Benefits, challenges, and strategies related to using presumptive recommendations for HPV vaccination: A qualitative study with rural and non-rural-serving primary care professionals.

IF 4.1 4区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-05-06 DOI:10.1080/21645515.2024.2347018
Olufeyisayo O Odebunmi, Lisa P Spees, Caitlin B Biddell, Tatenda Yemeke, Juan Yanguela, Colleen Higgins, Melissa B Gilkey, Sachiko Ozawa, Stephanie B Wheeler
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引用次数: 0

Abstract

HPV vaccination coverage remains far below the national target of 80% among US adolescents, particularly in rural areas, which have vaccine uptake rates that are 10% points lower than non-rural areas on average. Primary care professionals (PCPs) can increase coverage by using presumptive recommendations to introduce HPV vaccination in a way that assumes parents want to vaccinate. Through semi-structured interviews, we explored PCPs' experiences and perceptions of using presumptive recommendations in rural- and non-rural-serving primary care clinics in North Carolina. Thematic analysis revealed that most PCPs in rural and non-rural contexts used presumptive recommendations and felt the strategy was an effective and concise way to introduce the topic of HPV vaccination to parents. At the same time, some PCPs raised concerns about presumptive recommendations potentially straining relationships with certain parents, including those who had previously declined HPV vaccine or who distrust medical authority due to their past experiences with the healthcare system. PCPs dealt with these challenges by using a more open-ended approach when introducing HPV vaccination to parents. In conclusion, our findings suggest that PCPs in both rural and non-rural settings see value in using presumptive recommendations to introduce HPV vaccination, but to adequately address concerns and ensure increased HPV vaccine uptake, PCPs can use simple and culturally sensitive language to ensure fully informed consent and to maintain parental trust. And to further strengthen HPV vaccine discussions, PCPs can utilize other effective HPV communication techniques, like the Announcement Approach, in discussing HPV vaccinations with hesitant parents.

与使用 HPV 疫苗接种推定建议相关的益处、挑战和策略:一项针对农村和非农村初级保健专业人员的定性研究。
在美国青少年中,HPV 疫苗接种率仍远低于 80% 的国家目标,尤其是在农村地区,疫苗接种率比非农村地区平均低 10%。初级保健专业人员(PCPs)可以通过使用推定建议的方式提高疫苗接种率,这种方式假定家长愿意接种疫苗。通过半结构式访谈,我们探讨了北卡罗来纳州农村和非农村初级保健诊所的初级保健医生使用推定建议的经验和看法。主题分析表明,农村和非农村地区的大多数初级保健医生都使用了推定建议,并认为该策略是向家长介绍 HPV 疫苗接种主题的一种有效而简洁的方式。与此同时,一些初级保健医生担心推定建议可能会使他们与某些家长的关系变得紧张,其中包括那些之前拒绝接受 HPV 疫苗接种的家长,或者那些由于过去在医疗系统中的经历而不信任医疗权威的家长。为了应对这些挑战,初级保健医生在向家长介绍 HPV 疫苗接种时采用了更加开放的方式。总之,我们的研究结果表明,农村和非农村地区的初级保健医生都认为使用推定建议来介绍 HPV 疫苗接种很有价值,但为了充分消除顾虑并确保提高 HPV 疫苗的接种率,初级保健医生可以使用简单且具有文化敏感性的语言来确保完全知情同意并保持家长的信任。为了进一步加强对 HPV 疫苗的讨论,初级保健医生在与犹豫不决的家长讨论 HPV 疫苗接种问题时,可以利用其他有效的 HPV 沟通技巧,如 "公告法"。
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来源期刊
Human Vaccines & Immunotherapeutics
Human Vaccines & Immunotherapeutics BIOTECHNOLOGY & APPLIED MICROBIOLOGY-IMMUNOLOGY
CiteScore
7.90
自引率
8.30%
发文量
489
审稿时长
3-6 weeks
期刊介绍: (formerly Human Vaccines; issn 1554-8619) Vaccine research and development is extending its reach beyond the prevention of bacterial or viral diseases. There are experimental vaccines for immunotherapeutic purposes and for applications outside of infectious diseases, in diverse fields such as cancer, autoimmunity, allergy, Alzheimer’s and addiction. Many of these vaccines and immunotherapeutics should become available in the next two decades, with consequent benefit for human health. Continued advancement in this field will benefit from a forum that can (A) help to promote interest by keeping investigators updated, and (B) enable an exchange of ideas regarding the latest progress in the many topics pertaining to vaccines and immunotherapeutics. Human Vaccines & Immunotherapeutics provides such a forum. It is published monthly in a format that is accessible to a wide international audience in the academic, industrial and public sectors.
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