Modifiable influences on female HPV vaccine uptake at the clinic encounter level: A literature review

Abstract

Purpose A review of the literature to identify modifiable influences on female human papillomavirus (HPV) vaccine uptake relevant to clinical practice in order to support nurse practitioners (NPs) in the prevention of cervical cancer. Data sources PubMed, CINAHL, reference lists of publications that surfaced in the electronic search. Conclusions Six influences are modifiable and potentially amenable to being addressed at the clinic encounter level: (a) cost and insurance coverage, (b) provider recommendation, (c) vaccination opportunity, (d) HPV and HPV vaccine knowledge, (e) vaccine safety concerns, and (f) HPV risk. Implications for practice NPs have an important role in improving HPV vaccine uptake and research suggests several areas they can address to increase vaccination during clinic visits.

Knowledge of HPV and HPV Vaccine among Women Ages 19 to 26

“…Previous research suggests mixed findings on the effect of knowledge regarding HPV on vaccine initiation and completion (Fishman, Taylor, Kooker, & Frank, 2014;Small, Sampselle, Martyn, & Dempsey, 2014;Kester, Shedd-Steele, Dotson-Roberts, Smith, & Zimet, 2014). It is important to note that focusing on aggregate knowledge scores may obscure the importance and salience of key knowledge items on women's concerns or motivations.…”

Influence of sources of information about influenza vaccine on parental attitudes and adolescent vaccine receipt

“…10 Complex processes govern parents' decision-making process regarding vaccination and the data is mixed in terms of the role that information alone plays. [11][12][13][14] The literature indicates that people with greater access to media information and who obtain sufficient information by actively researching that information tend to have a higher rate of vaccine uptake than those with less access or those who are less active in their search. 8,15 Vaccine-related information can come from several sources.…”

Interventions to Improve Adolescent Vaccination

“…97 In keeping with this finding, strong provider recommendation has been shown as a key factor in adolescent vaccination in numerous studies. [98][99][100][101][102][103][104][105][106][107] However, research demonstrates that physicians discuss some adolescent vaccines, particularly HPV, differently than others. 104,[108][109][110] Given this, recent research has begun to focus on provider interventions to train them to talk about all adolescent vaccines in a way that is more conducive to vaccine acceptance, and to use proven communication strategies such as motivational interviewing 111,112 when vaccine hesitancy is encountered.…”