Provider Perceptions and Use of Audit-Feedback and Communication Strategies to Improve Human Papillomavirus Vaccine Uptake.

IF 3 3区 医学 Q1 PEDIATRICS
Xuan Zhu, Robert M Jacobson, Joan M Griffin, Kathy L MacLaughlin, Jennifer St Sauver, Lila J Finney Rutten
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引用次数: 0

Abstract

Objective: Human papillomavirus (HPV) vaccine uptake remains suboptimal among US adolescents. A cluster randomized trial was conducted at six primary care practices in southeast Minnesota to assess the impact of parent reminder-recall letters and provider audit-feedback reports on 11-12-year-old HPV vaccine uptake. Audit-feedback reports included access to a web toolkit with instruction on two communication approaches. We evaluated the process of the audit-feedback report intervention to inform future adaptations.

Methods: We sent a survey to providers assigned to the intervention and asked about their use and perceptions of the reports, web toolkit, the communication approaches, and HPV vaccine recommendation.

Results: Surveys from 95 providers were analyzed. Most (97.9%) recalled receiving audit-feedback reports, with 92.4% finding them somewhat to very easy to understand, 86% somewhat to very familiar with their content and objectives, and 69.9% using them five or more times in the past year. Few respondents (11.6%) recalled receiving access to the web toolkit. Web analytics showed that the toolkit was rarely used. Most reported familiarity with communication approaches but less than half reported that these positively impacted the tone of the clinical encounter. Higher familiarity with audit-feedback reports (OR=2.58) and perceived peer approval about using presumptive language (the first of two communication approaches) to recommend HPV vaccination (OR=2.16) correlated with higher frequency of vaccine recommendation.

Conclusions: Implementation of the audit-feedback reports showed good acceptability. Low utilization of the web toolkit suggests a need to further examine provider preferences on delivery and usability of training materials.

提供者对审计反馈和沟通策略的看法和使用,以提高人类乳头瘤病毒疫苗的接种率。
目标:在美国青少年中,人乳头瘤病毒 (HPV) 疫苗的接种率仍未达到最佳水平。我们在明尼苏达州东南部的六家初级保健诊所开展了一项分组随机试验,以评估家长提醒函和医疗服务提供者审核反馈报告对 11-12 岁青少年 HPV 疫苗接种率的影响。审核反馈报告包括一个网络工具包,其中包含两种沟通方式的指导。我们对审核反馈报告的干预过程进行了评估,以便为今后的调整提供参考:方法:我们向被分配参与干预的医疗服务提供者发送了一份调查问卷,询问他们对报告、网络工具包、沟通方法和 HPV 疫苗推荐的使用情况和看法:对 95 名医疗服务提供者的调查进行了分析。大多数受访者(97.9%)回忆起收到过审核反馈报告,92.4%的受访者认为报告从比较容易到非常容易理解,86%的受访者从比较熟悉到非常熟悉报告的内容和目标,69.9%的受访者在过去一年中使用过报告五次或五次以上。很少有受访者(11.6%)记得曾获得过网络工具包。网络分析显示,工具包很少被使用。大多数受访者表示熟悉沟通方法,但只有不到一半的受访者表示这些方法对临床会诊的语气产生了积极影响。对审计反馈报告的熟悉程度越高(OR=2.58),对使用推定语言(两种沟通方法中的第一种)推荐接种 HPV 疫苗的同行认可度越高(OR=2.16),则推荐接种疫苗的频率越高:结论:审计反馈报告的实施显示出良好的可接受性。网络工具包的使用率较低,这表明有必要进一步研究提供者对培训材料的交付和可用性的偏好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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