Changes in Strength of Recommendation and Perceived Barriers to Human Papillomavirus Vaccination: Longitudinal Analysis of Primary Care Physicians, 2008-2018

Cataldi, Jessica R.; O’Leary, Sean T.; Markowitz, Lauri E.; Allison, Mandy A.; Crane, Lori A.; Hurley, Laura P.; Brtnikova, Michaela; Beaty, Brenda; Gorman, Carol; Meites, Elissa; Lindley, Megan C.; Kempe, Allison

doi:10.1016/j.jpeds.2021.03.002

Cited by 15 publications

(10 citation statements)

References 38 publications

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“…The growing vaccine hesitancy movement contributes significantly to low HPV vaccination rates, with HPV vaccine refusal rates estimated at 20% to 30%. 10 Vaccine refusal may be related to parental concerns for vaccine safety, 11 political attitudes associated with distrust in medicine, 12 or parental discomfort with a vaccine for a sexually transmitted infection. We hypothesized that provider continuity might counteract this greater sense of distrust and increase vaccine coverage among adolescents.…”

Section: Discussionmentioning

confidence: 99%

Provider Continuity and Human Papillomavirus Vaccine Refusal Among Adolescents

Cutrone

Tumin

Buckman

et al. 2022

Clin Pediatr (Phila)

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Section: Discussionmentioning

confidence: 99%

Provider Continuity and Human Papillomavirus Vaccine Refusal Among Adolescents

Cutrone

Tumin

Buckman

et al. 2022

Clin Pediatr (Phila)

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“…Numerous studies have found that a perceived lack of knowledge among HCP about HPV vaccines can lead to a lack of confidence in discussing the vaccine (Farias et al, 2017 ; Leung et al, 2019 ; Suryadevara et al, 2015 ). Concerns about vaccine safety or efficacy appear to be decreasing among physicians; however, some concerns linger—such as a misconception that administering the HPV vaccine at the same time as the Tdap and MenACWY vaccines is “too many” vaccines in one visit (Cataldi et al, 2021 ). For physicians who expressed concerns about either the HPV vaccine’s efficacy or its safety, vaccine initiation among their patients was lower, perhaps as a result of the physician either not recommending the vaccine or providing a low quality recommendation (Farias et al, 2017 ).…”

Section: A Multilevel Framework For Factors Influencing Provider Reco...mentioning

confidence: 99%

“…There is evidence that this increase in parental hesitancy is impacting providers as well. A longitudinal study of provider recommendation practices for the HPV vaccine found that provider reports of parental concerns of vaccine safety or moral/religious concerns increased from 5% in 2008 to 35% and 25% respectively in 2018 (Cataldi et al, 2021 ). When parents express a desire to reject the HPV vaccine providers may in turn recommend delaying the vaccine to a later visit (Dang et al, 2020 ).…”

Section: A Multilevel Framework For Factors Influencing Provider Reco...mentioning

confidence: 99%

“…All ACIP recommended vaccines are required to be covered by insurance; however, providers may have to cover the initial costs of purchasing vaccine prior to being reimbursed by patients’ insurance. Many physicians still perceive financial burdens among their patients/parents or for their own practice as a major barrier to administering the HPV vaccine (Cataldi et al, 2021 ; Farias et al, 2017 ; Tsai et al, 2018 ). Improving reimbursement policies for the HPV vaccine has been associated with an increase in both initiation and completion of the series (Tsai et al, 2018 ).…”

Section: A Multilevel Framework For Factors Influencing Provider Reco...mentioning

confidence: 99%

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Understanding the Factors Influencing Health Care Provider Recommendations about Adolescent Vaccines: A Proposed Framework

et al. 2022

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Health care provider recommendations are among the most important factors influencing parents’ decisions to vaccinate their adolescents. However, delivery of high-quality health care provider recommendations for vaccination is not universal. There is wide variation in the strength, timeliness and consistency of the delivery of recommendations for all adolescent vaccines. The factors that influence health care providers’ recommendations are multi-level and can be conceptualized in much the same way as vaccine acceptance among parents. Health care providers are influenced by their own attitudes and beliefs about a vaccine and also by the patient they are treating and by the community in which they practice as well as state and national level vaccine policy. We propose a multi-level framework for understanding the factors that influence health care providers’ recommendations at the individual, interpersonal and community level to both develop and adapt interventions to improve providers’ recommendations.

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“…Currently, there is increasing interest in the impact of mHealth (mobile health) initiatives on various health outcomes [9,10], particularly in low-and middle-income countries (LMICs) where there has been unprecedented growth of mobile phone networks [11]. Mobile phones are being used in longitudinal studies for contact with study participants, data collection, and various mHealth interventions.…”

Section: Introductionmentioning

confidence: 99%

Analysis of reasons for loss to follow up in a prospective study in Chandigarh, India and impact from telecom changes

et al. 2021

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Objective Mobile phones are used in research studies, to enroll and follow-up participants, collect data, and implement mHealth initiatives. We conducted a longitudinal study in a birth cohort, where infants were required to make four scheduled visits by 12 months of age. Families of those failing to attend scheduled follow-up visits, were contacted telephonically to ascertain the reasons, which were categorized as: not interested to continue participating, migrated, phone disconnected due to telecom change, or other reason. Results A total of 413 mother-infant dyads were enrolled. The overall attrition was 56%, with majority occurring at the first follow-up visit. This temporally coincided with a telecom service provider announcing strong incentives to switch providers. Attrition monotonically decreased at subsequent visits. The reasons were: moved away (13%), no longer interested (8%), phone disconnected (7%), and multiple other reasons (28%), the majority of whom had unreachable phones. Those who remained in the study and those lost to follow-up were similar on most demographic variables. Among common reasons for attrition in cohort studies, we experienced a new dimension introduced by telecom changes. These findings underscore the need to consider unexpected reasons for attrition in longitudinal studies, and design more robust methods to follow-up participants.

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Changes in Strength of Recommendation and Perceived Barriers to Human Papillomavirus Vaccination: Longitudinal Analysis of Primary Care Physicians, 2008-2018

Cited by 15 publications

References 38 publications

Provider Continuity and Human Papillomavirus Vaccine Refusal Among Adolescents

Provider Continuity and Human Papillomavirus Vaccine Refusal Among Adolescents

Understanding the Factors Influencing Health Care Provider Recommendations about Adolescent Vaccines: A Proposed Framework

Analysis of reasons for loss to follow up in a prospective study in Chandigarh, India and impact from telecom changes

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