A Pilot Test of a Workshop for Pediatric Clinicians About Communicating with Parents About the HPV Vaccine Using the C-LEAR Approach

Abstract

Low HPV vaccinations rates lead to missed opportunities to prevent cancer. Specifically, some parents (12–76%) report never receiving a recommendation for their child to receive the vaccine. Current models for talking about HPV vaccination fall short in that they focus primarily on how to introduce the vaccine with limited guidance on how to follow through with the conversation, particularly with those parents who may be hesitant. We developed the C-LEAR approach, an easy to remember, evidence-informed mnemonic to guide clinicians through the process of introducing and discussing the HPV vaccine with parents. We pilot tested this approach with a total of 20 pediatric clinicians ( n = 13 residents; n = 7 attendings) in 60-min Zoom workshops that included a short didactic session, a demonstration of skills, and a small group, facilitator-led role play session. On an immediate post-training survey, all participants stated that the training was helpful and easy to understand. Ninety-four percent responded that they would implement what they had learned in their clinic. Participants reported appreciation for the small group sessions. While not specifically asked or required to incorporate the material into their practice, 1 year following the training, 8/9 (88%) participants reported using the C-LEAR approach in their clinics “most” or “all of the time.” We are further testing this model through teaching our workshop in a large, randomized trial across the state of Florida. Supplementary Information The online version contains supplementary material available at 10.1007/s13187-022-02188-2.

Challenges of hesitancy in human papillomavirus vaccination: Bibliometric and visual analysis

“…In addition, doctors' authoritative vaccine knowledge may also counter the hesitancy and rejection caused by anti‐vaccine conspiracy theories 49 . The current discussion focuses on how to introduce vaccines and how to conduct a constructive dialog 50 . In addition, compulsory vaccination policies also have good results, but the attitude of patients towards compulsory vaccination is controversial 51 .…”

“…49 The current discussion focuses on how to introduce vaccines and how to conduct a constructive dialog. 50 In addition, compulsory vaccination policies also have good results, but the attitude of patients towards compulsory vaccination is controversial. 51 Moreover, it is a good strategy to publicise preventable disease stories in social media and traditional media 52 ; as we mentioned earlier, some scholars have suggested publishing more information about the benefits of vaccination on Instagram or Twitter.…”

Clinician-patient communication about cancer treatment misinformation: The Misinformation Response Model

“…This approach has been effective in understanding multiple facets of clinician-patient communication including online searches [ 22 ], end-of-life communication, bad-news consultations, and patient-centered empathy skills [ 23 ]. To increase feasibility, we conducted role plays via Zoom, following procedures developed in a previous study [ 24 ].…”