Understanding the Factors Influencing Health Care Provider Recommendations about Adolescent Vaccines: A Proposed Framework

Abstract

Health care provider recommendations are among the most important factors influencing parents’ decisions to vaccinate their adolescents. However, delivery of high-quality health care provider recommendations for vaccination is not universal. There is wide variation in the strength, timeliness and consistency of the delivery of recommendations for all adolescent vaccines. The factors that influence health care providers’ recommendations are multi-level and can be conceptualized in much the same way as vaccine acceptance among parents. Health care providers are influenced by their own attitudes and beliefs about a vaccine and also by the patient they are treating and by the community in which they practice as well as state and national level vaccine policy. We propose a multi-level framework for understanding the factors that influence health care providers’ recommendations at the individual, interpersonal and community level to both develop and adapt interventions to improve providers’ recommendations.

Broad perspectives in understanding vaccine hesitancy and vaccine confidence: an introduction to the special issue

“…Consistent with the interpersonal level of the SEM, one of the papers discusses how psychotherapist self-disclosure of their own vaccination status could reduce vaccine hesitancy in their patients (Cannity, 2023 ). Another commentary addresses the multi-level influences on provider recommendations for vaccination, an approach entirely consistent with the SEM (Ellingson et al, 2023 ). The third commentary discusses the unique, multi-level factors that drive COVID-19 vaccine hesitancy among cancer survivors and the need for research to develop effective communication strategies to reach this vulnerable population (Vanderpool et al, 2023 ).…”

Facilitators and barriers of HPV vaccination: a qualitative study in rural Georgia

“…Due to this, minors will need parental approval to receive the vaccine and our participants explained the difficulty of this. Other policy barriers are financial vaccine burdens on health systems that administer the vaccines and lack of reimbursement from insurance companies [ 58 ]. Future implementation and evaluation of HPV policies (e.g., school or policy requirements) could assess policy solutions and impacts on HPV vaccine uptake.…”

Human Papillomavirus (HPV) Vaccination Knowledge, Beliefs, and Hesitancy Associated with Stages of Parental Readiness for Adolescent HPV Vaccination: Implications for HPV Vaccination Promotion

“…Rather than focusing on increasing awareness and knowledge, addressing negatively held beliefs, and working to build confidence and reduce hesitancy, the proportion in preparation was ready to act on this information. Particularly, building vaccine confidence requires a multifaceted approach that enhances provider communication (strong provider recommendation using presumptive language) [ 69 , 70 , 71 , 72 , 73 ], addresses concerns over side effects [ 74 ], and uses peer influence [ 75 , 76 ]. By employing these strategies, interventions can increase vaccine confidence and ultimately increase vaccination.…”