An environmental scan to examine stakeholder perspectives on human papillomavirus vaccination: A mixed methods study. Issue 1 (3rd January 2019)

• Record Type: Journal Article
• Authors: Lake, Paige; Kasting, Monica L.; Malo, Teri; Giuliano, Anna R.; Vadaparampil, Susan T.
• Is Part Of: Vaccine. Volume 37:Issue 1(2019)
• Page Start: 187
• Page End: 194
• Publication Date: 2019-01-03
• Subjects: Human papillomavirus -- Vaccination -- Cancer -- Education -- PRECEDE PROCEED model; ACIP advisory committee on immunization practices -- HPV human papillomavirus -- VFC vaccines for children program -- US United States -- HCP health care providers -- PHP public health professional -- EMR electronic medical record -- EHR electronic health record; Vaccines -- Periodicals; 615.372
• DOI: 10.1016/j.vaccine.2018.06.073
• Languages: English
• ISSNs: 0264-410X

Abstract

Highlights: Our study is among the first in FL. focused on stakeholder perspectives/HPV vaccination efforts. Stakeholder HPV vaccination efforts occur at the community, practice, and system level. Education for adolescents/parents/HCPs was identified as ways to increase vaccination rates. Integration of EHR immunization registries were identified as key to improving vaccination rates. Findings can guide multi-level interventions to improve HPV vaccination rates. Abstract: Purpose: Human papillomavirus (HPV) vaccine series completion rates among females and males remain low in Florida (46.4% and 34.5%, respectively). Multiple stakeholders influence vaccination uptake, including health care providers (HCPs), public health professionals (PHPs), and members of professional organizations. We examined stakeholder efforts related to increasing vaccine uptake and education among parents/adolescents and HCPs. Methods: We conducted an environmental scan of stakeholder efforts and identified stakeholders using our professional networks and a snowball sampling approach. Stakeholders (n = 46) completed a survey about involvement in and barriers to vaccination promotion efforts. A subset (n = 12) of stakeholders participated in follow-up interviews further exploring vaccination efforts and barriers. Survey data were analyzed using descriptive statistics. Interview data were analyzed using deductive analysis and coded using constructs from the PRECEDE-PROCEED model. Results: The majority of our survey sample was PHPs (50.0%) and HCPs (32.6%). Stakeholder efforts were focused on adolescent/parent/HCP education including providing: educational materials for HCPs (55.8%) and adolescents/parents (59.6%), one-on-one consultations for adolescents/parents (55.3%), and HCP education (54.7%). Lack of knowledge/understanding and education/information were barriers reported across almost all groups/areas. Office staff/HCP education and distribution of patient education materials were efforts described as important during qualitative interviews. Stakeholders also noted HCP discomfort when recommending HPV vaccine, parental perceptions that the vaccine is unnecessary, and a lack of education/understanding among parents and HCPs. Conclusions: Results suggest the need for parent/adolescent education, specifically targeting key areas we identified: importance and benefits of HPV vaccine, and education and skill building in vaccine communication for HCPs.