Evidence map›Paper›PMID 31348153›Full record

ArticleJournal of public health management and practice : JPHMP

Toward Optimal Communication About HPV Vaccination for Preteens and Their Parents: Evaluation of an Online Training for Pediatric and Family Medicine Health Care Providers.

Joan R Cates, Sandra J Diehl, Bernard F Fuemmeler, Stephen W North, Richard J Chung, Jill Forcina Hill, Tamera Coyne-Beasley

Open access · greenAbstract read
In one paragraph

Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

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  10. Human Papillomavirus Immunization in Rural Primary Care.American journal of preventive medicine · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Joan R CatesSchool of Media and Journalism (Dr Cates) and Frank Porter Graham Child Development Institute (Ms Diehl), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Massey Cancer Center, Virginia Commonwealth University, Richmond, Virginia (Dr Fuemmeler); Blue Ridge Medical Center, Spruce Pine, North Carolina (Dr North); Duke Health, Durham, North Carolina (Dr Chung); Duke Cancer Network, Network Services in Duke University Health System, Durham, North Carolina (Dr Hill); and Division of Adolescent Medicine, Department of Pediatrics, School of Medicine, University of Alabama, Birmingham, Alabama (Dr Coyne-Beasley).
Sandra J Diehl
Bernard F Fuemmeler
Stephen W North
Richard J Chung
Jill Forcina Hill
Tamera Coyne-Beasley
Abasyn University · PKDuke University Health System · US

Funding

Normalizing preteen HPV vaccination with practice-based communication strategiesR01AI113305 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CATES, JOAN ROBERTS · 2014 to 2017
$2.4M
NIAID NIH HHS R01 AI113305
6 · The paper itself

Abstract

objectiveHealth care provider recommendation is a key determinant of human papillomavirus (HPV) vaccination. We developed an online training program for providers that addressed vaccine guidelines, hesitancy to strongly recommend the vaccine, and reluctance to discuss HPV infection as a sexually transmitted infection.

designSingle-group evaluation with 3 waves. Providers completed a 29-item electronic survey with closed and open-ended response options after course completion.

settingPediatric and family medicine practices in North Carolina.

participantsPrescribing clinicians (MD, DO, family nurse practitioner, physician assistant) who serve preteens aged 11 to 12 years. In wave 3, we expanded our communities to include nursing and medical staff.

interventionAn asynchronous online course to promote preteen HPV vaccination. Topics included HPV epidemiology, vaccine recommendations from the Advisory Committee on Immunization Practices (ACIP), preteen-provider-parent communication, topics about hesitancy to seek vaccination, subjects related to sexual health, and practice-level strategies to increase vaccination rates. The course, approved for 12 CME and CNE credits, was live for 4 weeks and available on-demand for 3 additional months.

main outcome measuresProvider-reported change in vaccine communication, perceptions of course content in improving practice, and satisfaction with materials.

resultsA total of 113 providers from 25 practices enrolled in the course and 69 (61%) completed an evaluation. Providers spent an average of 6.3 hours on the course and rated the CDC (Centers for Disease Control and Prevention)-ACIP Web site and multiple resources on hesitancy and communication about sexually transmitted infection vaccines most highly of all materials across the 3 waves. Almost all (96%) agreed the course will improve their practice. About half of all participants said they were either "much more likely" (28%) or "more likely" (19%) to recommend the vaccine after course participation.

conclusionsAn online format offers a highly adaptable and acceptable educational tool that promotes interpersonal communication and practice-related changes known to improve providers' vaccine uptake by their patients.

Indexed as

ChildFamily PracticeHealth PersonnelHumansInternetPapillomavirus VaccinesParentingPediatricsSurveys and QuestionnairesVaccinationPapillomavirus Vaccines

Identifiers

PMID31348153
PMCPMC6980988
OpenAlexW2966102915

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.