ArticlePediatrics2018
Parent-Provider Communication of HPV Vaccine Hesitancy.
Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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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
48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Health care provider trust in vaccination: a systematic review and qualitative meta-synthesis.European journal of public health · 2022Pooled 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
- Mechanisms of self-persuasion intervention for HPV vaccination: Testing memory and autonomous motivation.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Trial
- Healthcare workers' and caregivers' knowledge, perceptions and experiences of the school-based human papillomavirus (HPV) immunization program: A qualitative study in eThekwini District of the KwaZulu-Natal Province, South Africa.Human vaccines & immunotherapeutics · 2026Article
- Using the HPV vaccine as a public health case study for identifying potential barriers to a Fentanyl vaccine.Harm reduction journal · 2026Article
- Communication strategies in childhood vaccine hesitancy: a scoping review.Revista de saude publica · 2026Article
- The role of dentists in promoting human papillomavirus vaccination for oropharyngeal cancer prevention: A cross-sectional survey of dentists in North Carolina.Journal of the American Dental Association (1939) · 2025Article
- Factors associated with knowledge, attitudes, and behaviors regarding antiviral medications for COVID-19 among US adults.PloS one · 2025Article
- Attitudes, healthcare interactions, and communication preferences for HPV vaccines among hesitant Hispanic/Latinx parents: how does this compare with influenza and COVID-19 vaccines?Ethnicity & health · 2025Article
- HPV Vaccination Information Access, Needs, and Preferences Among Black and Hispanic Mothers.Journal of health communication · 2024Article
- A Qualitative Study on Dentists' Communication Approaches in Managing Fluoride-Hesitant Caregivers.JDR clinical and translational research · 2024Article
- Recommending HPV vaccination at age 9 to reduce health disparities: Communication challenges and opportunities.Human vaccines & immunotherapeutics · 2023Article
- Bulgarian General Practitioners' Communication Styles about Child Vaccinations, Mainly Focused on Parental Decision Making in the Context of a Mandatory Immunization Schedule.Healthcare (Basel, Switzerland) · 2023Article
- Applying the Hornik & Woolf Approach to Identify Messaging Themes and Improve COVID-19 Vaccine Confidence Among Federally Qualified Health Centers' Workforce in Wisconsin.Journal of health communication · 2023Article
- Patient-Provider Health Communication Strategies: Enhancing HPV Vaccine Uptake among Adolescents of Color.Healthcare (Basel, Switzerland) · 2023Article
- Perspectives Associated with Human Papillomavirus Vaccination in Adults: A Qualitative Study.Vaccines · 2023Article
- Development of a Tailored Mobile Phone-Based Intervention to Facilitate Parent-Child Communication and Build Human Papillomavirus Vaccine Confidence: Formative Qualitative Study.JMIR formative research · 2023Article
- Clinician Communication to Address Vaccine Hesitancy.Pediatric clinics of North America · 2023Review
- HPV vaccine delay and refusal among unvaccinated Mexican American young adult women: a qualitative investigation of Mexican-born and US-born HPV vaccine decision narratives.Journal of behavioral medicine · 2023Article
- Examining multilevel influences on parental HPV vaccine hesitancy among multiethnic communities in Los Angeles: a qualitative analysis.BMC public health · 2023Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 1 country.
Funding
Abstract
: media-1vid110.1542/5754332185001PEDS-VA_2017-2312
methodsWe audio-recorded 43 visits with unvaccinated adolescents at 6 pediatric clinics in Dallas, Texas in which parents were undecided about HPV vaccination. We qualitatively coded how parents verbally expressed hesitancy (assertive response, asking a question, or expressing concern) and whether providers responded with acquiescence (agree to defer vaccination) and/or persistence (continue discussion). We described the frequency of parent and provider communication codes and same-day vaccination.
resultsAmong the 43 visits, 37 parents expressed hesitancy ≥1 times in many ways. Assertive responses were most common (27 visits), followed by questions (16 visits), and concerns (12 visits). When the first expression of hesitancy was a question or concern, 71% and 75% of adolescents, respectively, received same-day vaccinations, whereas 33% of adolescents who received an initial assertive response were vaccinated. Providers responded with only persistence in 18 visits, a mix of acquiescence and persistence in 13 visits, and only acquiescence in 6 visits. When providers only used persistence, 17 of 18 adolescents were vaccinated; when providers responded with only acquiescence, no adolescents received the vaccine.
conclusionsOur exploratory analysis reveals that providers engaging hesitant parents and addressing their concerns can lead to same-day HPV vaccination. Data reveal that even parents making assertive statements are amenable to influence by providers. Our findings reveal an important missed opportunity when providers simply acquiesce to parental hesitation.
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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.