A Pilot Test of a Workshop for Pediatric Clinicians About Communicating with Parents About the HPV Vaccine Using the C-LEAR Approach.

A Pilot Test of a Workshop for Pediatric Clinicians About Communicating with Parents About the HPV Vaccine Using the C-LEAR Approach.
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关于使用 C-LEAR 方法与家长沟通 HPV 疫苗的儿科临床医生研讨会的试点测试。

DOI:
10.1007/s13187-022-02188-2
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发表时间:
2023-06
影响因子:
1.6
通讯作者:
Staras, Stephanie A. S.
Staras, Stephanie A. S.
中科院分区:
医学4区
文献类型:
--
作者:
Bylund, Carma L.;Thompson, Lindsay A.;Hansen, Marta;Staras, Stephanie A. S.

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HPV疫苗接种率低导致错过预防癌症的机会。具体来说,一些父母(12-76%)报告说从未收到过让他们的孩子接种疫苗的建议。目前谈论HPV疫苗接种的模式不足之处在于,它们主要关注如何引入疫苗,而对如何进行对话的指导有限,特别是那些可能犹豫不决的父母。我们开发了C-LEAR方法,这是一种易于记忆的循证记忆法,用于指导临床医生与父母介绍和讨论HPV疫苗的过程。我们在60分钟的Zoom研讨会中对这种方法进行了试点测试,共有20名儿科临床医生(n = 13名住院医生; n = 7名主治医生),其中包括一个简短的教学会议,技能演示和一个小组,主持人主导的角色扮演会议。在培训后立即进行的调查中,所有参与者都表示,培训很有帮助,而且容易理解。94%的人回答说,他们将实施他们在诊所学到的东西。与会者对小组会议表示赞赏。虽然没有特别要求或要求将材料纳入他们的实践,1年后的培训,8/9(88%)的参与者报告说,使用C-LEAR方法在他们的诊所“大多数”或“所有的时间。”我们正在通过在佛罗里达州的一个大型随机试验中教授我们的研讨会来进一步测试这个模型。在线版本包含补充材料,可通过10.1007/s13187-022-02188-2获得。
Low HPV vaccinations rates lead to missed opportunities to prevent cancer. Specifically, some parents (12–76%) report never receiving a recommendation for their child to receive the vaccine. Current models for talking about HPV vaccination fall short in that they focus primarily on how to introduce the vaccine with limited guidance on how to follow through with the conversation, particularly with those parents who may be hesitant. We developed the C-LEAR approach, an easy to remember, evidence-informed mnemonic to guide clinicians through the process of introducing and discussing the HPV vaccine with parents. We pilot tested this approach with a total of 20 pediatric clinicians (n = 13 residents; n = 7 attendings) in 60-min Zoom workshops that included a short didactic session, a demonstration of skills, and a small group, facilitator-led role play session. On an immediate post-training survey, all participants stated that the training was helpful and easy to understand. Ninety-four percent responded that they would implement what they had learned in their clinic. Participants reported appreciation for the small group sessions. While not specifically asked or required to incorporate the material into their practice, 1 year following the training, 8/9 (88%) participants reported using the C-LEAR approach in their clinics “most” or “all of the time.” We are further testing this model through teaching our workshop in a large, randomized trial across the state of Florida. The online version contains supplementary material available at 10.1007/s13187-022-02188-2.
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