{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:17:39Z","timestamp":1788189459606,"version":"build-2803163510"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100021219","name":"Canadian Partnership Against Cancer","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100021219","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Can J Public Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In 2020, the Canadian Partnership Against Cancer commissioned the Urban Public Health Network to lead a multi-phased project to identify the inequalities and barriers to HPV vaccination for school-aged children across Canada. In Phase One, the UPHN team collaborated with public health and community partners across Canada to identify barriers to vaccination at a sub-jurisdictional and sub-populational level using a multiple methods approach. In Phase Two, UPHN is working with existing and new partners to achieve system-level outcomes through developing and testing innovative education and program delivery strategies to increase HPV immunization in school-based programs, using findings from Phase One. A Plan, Do, Study, Act (PDSA) framework, a core component of the Quality Improvement (QI) Model for Improvement, to implement quality improvement programs has been foundational in the development of and approach to these projects. In this commentary, we suggest that a PDSA framework offers an effective stepwise strategy to promote continuous learning, evaluation, and refinement of innovative practices, particularly in complex systems.\u00a0<\/jats:p>","DOI":"10.17269\/s41997-026-01248-0","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:59:12Z","timestamp":1788188352000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Closing the research-to-practice gap: Using a plan-do-study-act approach to test innovative interventions to increase HPV immunization uptake in Canada"],"prefix":"10.17269","author":[{"given":"Navdeep","family":"Sandhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4663-5250","authenticated-orcid":false,"given":"Mika","family":"Rathwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aine","family":"Dolin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thilina","family":"Bandara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulugeta","family":"Wondim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory","family":"Neudorf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"1248_CR1","unstructured":"Canadian Partnership Against Cancer. (2020). Action Plan for the Elimination of Cervical Cancer in Canada 2020\u20132030. Retrieved from https:\/\/s22438.pcdn.co\/wp-content\/uploads\/2020\/11\/Elimination-cervical-cancer-action-plan-EN.pdf.\u00a0Accessed 12 Nov 2025."},{"key":"1248_CR2","unstructured":"Health Quality Ontario. (2012). Quality improvement guide. Retrieved from https:\/\/www.hqontario.ca\/portals\/0\/documents\/qi\/qi-quality-improve-guide-2012-en.pdf.\u00a0Accessed 12 Nov 2025."},{"issue":"Suppl 1 INJURY","key":"1248_CR3","doi-asserted-by":"publisher","first-page":"S6","DOI":"10.1097\/PHH.0000000000000667","volume":"24","author":"LS Smith","year":"2018","unstructured":"Smith, L. S., & Wilkins, N. (2018). Mind the gap: Approaches to addressing the research-to-practice, practice-to-research chasm. Journal of Public Health Manag Pract, 24(Suppl 1 INJURY AND VIOLENCE PREVENTION), S6\u2013S11.","journal-title":"Journal of Public Health Manag Pract"},{"issue":"1","key":"1248_CR4","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1111\/jonm.12021","volume":"21","author":"R Stikes","year":"2013","unstructured":"Stikes, R., & Barbier, D. (2013). Applying the plan-do-study-act model to increase the use of kangaroo care. Journal of Nursing Management, 21(1), 70\u201378.","journal-title":"Journal of Nursing Management"},{"key":"1248_CR5","unstructured":"Urban Public Health Network. (2025). Solutions to increase youth HPV immunization in Canada. University of Saskatchewan. Retrieved from University of Saskatchewan website: https:\/\/www.uphn.ca\/Solutions-to-Increase-Youth-HPV-Immunization.\u00a0Accessed 12 Nov 2025.\u00a0"}],"container-title":["Canadian Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.17269\/s41997-026-01248-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.17269\/s41997-026-01248-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.17269\/s41997-026-01248-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:59:16Z","timestamp":1788188356000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.17269\/s41997-026-01248-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":5,"alternative-id":["1248"],"URL":"https:\/\/doi.org\/10.17269\/s41997-026-01248-0","relation":{},"ISSN":["0008-4263","1920-7476"],"issn-type":[{"value":"0008-4263","type":"print"},{"value":"1920-7476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"19 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Received ethics exemption from the University of Saskatchewan.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"NA.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"NA.","order":3,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None to declare.","order":4,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}