Provider communication about HPV vaccination: A systematic review

Gilkey, Melissa B.; McRee, Annie-Laurie

doi:10.1080/21645515.2015.1129090

Cited by 258 publications

(258 citation statements)

References 109 publications

(450 reference statements)

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“…Providers describe needing a brief recommendation approach that avoids discussing sex and gives parents an opportunity to ask questions should they wish to, issues that our trainings addressed. 14 Additional research is needed to better understand how trainings improve coverage and the extent to which providers use announcements in routine clinical practice. first raise the topic of vaccination, research is also needed on effective ways to ease concerns that parents may express.…”

Section: Discussionmentioning

confidence: 99%

“…2 A high-quality recommendation by a health care provider is a uniquely potent motivator of HPV vaccine uptake, 5,6 yet many providers make these recommendations hesitantly, late, or not at all. 5,[7][8][9] Provider concerns include the time it takes to recommend the vaccine, 10 -12 anticipation of an uncomfortable conversation related to sex 5,13,14 and a false perception that parents do not value HPV vaccination. 5,15 One intriguing approach to addressing these issues is to use presumptive "announcements, " or brief statements that assume parents are ready to vaccinate.…”

mentioning

confidence: 99%

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Announcements Versus Conversations to Improve HPV Vaccination Coverage: A Randomized Trial

Hall²,

et al. 2017

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OBJECTIVE: Improving provider recommendations is critical to addressing low human papillomavirus (HPV) vaccination coverage. Thus, we sought to determine the effectiveness of training providers to improve their recommendations using either presumptive "announcements" or participatory "conversations." METHODS:In 2015, we conducted a parallel-group randomized clinical trial with 30 pediatric and family medicine clinics in central North Carolina. We randomized clinics to receive no training (control), announcement training, or conversation training. Announcements are brief statements that assume parents are ready to vaccinate, whereas conversations engage parents in open-ended discussions. A physician led the 1-hour, in-clinic training. The North Carolina Immunization Registry provided data on the primary trial outcome: 6-month coverage change in HPV vaccine initiation (≥1 dose) for adolescents aged 11 or 12 years. RESULTS:The immunization registry attributed 17 173 adolescents aged 11 or 12 to the 29 clinics still open at 6-months posttraining. Six-month increases in HPV vaccination coverage were larger for patients in clinics that received announcement training versus those in control clinics (5.4% difference, 95% confidence interval: 1.1%-9.7%). Stratified analyses showed increases for both girls (4.6% difference) and boys (6.2% difference). Patients in clinics receiving conversation training did not differ from those in control clinics with respect to changes in HPV vaccination coverage. Neither training was effective for changing coverage for other vaccination outcomes or for adolescents aged 13 through 17 (n = 37 796). CONCLUSIONS:Training providers to use announcements resulted in a clinically meaningful increase in HPV vaccine initiation among young adolescents.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Announcements Versus Conversations to Improve HPV Vaccination Coverage: A Randomized Trial

Hall²,

et al. 2017

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“…These data provide further support for the influence of provider recommendation on parents' HPV vaccine decisions [14]. Parents in Category 1 (those who had vaccinated) noted that they had had a conversation with their provider about HPV vaccine.…”

Section: Discussionmentioning

confidence: 76%

Untitled

2017

Int Arch Public Health Community Med

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“…[4] Other potential strategy for maximizing HPV vaccination may include mandatory HPV vaccinations for school entry, which will ensure timely vaccination of most children and minimize the morbidity and mortality associated with the preventable HPV-associated cancers. [34] In this study, parental HPV knowledge and empowerment had positive direct effects on parental perception of HPV vaccine effectiveness. Together with parental empowerment fostering an equal partnership with providers, targeted education to improve parental HPV knowledge may convince them of the HPV vaccine effectiveness.…”

Section: Discussionmentioning

confidence: 91%

Predictors of Human Papillomavirus Vaccine uptake or intent among parents of preadolescents and adolescents

Dayal

Robinson²,

Schoening

et al. 2017

JNEP

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Aim: The aim of this study was to examine predictors of human papillomavirus (HPV) vaccine uptake or intent among parents of pre-adolescents and adolescents. Methods: A cross-sectional descriptive study was conducted among parents of girls aged 9 to 18 years, visiting two primary care clinics in central Texas from September to November 2015. Pearson's product-moment correlation procedures and path analyses based on Health Belief Model were performed. Results: Path analysis showed that provider recommendation for HPV vaccination (β = 0.37; p < .001) and perceived HPV vaccine harm (β = -0.48; p < .001) had statistically significant direct effects on HPV vaccine uptake or intent. The perceived HPV vaccine effectiveness was directly influenced by HPV knowledge (β = 0.39; p < .001), empowerment in parent-provider relationships (β = 0.30; p = .006) and parental college education (β = 0.23; p = .039). Conclusions: Together with parental empowerment fostering an equal partnership with providers, targeted education to improve parental HPV knowledge may convince them of the HPV vaccine effectiveness. This, in turn, may help them put the perceived HPV vaccine harm in proper perspective and allow them to make informed decisions regarding the timely HPV vaccination of their children. Because provider recommendation is one of the most important contributing factors for HPV vaccine uptake or intent, parental education and recommendations from nurses will help reduce the knowledge gaps and empower parents to make the timely decisions to vaccinate their children.

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Provider communication about HPV vaccination: A systematic review

Cited by 258 publications

References 109 publications

Announcements Versus Conversations to Improve HPV Vaccination Coverage: A Randomized Trial

Announcements Versus Conversations to Improve HPV Vaccination Coverage: A Randomized Trial

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Predictors of Human Papillomavirus Vaccine uptake or intent among parents of preadolescents and adolescents

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