ClinicalTrials.gg
Not yet recruitingNCT03429413Updated Sep 14, 2026

Maximizing HPV Vaccination: Real-time Reminders, Guidance, and Recommendations - Part 4: Feasibility Trial

An interventional study of Protect Me 4 Application + External Quality Improvement Support and Protect Me 4 Application Alone in Human Papillomavirus (HPV) Vaccines, sponsored by University of Florida. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by University of Florida · Not applicable, Interventional, and Health services research

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Phase
Not applicable
Study type
Interventional
Enrollment
1,296
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 166 studies in Papillomavirus Infections with a site in United States — 32 open to participants now, 60 under way, 5 of them phase 3. Papillomavirus Infections · United States.

Planned enrollment
18th of 132
1,296 · median 128
Started
2027
with 1 other
No phase
53 of 166
14 open now
Primary completion
2028-09
later than 48 of 59 live
Registered
86th of 166
by date

Among the 166 studies in Papillomavirus Infections with a site in United States, this one is the 18th largest by planned enrollment of the 132 interventional ones that give a count, is one of 2 that started in 2027, is one of 53 with no phase, reaches primary completion later than 48 of the 59 other live ones, and was the 86th registered.

Papillomavirus Infections

576 studies on the registry are indexed under Papillomavirus Infections; 132 are open to participants now.

Browse Papillomavirus Infections studies →

Open to participants now

32 of the 166 studies in Papillomavirus Infections with a site in United States are open now. Recruiting first, the newest first:

27 more — sign in →

All 32 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 85 Papillomavirus Infections studies recruiting now, 38 (45%) set no upper age limit and 42 (49%) stop at 75 or younger; 19 take children under 18; 36 take healthy volunteers.

This study: 18 Years to 99 Years · all sexes · healthy volunteers too.

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02

Study 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).

Read the detailed description

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 a health information technology (HIT) electronic application (app), Protect Me 4, to help parents and providers assess and have more productive conversations about needed vaccines.

In past studies, Protect Me 4 users have demonstrated three times higher chances of initiating the HPV vaccine. Despite this promise, Protect Me 4 system implementation suffered from very low reach within clinics. In this phase of the project, the investigators will assess the feasibility of implementing Protect Me 4 in community clinics, as well as test vaccination rate data collection strategies and estimate the preliminary efficacy of Protect Me 4 to increase HPV vaccine initiation. Seven clinics will participate in the study, and three will be randomly assigned the use of Protect Me 4. Three of the clinics will act as controls and will not receive Protect Me 4. The final clinic will receive the intervention (but has not participated in any of the intervention development. This clinic will s as a demonstration clinic for the subsequent R01.

For evaluation, vaccination records will be grouped in three-month periods [initial (months 1-3), implementation (months 4-6) and maintenance (months 7-9)] from Medicaid and CHIP (Children's Health Insurance Program) claims and Florida Immunization Registry data. 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). 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).

To evaluate effectiveness at the individual-level, the study team will compare vaccination rates between eligible adolescents who visited intervention and control clinics across the three time periods.

03

Conditions studied

  • Human Papillomavirus (HPV) Vaccines

Keywords

  • Health Information Technology (HIT)
04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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

Exclusion criteria

Exclusion Criteria:

  • 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
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,296 participants (estimated)

Study arms

  • Active comparator
    Parents

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

    Behavioral: Protect Me 4 Application + External Quality Improvement Support · Behavioral: Protect Me 4 Application Alone

  • Active comparator
    Health Care Provider

    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 Support · Behavioral: Protect Me 4 Application Alone

  • No intervention
    Adolescents at Intervention clinics

    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.

  • No intervention
    Adolescents at Control Clinic

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

  • No intervention
    Health Care Provider at Control Clinic

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

Interventions

  • BehavioralProtect Me 4 Application + External Quality Improvement Support

    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.)

  • BehavioralProtect Me 4 Application Alone

    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

06

What researchers measure

Primary outcomes

  1. Reach - Feasibility

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

    Time frame: After month 9

  2. 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.

    Time frame: After month 9

  3. 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.

    Time frame: After month 9

  4. 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.)

    Time frame: After month 9

  5. Maintenance - Feasibility

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

    Time frame: Months 7-9

  6. Acceptability - Feasibility

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

    Time frame: Month 6, Month 9

Secondary outcomes

  1. Data Collection Strategy

    Analysis of de-identified participant datasets linked to clinic records, HIT participation date, and vaccinations from the Florida Medicaid and CHIP claims or the Florida Immunization Registry data.

    Time frame: After month 9

  2. Efficacy Measurements

    Determination of HPV vaccine initiation using Current Procedural Terminology (CPT) and Current Vaccine Administered (CVX) codes

    Time frame: After month 9

07

Study locations

1 site
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2027; primary completion for Sep 2028, 12 months later.

Of 106 non-industry interventional studies with no phase under Papillomavirus Infections, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 48. This study's planned 12 months is below that.

Counting every sponsor, half of 115 studies reached it within 26 months; a quarter within 12 and three quarters within 51.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 5, 2018
First posted
Feb 12, 2018
StartEst.
Sep 15, 2027
Primary completionEst.
Sep 15, 2028
CompletionEst.
Sep 15, 2028
Last update
Sep 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03429413
Collaborators
National Cancer Institute (NCI), Patient-Centered Outcomes Research Institute
Responsible party
Sponsor
First posted
Feb 12, 2018
Start date
Sep 15, 2027 (estimated)
Primary completion
Sep 15, 2028 (estimated)
Completion
Sep 15, 2028 (estimated)
Last update
Sep 14, 2026

Study contacts

Stephanie Staras, PhD
Contact
sstaras@ufl.edu
352-294 8299
Marta Hansen
Contact
m.hansen1@ufl.edu
Stephanie Staras, PhD
principal investigator · University of Florida

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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