HPV Vaccination Training of Healthcare Providers and Perceived Self-Efficacy in HPV Vaccine-Hesitancy Counseling

Abstract

HPV vaccine hesitancy is a key barrier to HPV vaccination. Using a population-based survey of HCPs practicing in Texas we determined the association between formal training of HCPs and perceived self-efficacy in counseling HPV vaccine-hesitant parents and adult patients. A total of 1283 HCPs completed the survey, with 879 providing vaccination services to pediatric patients and 1018 providing vaccination services to adult patients. Among HCPs included in this study, 405 of 577 (70%) and 315 of 505 (62%) perceived they were very/completely confident in counseling HPV vaccine-hesitant parents and adult patients, respectively. Compared to HCPs who received no training, those who received formal training in HPV vaccination promotion or counseling had 2.56 (AOR: 2.56; 95% CI:1.69–3.86) and 2.84 times higher odds (AOR: 2.84; 95% CI:1.87–4.33) of perceiving that they were very/completely confident in counseling HPV vaccine-hesitant parents and adult patients, respectively. Additionally, increasing years of practice and volume of patients seen were positively associated with being very/completely confident in counseling HPV vaccine-hesitant parents and adult patients. On the other hand, nurses were less likely than physicians to be very/completely confident in counseling HPV vaccine-hesitant parents. To increase HPV vaccination uptake, HCPs should receive tailored training to improve their self-efficacy in addressing HPV vaccine-hesitancy.

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

“…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).…”

Healthcare Provider’s Perceived Self-Efficacy in HPV Vaccination Hesitancy Counseling and HPV Vaccination Acceptance

“…We also assessed the influence of various provider-level characteristics, including provider age, race/ethnicity, experience, and practice type on HPV vaccination acceptance given that these variables are known predictors of HPV vaccination recommendation, a key determinant of vaccination acceptance [ 36 ]. Additionally, provider experience acquired either from years of counseling hesitant patients or from seeing a large number of patients is an essential factor associated with the self-efficacy of HCPs in counseling HPV-vaccine-hesitant patients [ 37 ]. However, while our study showed a consistent association between provider’s self-efficacy and the acceptance of the HPV vaccination across all sub-groups assessed, we did not see a similar association between HCP’s age, years of experience, or practice type and the observed acceptance of HPV vaccination after initial and follow-up counseling sessions for parents of pediatric patients and adult patients.…”

Acceptance, Knowledge, and Attitude of Parents Toward the Human Papillomavirus Vaccine in the Eastern Region of Saudi Arabia: A Cross-Sectional Study

“…The vast majority of parents (62.9%) noted that their doctors discussed the HPV vaccine, raising concerns about the role of healthcare providers in vaccine promotion. Previous Saudi research by Osaghae et al emphasized the significance of healthcare provider recommendations and confidence in counseling hesitant parents, highlighting a need for enhanced communication about the importance of the HPV vaccine [ 17 ].…”