Evidence map›Paper›PMID 33647533›Full record

ArticleTumour virus research2021

Development and evaluation of an online continuing education course to increase healthcare provider self-efficacy to make strong HPV vaccine recommendations to East African immigrant families.

SarahAnn M McFadden, Linda K Ko, Megha Shankar, Anisa Ibrahim, Debra Berliner, John Lin, Farah B Mohamed, Fanaye Amsalu, Ahmed A Ali, Sou Hyun Jang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Tumour virus research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Assessing a Continuing Education Course for Dental Hygienists to Improve HPV and HPV Vaccine Knowledge and Self-efficacy.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
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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

11 authors at 3 institutions in 2 countries.

SarahAnn M McFaddenUniversity of Washington School of Nursing, 1959 NE Pacific St, Box 357260, Seattle, WA, 98195, USA. Electronic address: sarahann.mcfadden@yale.edu.
Linda K KoDivision of Public Health Services, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, M3-B232, Seattle, WA, 98102, USA; Department of Health Services, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351621, Seattle, WA, 98195, USA. Electronic address: lko@fredhutch.org.
Megha ShankarDepartment of Medicine, University of Washington, 1959 NE Pacific St, Box 356421, Seattle, WA, 98195, USA. Electronic address: meghashankarmd@gmail.com.
Anisa IbrahimDepartment of Pediatrics, University of Washington, 1959 NE Pacific St, Box 356320, Seattle, WA, 98104, USA; Somali Health Board, 7050 32nd, AVE S, Seattle, WA, 98118, USA. Electronic address: anisai@uw.edu.
Debra BerlinerPublic Health - Seattle & King County, Communicable Disease, Epidemiology, and Immunization Program, 401 5th(,) Ave., Seattle, WA, 98104, USA. Electronic address: dberliner@kingcounty.gov.
John LinDepartment of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: indigo@uw.edu.
Farah B MohamedSomali Health Board, 7050 32nd, AVE S, Seattle, WA, 98118, USA; Department of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: mohamf2@uw.edu.
Fanaye AmsaluDepartment of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: fanamsalu@gmail.com.
Ahmed A AliSomali Health Board, 7050 32nd, AVE S, Seattle, WA, 98118, USA. Electronic address: ahmed.abdille@gmail.com.
Sou Hyun JangDepartment of Sociology, Sungkyunkwan University, 25-2 Sungkyunkwan-ro, Jongno-gu, Seoul, 03063, South Korea. Electronic address: souhyunjang@skku.edu.
Rachel L WinerDepartment of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: rlw@uw.edu.
University of Washington · USSeattle Indian Health Board · USSungkyunkwan University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and evaluate an online continuing education (CE) course designed to improve healthcare provider self-efficacy to make strong adolescent HPV vaccine recommendations to East African immigrant families.

methodsFocus groups with providers and East African immigrant mothers informed course development. Providers serving East African immigrant families were recruited to view the course and complete pre-/post-test and two-month follow-up surveys. Pre-/post differences were compared with paired t-tests.

results202 providers completed the course and pre-/post-test; 158 (78%) completed two-month follow-up. Confidence to make strong HPV vaccine recommendations to East African families increased from 68% pre-test to 98% post-test. Confidence to address common parental concerns also increased: safety, 54% pre-test, 92% post-test; fertility, 55% pre-test, 90% post-test; child too young, 68% pre-test, 92% post-test; and pork gelatin in vaccine manufacturing, 38% pre-test, 90% post-test. Two-month follow-up scores remained high (97% for overall confidence, 94%-97% for addressing parental concerns). All pre-/post-test and pre-test/two-month follow-up comparisons were statistically significant (p < 0.05).

conclusionsThe online CE course focused on culturally appropriate strategies for making strong recommendations and addressing specific parental concerns was effective for increasing provider self-efficacy to recommend HPV vaccination to East African families. Similar courses could be tailored to other priority populations.

Indexed as

Emigrants and ImmigrantsPapillomavirus InfectionsPapillomavirus VaccinesAdolescentChildEducation, ContinuingFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansSelf EfficacyVaccinationPapillomavirus VaccinesContinuing educationEast AfricanHPV vaccineImmigrant familiesProvider recommendationSelf-efficacy

Identifiers

PMID33647533
PMCPMC7944093
OpenAlexW3134268278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.