention survey to gain provider feedback regarding the feasibility of Protect Me 4 and changes in perceptions regarding the use of technology.

Also known as: Enhanced HIT System Intervention
Health Care ProviderParents

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Must be parent of an adolescent aged 11-12 years old.
  • Providers working with age appropriate for study adolescents at the intervention clinics
  • Adolescents/Parents/Providers willing to consent to participation
  • Adolescents/Parents that can read and speak English

You may not qualify if:

  • Adolescents out of the age range for participation
  • Adolescents/Parents/Providers unwilling to consent to participation
  • Adolescents/Parents that can NOT read and speak English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Florida

Gainesville, Florida, 32611, United States

Location

MeSH Terms

Conditions

Papillomavirus Infections

Condition Hierarchy (Ancestors)

Sexually Transmitted Diseases, ViralSexually Transmitted DiseasesCommunicable DiseasesInfectionsDNA Virus InfectionsVirus DiseasesTumor Virus InfectionsGenital DiseasesUrogenital DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Stephanie Staras, PhD

    University of Florida

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Stephanie Staras, PhD

CONTACT

Marta Hansen

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
The statistical team is blinded to the clinic assignment.
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: Clinics are randomly assigned to use the intervention app or not. A 5th clinic, will use the app, but has not been involved in the app development.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 5, 2018

First Posted

February 12, 2018

Study Start (Estimated)

September 15, 2026

Primary Completion (Estimated)

September 15, 2027

Study Completion (Estimated)

September 15, 2027

Last Updated

August 17, 2025

Record last verified: 2025-08

Locations