Associations between parents' satisfaction with provider communication and HPV vaccination behaviors.
Associations between parents' satisfaction with provider communication and HPV vaccination behaviors.
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DOI：
10.1016/j.vaccine.2018.03.060
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发表时间：
2018-05-03
期刊：
影响因子：
5.5
通讯作者：
Gilkey MB
中科院分区：
文献类型：
--
作者：
Kornides ML;Fontenot HB;McRee AL;Panozzo CA;Gilkey MB
尽管越来越多的人认识到提供者推荐HPV疫苗的重要性，但美国尚未实现2020年健康人群目标，即青少年中80%的系列完成率。这一失败表明有必要进一步审查对父母决策的可改变的影响。医疗保健提供者可以影响父母的HPV疫苗接种决策，但对父母对他们接受的咨询的看法知之甚少。我们试图评估美国父母对HPV疫苗提供者沟通的满意度以及与疫苗接种行为的关联。11至17岁青少年的父母与医疗保健提供者讨论HPV疫苗接种至少一次（n=795）完成了我们在2016年秋季的在线调查。我们使用HPV疫苗沟通满意度量表（α=0.94）评估他们对讨论的满意度。我们使用多变量logistic回归分析了满意度（分为低、中、高）与三种疫苗接种行为之间的关系：拒绝/延迟、系列启动（≥1剂）和继续（启动者中≥2剂）。大多数父母报告对HPV疫苗接种提供者沟通的满意度较高（36%）或中等（38%）;较少报告满意度较低（26%）。中度满意的父母（与低满意的父母相比）拒绝/延迟的几率较低（aOR=0.59，95% CI：0.38-0.89），启动（aOR=1.71，95% CI：1.15-2.55）和继续（aOR=2.05，95% CI：1.24-3.40）的几率较高。高满意度父母的相关性更强（拒绝/延迟aOR=0.45，95%CI：0.29-0.70，启动aOR=3.59，95%CI：2.23-5.78，继续aOR=4.08，95%CI：2.38-7.01）。我们的研究表明，父母对提供者沟通的满意度可能在HPV疫苗接种决策中发挥重要作用。然而，迄今为止，在HPV疫苗文献中，沟通满意度在很大程度上尚未得到研究。我们介绍了一个简短的7项HPV疫苗沟通量表，可用于评估父母对其提供者针对HPV疫苗的沟通的满意度。我们确定了供应商在与父母讨论HPV疫苗时优先考虑的沟通领域。
Despite increasing awareness of the importance of a provider recommendation for HPV vaccine, the U.S. has yet to achieve the Healthy people 2020 goal of 80% series completion among adolescents. This failure indicates a need for further examination of the modifiable influences on parents’ decision-making. Healthcare providers can influence parents’ HPV vaccination decision-making, but little is known about parents’ perspectives on the counseling they receive. We sought to assess U.S. parents’ satisfaction with provider communication about HPV vaccine and associations with vaccination behaviors. Parents of 11-to-17-year-old adolescents who discussed HPV vaccination with a healthcare provider at least once (n=795) completed our online survey in Fall 2016. We assessed their satisfaction with the discussion using the HPV Vaccine Communication Satisfaction Scale (α=0.94). We examined associations between satisfaction (categorized as low, moderate, or high), and three vaccination behaviors: refusal/delay, series initiation (≥1 dose), and continuation (≥2 doses among initiators) using multivariable logistic regression. Most parents reported high (36%) or moderate (38%) satisfaction with provider communication about HPV vaccination; fewer reported low (26%) satisfaction. Moderately satisfied parents (vs. low) had lower odds of refusal/delay (aOR=0.59, 95% CI:0.38–0.89), and higher odds of initiation (aOR=1.71, 95% CI:1.15–2.55) and continuation (aOR=2.05, 95% CI:1.24–3.40). The associations were stronger for highly satisfied parents (refusal/delay aOR=0.45, 95% CI:0.29–0.70, initiation aOR=3.59, 95% CI:2.23–5.78, and continuation aOR=4.08, 95% CI:2.38–7.01). Our study suggests that parent satisfaction with provider communication may play an important role in HPV vaccination decision-making. Yet, communication satisfaction has been largely unexamined in the HPV-vaccine literature to date. We introduce a brief, 7-item HPV Vaccine Communication Scale that can be used to assess parents’ level of satisfaction with their provider’s communication specific to HPV vaccine. We identify communication areas for providers to prioritize when discussing HPV vaccine with parents.
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