Indicated or elective? The association of providers' words with HPV vaccine receipt

Human Vaccines & Immunotherapeutics
Anny T FentonRebecca B Perkins

Abstract

Appropriate provider recommendation is crucial to raising HPV vaccination uptake, yet scant research has explored actual conversations between providers and parents, the effect of parental pre-visit vaccine intention on vaccination, or the effect of conversation style on parental satisfaction with that conversation. We analyzed 146 audio-recorded clinical encounters between providers, parents/guardians, and HPV vaccine-eligible adolescents, from May 2015 to March 2017, at eight practices in Northeastern U.S. Parents completed pre-visit measures of intent to vaccinate and post-visit assessments of satisfaction with vaccine conversations. We qualitatively analyzed transcribed audio recordings and evaluated associations between providers' vaccine introductions and vaccine receipt. Provider recommendations were empirically defined as "indicated" (clear recommendation that the child receive HPV vaccination at that visit), "elective" (vaccination presented as optional), or "contraindicated" (delay recommended). The vaccination rates were 87%, 68%, and 0% following "indicated," "elective," and "contraindicated" presentations respectively. Providers' statements attesting to the vaccine's value to the child did not affect receipt. Paren...Continue Reading

References

Jun 1, 1996·Journal of Clinical Epidemiology·J R MeszarosJ Schwartz-Buzaglo
Nov 8, 2007·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Paul K J HanWilliam M P Klein
Oct 19, 2011·Pediatrics·Christina G DorellLauri E Markowitz
May 23, 2012·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Rebecca B Perkins, Jack A Clark
Mar 5, 2014·Pediatrics·Brendan NyhanGary L Freed
Jul 16, 2014·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Annie-Laurie McReeAmanda F Dempsey
Aug 20, 2014·Pediatrics·Rebecca B PerkinsNatalie Pierre-Joseph
Mar 18, 2015·Qualitative Health Research·Linda M NiccolaiEugene D Shapiro
Mar 20, 2015·American Journal of Public Health·Douglas J OpelJames A Taylor
Oct 24, 2015·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Melissa B GilkeyNoel T Brewer
Jan 27, 2016·Human Vaccines & Immunotherapeutics·Rebecca B PerkinsNatalie Pierre-Joseph
Jul 15, 2016·Preventive Medicine Reports·Nora B HenriksonAnnie-Laurie McRee
Aug 4, 2016·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Susan T VadaparampilAnna R Giuliano
Apr 30, 2017·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Lynne SturmGregory D Zimet
Jun 28, 2017·JAMA : the Journal of the American Medical Association·Mary C PolitiSydney E Philpott
Aug 25, 2017·MMWR. Morbidity and Mortality Weekly Report·Tanja Y WalkerShannon Stokley

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Citations

Jan 31, 2019·Salud pública de México·Alejandra Jalil Portillo-RomeroEduardo Lazcano-Ponce
Mar 14, 2019·Human Vaccines & Immunotherapeutics·Terresa J EunRebecca B Perkins
Jun 4, 2019·Human Vaccines & Immunotherapeutics·Ashley B StephensMelissa S Stockwell
Jan 10, 2020·Human Vaccines & Immunotherapeutics·Cássia Rita Pereira da VeigaClaudimar Pereira da Veiga
May 14, 2020·Human Vaccines & Immunotherapeutics·Rebecca B PerkinsMari-Lynn Drainoni
Apr 16, 2021·Preventive Medicine·N Loren OhNoel T Brewer

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