Observational studyPatient education and counseling2016
Characterizing safety-net providers' HPV vaccine recommendations to undecided parents: A pilot study.
Observational study in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Identifying Healthcare Professionals With Lower Human Papillomavirus (HPV) Vaccine Recommendation Quality: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Pooled it
- Factors associated with adolescent HPV vaccination in the U.S.: A systematic review of reviews and multilevel framework to inform intervention development.Preventive medicine · 2020Pooled it
- The effects of message framing and healthcare provider recommendation on adult hepatitis B vaccination: A randomized controlled trial.Preventive medicine · 2019Trial
- Beyond the check-up: how well-child exams, pediatric specialists, and provider recommendations can close HPV vaccine gaps for Chinese American Teens.Cancer causes & control : CCC · 2026Article
- Revealing the Crucial Role of Healthcare Providers in HPV Vaccine Uptake in Filipino American Adolescents: Insights from the National Immunization Survey-Teen, 2015-2019.Journal of racial and ethnic health disparities · 2025Article
- Utilization of Provider-Patient Communication Tools and Approaches to Facilitate Vaccine Confidence: A Systematic Review.Vaccines · 2025Review
- Article
- A novel method for evaluating physician communication: A pilot study testing the feasibility of parent-assisted audio recordings via Zoom.PEC innovation · 2022Article
- Two years with COVID-19: New - and old - challenges for health communication research.Patient education and counseling · 2022Article
- A National Survey of Obstetrician/Gynecologists' Knowledge, Attitudes, and Beliefs Regarding Adult Human Papillomavirus Vaccination.Journal of women's health (2002) · 2021Article
- The impact of provider recommendation on human papillomavirus vaccine and other adolescent vaccines.Human vaccines & immunotherapeutics · 2021Article
- "There's Always Next Year": Primary Care Team and Parent Perspectives on the Human Papillomavirus Vaccine.Human vaccines & immunotherapeutics · 2020Article
- Educating healthcare providers to increase Human Papillomavirus (HPV) vaccination rates: A Qualitative Systematic Review.Vaccine: X · 2019Review
- A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates.Human vaccines & immunotherapeutics · 2019Article
- Review
- Parent-Provider Communication of HPV Vaccine Hesitancy.Pediatrics · 2018Article
- Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance.Vaccine · 2017Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveAlthough provider recommendation is a key predictor of HPV vaccination, how providers verbalize recommendations particularly strong ones is unknown. We developed a tool to describe strength and content of provider recommendations.
methodsWe used electronic health records to identify unvaccinated adolescents with appointments at six safety-net clinics in Dallas, Texas. Clinic visit audio-recordings were qualitatively analyzed to identify provider recommendation types (presumptive vs. participatory introduction; strong vs. weak), describe content communicated, and explore patterns between recommendation type and vaccination.
resultsWe analyzed 43 audio-recorded discussions between parents and 12 providers. Most providers used a participatory introduction (42 discussions) and made weak recommendations (24 discussions) by using passive voice or adding a qualification (e.g., not school required). Few providers (11 discussions) gave strong recommendations (clear, personally-owned endorsement). HPV vaccination was lowest for those receiving only weak recommendations and highest when providers coupled the recommendation with an adjacent rationale.
conclusionOur new tool provides initial evidence of how providers undercut their recommendations through qualifications or support them with a rationale. Most providers gave weak HPV vaccine recommendations and used a participatory introduction. PRACTICE IMPLICATIONS: Providers would benefit from communication skills training on how to make explicit recommendations with an evidence-based rationale.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.