Effect of a multi-component intervention on providers’ HPV vaccine communication

Perkins, Rebecca B.; Banigbe, Bolanle; Fenton, Anny; O'Grady, Amanda; Jansen, Emily; Bernstein, Judith; Joseph, Natalie; Eun, Terresa J.; Biancarelli, Dea L.; Drainoni, Mari-Lynn

doi:10.1080/21645515.2020.1747923

Cited by 15 publications

(9 citation statements)

References 29 publications

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“…Consistent with our multivariable findings, previous research suggests that provider recommendations have significant influence on HPV vaccination although quality of said recommendations is largely dependent on the provider's HPV knowledge, attitudes, and preferences (70,73,74). Consequently, communication training utilizing evidencebased techniques is needed to increase provider confidence to utilize announcements and other presumptive-style recommendations of HPV vaccine among this population (75)(76)(77)(78).…”

Section: Cues To Actionsupporting

confidence: 83%

Factors associated with HPV vaccine acceptability and hesitancy among Black mothers with young daughters in the United States

Gray

Fisher

2023

Front. Public Health

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IntroductionCompared to other-race peers, Black women are disproportionately impacted by human papillomavirus [HPV] infection, related health outcomes, and cervical cancer mortality as a result of suboptimal HPV vaccine uptake during adolescence. Few studies in the United States have examined psychosocial determinants of HPV vaccine acceptability and hesitancy among Black parents. The current study integrated the health belief model and the theory of planned behavior to evaluate the extent to which psychosocial factors are associated with pediatric HPV vaccination intentions among this population.MethodsBlack mothers (N = 402; age range = 25 to 69 years, M = 37.45, SD = 7.88) of daughters ages 9 to 15 years completed an online survey assessing HPV infection and vaccine beliefs and attitudes across four domains: Mother’s HPV Perceptions, Mother’s Vaccine Attitudes, Cues to Action, and Perceived Barriers to HPV Vaccination. Participants indicated their willingness to vaccinate their daughter on a 5-level ordinal scale (“I will definitely not have my daughter get the vaccine” to “I will definitely have my daughter get the vaccine”) which was dichotomously recoded for binomial logistic regressions.ResultsHalf of the sample (48%) intended to vaccinate their daughter. Number of daughters, mother’s HPV vaccine status, perceived HPV vaccine benefits, HPV vaccine safety concerns, pediatric HPV vaccine peer norms, and doctor recommendations emerged as independent factors of Black mothers’ intentions to vaccinate their daughters against HPV when controlling for all other factors.DiscussionIn addition to medical training to increase doctor recommendation of the HPV vaccine for Black girls, population-tailored public health messaging aimed at promoting HPV vaccine acceptance among Black mothers is urgently needed. This messaging should engage community support and emphasize the benefits of vaccination for adolescent Black girls while also addressing parental concerns regarding the safety of pediatric HPV vaccination.

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Section: Cues To Actionsupporting

confidence: 83%

Factors associated with HPV vaccine acceptability and hesitancy among Black mothers with young daughters in the United States

Gray

Fisher

2023

Front. Public Health

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“…In a recent study, about a third of providers reported that over 10% of parents of adolescents in their practice expressed HPV vaccine hesitancy, whereas over 50% of pediatricians in the same study did not feel confident responding to parents’ misinformation obtained from the internet/social media or the news [ 30 ]. The quality of provider recommendations has consistently predicted HPV vaccine initiation and completion, and multiple interventions to educate providers on reliable techniques (patient reminders, presumptive recommendation, and reference to HPV vaccination as cancer prevention) are available to support providers and reinforce vaccine communication skills [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Social Media Perceptions and Internet Verification Skills Associated With Human Papillomavirus Vaccine Decision-Making Among Parents of Children and Adolescents: Cross-sectional Survey

Thompson¹,

Preston²,

Francis³

et al. 2022

JMIR Pediatr Parent

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Background Human Papillomavirus (HPV) vaccination is recommended for children aged 11-12 years in the United States. One factor that may contribute to low national HPV vaccine uptake is parental exposure to misinformation on social media. Objective This study aimed to examine the association between parents’ perceptions of the HPV vaccine information on social media and internet verification strategies used with the HPV vaccine decision-making stage for their child. Methods Parents of children and adolescents aged 9-17 years were recruited for a cross-sectional survey in North Texas (n=1192) and classified into 3 groups: children and adolescents who (1) were vaccinated, (2) unvaccinated and did not want the vaccine, and (3) unvaccinated and wanted the vaccine. Multinomial logistic regression models were estimated to identify factors associated with the HPV vaccine decision-making stage with children and adolescents who were vaccinated as the referent group. Results Of the 1192 respondents, 44.7% (n=533) had an HPV-vaccinated child, 38.8% (n=463) had an unvaccinated child and did not want the vaccine, and 16.4% (n=196) had an unvaccinated child and wanted the vaccine. Respondents were less likely to be “undecided/not wanting the vaccine” if they agreed that HPV information on social media is credible (adjusted odds ratio [aOR] 0.40, 95% CI 0.26-0.60; P=.001), disagreed that social media makes them question the HPV vaccine (aOR 0.22, 95% CI 0.15-0.33; P<.001), or had a higher internet verification score (aOR 0.74, 95% CI 0.62-0.88; P<.001). Conclusions Interventions that promote web-based health literacy skills are needed so parents can protect their families from misinformation and make informed health care decisions.

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“…38 Evidence shows that the presumptive style leads to higher vaccine uptake without sacrificing parent trust and satisfaction. 39 Provider training can increase the use of the presumptive style of offering vaccines, 40,41 as well as the use of brief motivational interviewing, and clinicians report that this method is simple to learn and saves time. 42 While many studies assess vaccine hesitancy in offices with predominantly privately insured children with highly educated parents, a recent study found vaccine hesitancy in 13% of parents in a minority, publicly insured population.…”

Section: T a G G E D H 1 Communicationt A G G E D E N Dmentioning

confidence: 99%

Provider Focused Interventions to Improve Child and Adolescent Vaccination Rates

Rand

Humiston

2021

Academic Pediatrics

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Provider focused interventions can raise childhood and adolescent vaccination rates. Multi-component interventions are the most effective and are feasible with the help of electronic health records and quality improvement initiatives.'Audit and feedback' with respect to immunization is defined as providing information on measured vaccination rates to clinicians over a specified period of time so that they can assess and adjust their performance. Feedback on vaccination rates can be specific for individual clinicians or an entire practice, for one or more vaccines, and for specific patient populations (eg, by birth cohort). Outcome measures are often compared for practices within a health

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Effect of a multi-component intervention on providers’ HPV vaccine communication

Cited by 15 publications

References 29 publications

Factors associated with HPV vaccine acceptability and hesitancy among Black mothers with young daughters in the United States

Factors associated with HPV vaccine acceptability and hesitancy among Black mothers with young daughters in the United States

Social Media Perceptions and Internet Verification Skills Associated With Human Papillomavirus Vaccine Decision-Making Among Parents of Children and Adolescents: Cross-sectional Survey

Provider Focused Interventions to Improve Child and Adolescent Vaccination Rates

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