Provider and Parent Perspectives on Enhanced Communication Tools for Human Papillomavirus Vaccine-Hesitant Parents
Provider and Parent Perspectives on Enhanced Communication Tools for Human Papillomavirus Vaccine-Hesitant Parents
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DOI：
10.1016/j.acap.2018.05.012
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发表时间：
2018-09-01
影响因子：
3.1
通讯作者：
Barnard, Juliana G.
中科院分区：
文献类型：
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作者：
Lockhart, Steven;Dempsey, Amanda F.;Barnard, Juliana G.
目的：人类乳头瘤病毒（HPV）疫苗的启动和完成率仍然远远低于2020年健康人的目标，这表明可能需要额外的工具和培训来帮助医务人员提供高质量的建议。作为一项更大规模的实用性试验的一部分，我们进行了一项定性研究，以了解医务人员与HPV疫苗犹豫不决的父母如何使用多方面的沟通干预，以提高初级保健环境中的HPV疫苗接种率。在丹佛市区的8个初级保健干预诊所，招募在最近的健康护理访问中有资格开始HPV疫苗系列的11至17岁的青少年男孩和女孩的医务人员和父母参与研究。焦点小组与医务人员和深入访谈犹豫不决的父母进行了干预后期间。所有数据进行记录，转录，并采用定性方法进行分析。结果：20名家长和46名医务人员参加。所有家长和医务人员都认为整体干预是有益的，应该继续使用，并首选HPV疫苗情况说明书组件。医务人员报告说，沟通培训（干预部分），教一个假定的方法和动机访谈是最有益的介绍HPV疫苗和对抗HPV疫苗犹豫，分别。最不利的组成部分是决策援助，疾病图像，和父母website.Conclusions：选择组件的多方面的沟通干预被视为有益的HPV疫苗犹豫不决的父母和医务人员。未来的研究应着眼于如何在更多的初级保健机构实施这些干预措施。
OBJECTIVE: Human papillomavirus (HPV) vaccine initiation and completion rates remain far below the Healthy People 2020 goal, suggesting that additional tools and training may be needed to help medical staff provide a quality recommendation. As part of a larger pragmatic trial, we conducted a qualitative study to understand how a multifaceted communication intervention used by medical staff with HPV vaccine hesitant parents can improve HPV vaccination rates in the primary care setting.METHODS: At 8 primary care intervention clinics in the Denver metro area, medical staff and parents of adolescent boys and girls ages 11 to 17 years eligible to start the HPV vaccine series at a recent well care visit were recruited for study participation. Focus groups with medical staff and in-depth interviews with hesitant parents were conducted during the post intervention period. All data were recorded, transcribed, and analyzed using established qualitative methods.RESULTS: Twenty parents and 46 medical staff participated. All parents and medical staff felt that the overall intervention was beneficial and should continue to be used and preferred the HPV vaccine fact sheet component. Medical staff reported that communication trainings (intervention component) that taught a presumptive approach and motivational interviewing were the most beneficial for introducing the HPV vaccine and for countering HPV vaccine hesitancy, respectively. Least favorable components were the decision aid, disease images, and parent website.CONCLUSIONS: Select components of a multifaceted communication intervention were seen as beneficial to HPV vaccine hesitant parents and medical staff. Future studies should look at how to implement these intervention components in a greater number of primary care settings.