HPV vaccine communication training in healthcare systems: Evaluating a train-the-trainer model

Brewer, Noel T.; Mitchell, Chloe; Dailey, Susan Alton; Hora, Liddy; Fisher‐Borne, Marcie; Tichy, Kim; McCoy, Timothy

doi:10.1016/j.vaccine.2021.05.038

Cited by 17 publications

(20 citation statements)

References 22 publications

(22 reference statements)

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“…HCPs would benefit from HPV vaccination training in line with the CDC ACIP guidelines for providers to counsel and recommend the HPV vaccines to their patients at every clinical encounter regardless of whether they were counseled but refused vaccination during their previous clinic visits [ 7 ]. Various training approaches have been found to be effective in increasing provider self-efficacy in counseling patients, improving motivation to recommend HPV vaccination, and increasing HPV vaccination initiation among adolescents [ 36 , 43 , 44 , 45 , 46 ]. For example, the use of a training module is effective in increasing knowledge and self-efficacy in HPV-related disease and vaccination counseling [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2023

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Background: HPV vaccine hesitancy is a key contributor to the sub-optimal HPV vaccination uptake in the United States. We aimed to determine the association between healthcare providers’ self-efficacy in HPV vaccination hesitancy counseling and HPV vaccination acceptance after initial and follow-up counseling sessions. Methods: Population-based cross-sectional study of healthcare providers (HCPs) practicing in Texas. Logistic regression analyses were used to determine the odds of HPV vaccination acceptance by vaccine-hesitant patients. Additionally, generalized estimating equations were used to compare HPV vaccination acceptance by hesitant patients after follow-up versus initial counseling sessions. Results: 1283 HCPs completed the survey with a mean (SD) age of 47.1 (11.3) years. HCPs who believed that they were very/completely confident in counseling HPV-vaccine-hesitant parents had higher odds of observing HPV vaccination acceptance very often/always after an initial counseling session (adjusted odds ratio (AOR): 3.50; 95% CI: 2.25–5.44) and after follow-up counseling sessions (AOR: 2.58; 95% CI: 1.66–4.00) compared to HCPs that perceived they were not at all/somewhat/moderately confident. The odds of HPV vaccination being accepted very often/always by vaccine-hesitant parents was 61% (AOR: 1.61; 95% CI: 1.32–1.95) higher after follow-up counseling sessions compared to an initial counseling session. The results were similar for the counseling of HPV-vaccine-hesitant adult patients. Conclusions: The confidence level of HCPs in counseling hesitant parents and adult patients impacts HPV vaccination acceptance. Importantly, acceptance was higher after follow-up counseling sessions than initial counseling sessions. HCPs should receive training in HPV vaccination counseling to enhance their confidence in counseling hesitant patients and should utilize every visit to counsel hesitant patients.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2023

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“…26 Thus, even when HCPs have access to education resources, well-structured formal training programs are crucial in increasing HPV vaccination recommendation and uptake. 16 , 27 …”

Section: Discussionmentioning

confidence: 99%

Association of provider HPV vaccination training with provider assessment of HPV vaccination status and recommendation of HPV vaccination

Osaghae

Darkoh

Chido-Amajuoyi

et al. 2022

Human Vaccines & Immunotherapeutics

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The delivery of strong HPV vaccine recommendations hinges on the expertise of healthcare providers (HCPs) in assessing patients’ status and recommending HPV vaccination. We conducted a population-based cross-sectional study of HCPs practicing in Texas to examine the relationship between HPV vaccination training of HCPs and HPV vaccination status assessment and recommendation. Logistic regression analyses were used to assess the association between HCPs’ formal training and recency of training in HPV vaccination promotion or counseling with HPV vaccination status assessment and recommendation. Of the 1,283 HCPs who completed the online survey, 43% had received training in HPV vaccination promotion or counseling, 47% often/always assess HPV vaccination status, and 59% often/always recommend HPV vaccination. Compared with HCPs who received no training, those who received training had over four times higher odds (adjusted odds ratio [AOR]: 4.32; 95% CI: 3.06–6.10) of often/always assessing HPV vaccination status and over three and half times higher odds (AOR: 3.66; 95% CI: 2.73–4.90) of often/always recommending HPV vaccination. Furthermore, HCPs who recently received HPV vaccination training had higher odds of HPV vaccination status assessment and recommendations than those without training. Hispanic HCPs had higher odds of often/always assessing HPV vaccination status and recommending vaccination than did non-Hispanic White HCPs. Also, nurses and physician assistants had lower odds of often/always assessing HPV vaccination status and recommending HPV vaccination than did physicians. Targeted and continuous training of HCPs in HPV vaccination promotion or counseling is needed to increase HPV vaccination status assessment, recommendation, and uptake rates.

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“…Finally, customization through a “train-the-trainer” model could be applied to improve PrEP training. This model has succeeded in disseminating HPV vaccine education with subsequent increased delivery and uptake of the vaccine [ 42 ]. Our findings support use of this model because it has the potential to reach prescribing and nonprescribing providers.…”

Section: Discussionmentioning

confidence: 99%

Human Immunodeficiency Virus Pre-Exposure Prophylaxis Knowledge, Attitudes, and Self-Efficacy Among Family Planning Providers in the Southern United States: Bridging the Gap in Provider Training

Ramakrishnan

Sales

McCumber

et al. 2022

Open Forum Infectious Diseases

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Background PrEP is an effective HIV prevention intervention, but its access and use are suboptimal, especially for women. Healthcare providers provision of PrEP is a key component of the Ending the HIV Epidemic initiative. Though training gaps are an identified barrier, evidence is lacking regarding how to tailor trainings for successful implementation. Title X family planning clinics deliver safety net care for women and are potential PrEP delivery sites. To inform provider training, we assessed PrEP knowledge, attitudes, and self-efficacy in the steps of PrEP care among Title X providers in the Southern US. Methods We used data from providers in clinics that did not currently provide PrEP from a web-based survey administered to Title X clinic staff in 18 Southern states from February-June 2018. We developed generalized linear mixed models to evaluate associations between provider-, clinic-, and county-level variables with provider knowledge, attitudes, and self-efficacy in PrEP care, guided by the Consolidated Framework for Implementation Research. Results Among 351 providers from 193 clinics, 194 (55%) were non-prescribing and 157 (45%) were prescribing providers. Provider ability to prescribe medications was significantly associated PrEP knowledge, attitudes, and self-efficacy. Self-efficacy was lowest in the PrEP initiation step of PrEP care and was positively associated with PrEP attitudes, PrEP knowledge, and contraception self-efficacy. Conclusion Our findings suggest that PrEP training gaps for family planning providers may be bridged by addressing unfavorable PrEP attitudes, integrating PrEP and contraception training, tailoring training by prescribing ability, and focusing on the initiation steps of PrEP care.

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HPV vaccine communication training in healthcare systems: Evaluating a train-the-trainer model

Cited by 17 publications

References 22 publications

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

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

Association of provider HPV vaccination training with provider assessment of HPV vaccination status and recommendation of HPV vaccination

Human Immunodeficiency Virus Pre-Exposure Prophylaxis Knowledge, Attitudes, and Self-Efficacy Among Family Planning Providers in the Southern United States: Bridging the Gap in Provider Training

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