Improving Provider Communication about HPV Vaccines for Vaccine-Hesitant Parents Through the Use of Motivational Interviewing
| Autor: | Elizabeth J. Campagna, Jenna E. Reno, Juliana Barnard, Steven Lockhart, Sean T. O’Leary, Amanda F. Dempsey, Kathleen Garrett, Jennifer Pyrzanowski |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Parents Program evaluation medicine.medical_specialty Health (social science) Adolescent Health Personnel Motivational interviewing MEDLINE Motivational Interviewing HPV vaccines Library and Information Sciences law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Intervention (counseling) Humans Medicine Papillomavirus Vaccines 030212 general & internal medicine Physician-Patient Relations business.industry Communication Vaccination Public Health Environmental and Occupational Health Focus Groups Focus group Health Care Surveys Family medicine Female Process evaluation business Program Evaluation |
| Zdroj: | Journal of Health Communication. 23:313-320 |
| ISSN: | 1087-0415 1081-0730 |
| DOI: | 10.1080/10810730.2018.1442530 |
| Popis: | Human papillomavirus (HPV) vaccine uptake is below that of other routine adolescent vaccines. This is due in part to the fact that the HPV vaccine is often not routinely recommended by providers to all eligible adolescents. While providers' recommendations are crucial, even a strongly stated recommendation can be insufficient among HPV vaccine-hesitant parents. Providers must be prepared to respond to parental concerns following giving the recommendation for the HPV vaccine. This paper presents the analysis of implementation of an intervention aimed at improving provider communication with HPV vaccine-hesitant parents. Healthcare providers and staff at eight pediatric and family medicine clinics received communication training that included motivational interviewing (MI) techniques. Process evaluation in the form of serial surveys, as well as program evaluation in the form of focus groups with participating providers and staff, assessed the perceived efficacy of the intervention. Outcomes included time spent discussing the HPV vaccine during clinical visits, providers' self-efficacy for addressing parental HPV vaccine hesitancy, and their general perceptions of the effectiveness of MI techniques. Overall, findings indicate the intervention improved providers' communication with HPV vaccine-hesitant parents and providers reported the use of MI played a central role in improved HPV vaccine acceptance. Lessons learned and recommendations for future interventions are also discussed. |
| Databáze: | OpenAIRE |
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