School Nurses’ Professional Practice in the HPV Vaccine Decision-Making Process

Rosen, Brittany L.; Ashwood, Daniel; Richardson, G. B.

doi:10.1177/1059840515583312

Cited by 41 publications

(59 citation statements)

References 53 publications

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“…Several quantitative studies found that knowledge was associated with recommendation intention and behavior. [23][24][25][26] Qualitative studies further supported the hypothesis that knowledge informed provider communication, with incomplete knowledge of HPV-attributable cancers in males identified as a key barrier to HPV vaccine recommendations for boys. 27,28 However, other studies found no association between providers' knowledge and their HPV vaccine recommendations.…”

Section: Preferences In Communication Source By Provider Typementioning

confidence: 73%

“…27,32,36,38,44,45 In terms of providers' perceptions of themselves, self-efficacy to communicate about HPV vaccine was associated with recommending and intending to recommend the vaccine. 12,26,46 Interestingly, providers who viewed themselves as "early adopters" were also more likely to recommend HPV vaccine. 30,45,47 Studies assessing the relationship between provider characteristics and HPV vaccine recommendations most often focused on clinical specialty and demographics.…”

Section: Preferences In Communication Source By Provider Typementioning

confidence: 99%

See 1 more Smart Citation

Provider communication about HPV vaccination: A systematic review

Gilkey

McRee

2016

Human Vaccines & Immunotherapeutics

258

220

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Background. Improving HPV vaccination coverage in the US will require healthcare providers to recommend the vaccine more effectively. To inform quality improvement efforts, we systematically reviewed studies of provider communication about HPV vaccination. Methods. We searched MEDLINE, CINAHL, EMBASE, and POPLINE in August 2015 to identify studies of provider communication about HPV vaccination. Results. We identified 101 qualitative and quantitative studies. Providers less often recommended HPV vaccine if they were uncomfortable discussing sex, perceived parents as hesitant, or believed patients to be low risk. Patients less often received recommendations if they were younger, male, or from racial/ethnic minorities. Despite parents' preference for unambiguous recommendations, providers often sent mixed messages by failing to endorse HPV vaccine strongly, differentiating it from other vaccines, and presenting it as an "optional" vaccine that could be delayed. Conclusion. Interventions are needed to help providers deliver effective recommendations in the complex communication environment surrounding HPV vaccination.

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Section: Preferences In Communication Source By Provider Typementioning

confidence: 73%

Section: Preferences In Communication Source By Provider Typementioning

confidence: 99%

Provider communication about HPV vaccination: A systematic review

Gilkey

McRee

2016

Human Vaccines & Immunotherapeutics

258

220

View full text Add to dashboard Cite

show abstract

“…This is concerning given that clinician attitudes are an important predictor of vaccine recommendations. Clinicians have reported concerns regarding HPV vaccine safety [ 68 - 70 ], a lack of self-confidence in providing strong vaccine recommendations [ 15 , 27 , 28 ], and belief that it is not important for adolescents to receive the HPV vaccine at the recommended age of 11 to 12 years [ 71 ]. Therefore, interventions should be designed with the goal of changing clinician attitudes and vaccine recommendations, and evaluation of these outcomes is a key component of successful interventions [ 45 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of Web-Based Educational Interventions for Clinicians on Human Papillomavirus Vaccine: Content and Usability Assessment

Rosen¹,

Bishop²,

McDonald³

et al. 2018

JMIR Cancer

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BackgroundHuman papillomavirus (HPV) vaccination rates fall far short of Healthy People 2020 objectives. A leading reason is that clinicians do not recommend the vaccine consistently and strongly to girls and boys in the age group recommended for vaccination. Although Web-based HPV vaccine educational interventions for clinicians have been created to promote vaccination recommendations, rigorous evaluations of these interventions have not been conducted. Such evaluations are important to maximize the efficacy of educational interventions in promoting clinician recommendations for HPV vaccination.ObjectiveThe objectives of our study were (1) to expand previous research by systematically identifying HPV vaccine Web-based educational interventions developed for clinicians and (2) to evaluate the quality of these Web-based educational interventions as defined by access, content, design, user evaluation, interactivity, and use of theory or models to create the interventions.MethodsCurrent HPV vaccine Web-based educational interventions were identified from general search engines (ie, Google), continuing medical education search engines, health department websites, and professional organization websites. Web-based educational interventions were included if they were created for clinicians (defined as individuals qualified to deliver health care services, such as physicians, clinical nurses, and school nurses, to patients aged 9 to 26 years), delivered information about the HPV vaccine and how to increase vaccination rates, and provided continuing education credits. The interventions’ content and usability were analyzed using 6 key indicators: access, content, design, evaluation, interactivity, and use of theory or models.ResultsA total of 21 interventions were identified, out of which 7 (33%) were webinars, 7 (33%) were videos or lectures, and 7 (33%) were other (eg, text articles, website modules). Of the 21 interventions, 17 (81%) identified the purpose of the intervention, 12 (57%) provided the date that the information had been updated (7 of these were updated within the last 6 months), 14 (67%) provided the participants with the opportunity to provide feedback on the intervention, and 5 (24%) provided an interactive component. None of the educational interventions explicitly stated that a theory or model was used to develop the intervention.ConclusionsThis analysis demonstrates that a substantial proportion of Web-based HPV vaccine educational interventions has not been developed using established health education and design principles. Interventions designed using these principles may increase strong and consistent HPV vaccination recommendations by clinicians.

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“…School nurses are integral to such programs, where qualitative research by Boyce and Holmes demonstrated that they have the potential to promote vaccination of medically underserved children ( 12 ). In particular, school nurses often serve as opinion leaders in middle schools – where the target population for HPV vaccination is found – and can intervene with targeted education, follow-up, and tool kits to promote vaccination among students and parents ( 13 , 14 ).…”

Section: Preventionmentioning

confidence: 99%