ArticleBMC medical informatics and decision making2017
Health care providers' perceptions of use and influence of clinical decision support reminders: qualitative study following a randomized trial to improve HPV vaccination rates.
Article in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02551887 (HPV Vaccination), which is not on this map. Cited by 11 papers.
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.
HPV Vaccination: An Investigation of Physician Reminders and Recommendation Scripts
Who cites it
11 citing papers in PubMed.
- Primary care clinicians' opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study.BMC health services research · 2022Trial
- Clinician Prompts for Human Papillomavirus Vaccination: A Cluster Randomized Trial.Academic pediatricsTrial
- Online Decision Support for Implementing Evidence-Based HPV Vaccination Strategies in Texas Safety-Net Pediatric Clinics: Impact on HPV, MCV, and Tdap Initiation.Healthcare (Basel, Switzerland) · 2026Article
- County-Level Factors Associated With Influenza and COVID-19 Vaccination in Indiana, 2020‒2022.American journal of public health · 2024Article
- Pediatric hematology and oncology physician and nurse practitioner views of the HPV vaccine and barriers to administration.Human vaccines & immunotherapeutics · 2023Article
- Article
- Clinical Decision Support Systems.Visceral medicine · 2021Review
- Instant Gratification as a Method to Promote Physician Practice Guideline Adherence: A Systematic Review.Cureus · 2020Review
- Understanding the use of digital technology to promote human papillomavirus vaccination - A RE-AIM framework approach.Human vaccines & immunotherapeutics · 2019Review
- Comparison of Two Sources of Clinical Audit Data to Assess the Delivery of Diabetes Care in Aboriginal Communities.International journal of environmental research and public health · 2017Article
- Comparisons of immunization records between a community pharmacy, a regional registry, and a health system.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundHuman Papillomavirus (HPV) leads to serious health issues and remains the most common sexually transmitted infection. Despite availability of effective vaccines, HPV vaccination rates are suboptimal. Furthermore, providers recommend the HPV vaccine less than half the time for eligible patients. Prior informatics research has demonstrated the effectiveness of computer-based clinical decision support (CDS) in changing provider behavior, especially in the area of preventative services.
methodsFollowing a randomized clinical trial to test the effect of a CDS intervention on HPV vaccination rates, we conducted semi-structured interviews with health care providers to understand whether they noticed the CDS reminders and why providers did or did not respond to the prompts. Eighteen providers, a mix of medical doctors and nurse practitioners, were interviewed from five publicly-funded, urban health clinics. Interview data were qualitatively analyzed by two independent researchers using inductive content analysis.
resultsWhile most providers recalled seeing the CDS reminders, few of them perceived the intervention as effective in changing their behavior. Providers stated many reasons for why they did not perceive a change in their behavior, yet the results of the trial showed HPV vaccination rates increased as a result of the intervention.
conclusionsCDS reminders may be effective at changing provider behavior even if providers perceive them to be of little use.
trial registrationClinicalTrials.gov Identifier: NCT02551887 Registered on September 15, 2015.
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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.