Table 5. Example of methods and practical applications used in AVP to impact determinants for vaccination behavior.

Behavioral outcome: Physicians will vaccinate eligible patients against HPV in accordance with ACIP guidelines

Performance objective: PO2. Review quarterly assessment and feedback (A&F) report for HPV vaccination

# Objective	Method	Practical Application
KNOWLEDGE
K.2a: Identify when and how A&F reports will be delivered K.2b: Describe the content of the A&F reports K.2c: Recognize that A&F is one of the most effective strategies to promote vaccination	Skill building and guided practice Chunking Tailoring Feedback Consciousness raising	Champions receive one champion binder to hold A&F reports, newsletters, and information about webinars for providers to access. Champions send logs recording each provider’s receipt of the A&F report back to the project team. Champions educate providers about the effectiveness of A&F reports. Providers engage in CEs, which provide education regarding the effectiveness of A&F reports.
SKILLS AND SELF-EFFICACY
SSE.2a: Demonstrate ability to state personal and clinic-level vaccine rates from a quarterly A&F report SSE.2b: Demonstrate ability to state personal HPV vaccination goal for the following quarter SSE.2c: Express confidence in ability to interpret A&F reports	Elaboration Reinforcement Goal setting Tailoring	A&F reports colorful images, graphs, and tailored reports to display information about clinic- and provider-level vaccination rates. Clinic-level reports provide vaccination rates for each provider in the clinic and the clinic’s rate in comparison to all other network clinics. Provider-level reports include messaging and badges to encourage providers who have met ACIP vaccine and initiation and completion goals to continue their strong work in cancer prevention. Provider-level reports inform providers when they have not met their vaccination prevention and completion goals and provide the number of additional vaccination initiations and completions needed to meet ACIP goals in the coming quarter.
OUTCOME EXPECTATIONS
OE.2a: Expect that reviewing A&F reports will allow his/her clinic and staff to track progress toward HPV vaccination goals OE.2b: Expect that reviewing A&F reports will improve personal and clinic-level HPV vaccination rates	Self-assessment	Quarterly A&F reports are stored in the champion binder for tracking provider and clinic vaccination rate progress from quarter to quarter.
NORMATIVE BELIEFS
NB.2: Recognize that vaccinating all eligible patients against HPV in accordance with ACIP guidelines is part of the clinic network’s expectation for optimal physician performance	Persuasive communication Information about others’ approval	Physician newsletters from the clinic network director provides messaging regarding the network’s vaccination initiation and completion goals.