Provider and Parent Perspectives on Enhanced Communication Tools for Human Papillomavirus Vaccine–Hesitant Parents

Lockhart, Steven; Dempsey, Amanda F.; Pyrzanowski, Jennifer; O’Leary, Sean T.; Barnard, Juliana

doi:10.1016/j.acap.2018.05.012

Cited by 29 publications

(17 citation statements)

References 30 publications

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“…In addition, outcomes are based on provider self-report and may be associated with reporting biasespecially, in regard to survey items that are difficult to quantify and that we were unable to otherwise confirm for accuracy (e.g., time spent with patients, frequency of parent responses, etc.). However, our results correlate well with the results from the main randomized controlled trial 14 as well as qualitative interviews 20 and quantitative surveys of parents and providers (A. F. Dempsey, et al, unpublished data, 2018).…”

Section: Limitationssupporting

confidence: 85%

Examining strategies for improving healthcare providers’ communication about adolescent HPV vaccination: evaluation of secondary outcomes in a randomized controlled trial

Reno

Thomas

Pyrzanowski

et al. 2019

Human Vaccines & Immunotherapeutics

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There is a critical need for campaigns and interventions to increase rates of human papillomavirus (HPV) vaccination among U.S. adolescents. Healthcare providers are key stakeholders in parents' HPV vaccine decision-making. The current study presents the evaluation of secondary outcomes in a multicomponent communication-based intervention to improve healthcare providers' communication about HPV vaccination. Evaluation was conducted via surveys of providers participating in a 12-month randomized controlled trial. Findings suggest use of communication components (combined use of the presumptive approach [PA] with all patients, and motivational interviewing and a fact sheet with vaccine hesitant parents) contributed to providers in the intervention group reporting higher perceived levels of parental HPV vaccine acceptance than control providers, as well as increased vaccination rates in the intervention arm in the main RCT.

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Section: Limitationssupporting

confidence: 85%

Examining strategies for improving healthcare providers’ communication about adolescent HPV vaccination: evaluation of secondary outcomes in a randomized controlled trial

Reno

Thomas

Pyrzanowski

et al. 2019

Human Vaccines & Immunotherapeutics

Self Cite

View full text Add to dashboard Cite

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“…Our respondents’ answers to the question concerning mandatory vaccination for school attendance confirm that providing correct information reduces maternal vaccination hesitancy, encouraging subjects to adopt a pro-vaccination stance; however, it does not significantly influence the no-vaccine position [ 22 , 23 ]. These findings are in line with the results of a 2018 multi-centre study, which demonstrated that it is necessary to strengthen the quality of information and confidence in health professionals in order to increase the acceptance of mandatory vaccines and reduce vaccine hesitancy [ 24 ].…”

Section: Discussionmentioning

confidence: 92%

Impact Assessment of an Education Course on Vaccinations in a Population of Pregnant Women

Bechini

Moscadelli

Pieralli

et al. 2019

Journal of Preventive Medicine and Hygiene

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“…Patients say that they find value in receiving additional information, such as from fact sheets, and in participating in motivational interviewing. 33,34 A final explanation may be that our messages addressing low knowledge more often included information about the benefits of vaccination. As such, reiterating vaccination benefits (including cancer prevention) when addressing concerns may also improve the impact of messages.…”

Section: Discussionmentioning

confidence: 99%

Questions and Concerns About HPV Vaccine: A Communication Experiment

et al. 2019

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OBJECTIVES:We sought to identify effective responses to parents' questions and concerns about human papillomavirus (HPV) vaccine. METHODS:In 2017-2018, we surveyed a national sample of 1196 US parents of children aged 9 to 17 years. We recorded brief videos of a pediatrician providing messages that addressed 7 HPV vaccination topics that commonly elicit questions or concerns (eg, recommended age). We randomly assigned parents to 1 of the message topics; parents then viewed 4 videos on that topic in random order and evaluated the messages. RESULTS:Parents were more confident in HPV vaccine when they were exposed to messages that addressed lack of knowledge about HPV vaccine (b = 0.13; P = .01), messages that included information about cancer prevention (b = 0.11; P < .001), messages that required a higher reading level (b = 0.02; P = .01), and messages that were longer (b = 0.03; P < .001). Parents were less confident in HPV vaccine when exposed to messages in which urgency was expressed (b = −0.06; P = .005). Analyses conducted by using HPV vaccine motivation as an outcome revealed the same pattern of findings. CONCLUSIONS:We provide research-tested messages that providers can use to address parents' HPV vaccination questions and concerns about 7 common topics. Important principles for increasing message effectiveness are to include information on the benefits of vaccination (including cancer prevention) and avoid expressing urgency to vaccinate when addressing parents' questions or concerns. Additionally, providers may need to be prepared to have longer conversations with parents who express concerns about HPV vaccine, especially regarding safety and side effects. abstract NIH

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Provider and Parent Perspectives on Enhanced Communication Tools for Human Papillomavirus Vaccine–Hesitant Parents

Cited by 29 publications

References 30 publications

Examining strategies for improving healthcare providers’ communication about adolescent HPV vaccination: evaluation of secondary outcomes in a randomized controlled trial

Examining strategies for improving healthcare providers’ communication about adolescent HPV vaccination: evaluation of secondary outcomes in a randomized controlled trial

Impact Assessment of an Education Course on Vaccinations in a Population of Pregnant Women

Questions and Concerns About HPV Vaccine: A Communication Experiment

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