Using Stakeholder and Equity Data-Driven Implementation (SEDDI) to Scale-Up HPV Self-Sampling

The proposed project aims to use facilitation to guide the implementation of an HPV self-sampling initiative across four primary care clinics, using the Stakeholder and Equity Data-Driven Implementation (SEDDI) approach. Working with each clinic, we will identify implementation teams to participate in a learning cohort where they will use the SEDDI approach. 

The first step in the SEDDI approach involves planning and assessment, where the implementation team at each clinic evaluates the evidence for HPV self-sampling and identifies barriers and facilitators. In the second step, clinic data is collected to identify gaps in current cervical cancer screening practices. The third step focuses on prioritizing health equity targets and customizing an implementation plan for each clinic. In this step, lab managers and other personnel will also be engaged to craft workflows conducive to each clinic. The fourth step involves selecting feasible adaptations for each clinic’s context, followed by the fifth step, which includes rapid cycle testing of the planned adaptations using the PDSA cycle, ongoing evaluations, and feedback through surveys and focus groups to refine the implementation process and assess outcomes. 

Throughout the SEDDI process, a patient advisory council (PAC) will be engaged to review and provide oversight of the implementation process. Members of the PAC will meet three times over the course of the project to guide and oversee the SEDDI approach.