Evidence map›Paper›PMID 38053126›Full record

ArticleBMC medical education2023

Evaluation of online educational curriculum on HPV vaccination practices among adult primary care providers.

Christiana Zhang, Judy Greengold, Sean Tackett, Caroline Lentz, Wendy Bennett, Maura McGuire

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
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

6 authors at 1 institution in 1 country.

Christiana ZhangDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, USA. czhang91@jhmi.edu.ORCID http://orcid.org/0000-0002-3190-9503
Judy GreengoldDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.ORCID http://orcid.org/0009-0009-8267-8037
Sean TackettDivision of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, USA.ORCID http://orcid.org/0000-0001-5369-7225
Caroline LentzJohns Hopkins Community Physicians, Baltimore, USA.
Wendy BennettDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.
Maura McGuireDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.ORCID http://orcid.org/0000-0002-7749-0904
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman papillomavirus (HPV) is the most common sexually transmitted infection in the United States. While HPV is a vaccine-preventable illness, vaccine utilization rates in the United States remain low, particularly among adults.

methodsThe objective of this study was to assess the impact of an online, asynchronous educational module on HPV vaccination for adult primary care providers. We designed and implemented the module for family medicine, internal medicine, medicine/pediatrics, and obstetrics/gynecology providers in a community practice network affiliated with a large academic health system. We evaluated the effect of the module on provider knowledge, attitudes, and self-reported behaviors with pre-, post-, and delayed post-tests, using Likert-scales for measurement. We summarized data with descriptive statistics and compared changes in individuals using paired t-tests.

resultsOne hundred forty-four out of 223 providers completed the module (response rate of 65%). At baseline, internists had the lowest knowledge scores compared to other specialties (pre-test mean of 3.6, out of 5, SD 1.2). Internists were also the least likely to counsel patients on HPV vaccination (mean 1.6, SD 0.9). There was a statistically significant improvement in knowledge from pre-test to post-test (from mean of 3.8 to 4.6, out of 5, p < .001) across all specialties. There was also statistically significant improvement in mean confidence for all providers from pre-test to post-test to identify patients aged 19-26 (3.3 to 3.7, p < .001) and patients aged 27-45 (2.7 to 3.5, p < .001) who needed vaccination. There was a statistically significant improvement in likelihood to counsel eligible patients on the risks of HPV infection (mean 2.3 to 2.8, p-value 0.002). The delayed post-test demonstrated retention of improved knowledge, confidence, and self-reported behavior.

conclusionsThis study demonstrated that an asynchronous online module was effective at improving confidence, knowledge, and self-reported behavior of adult primary care providers in recommending HPV immunization. Given the important role that healthcare providers play in vaccine uptake, this study suggests that an online educational intervention can be a powerful tool to encourage increased utilization and delivery of the HPV vaccine. Further efforts are needed to educate internists and providers who take care of the adult population on HPV vaccination.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesAdultChildCurriculumHealth Knowledge, Attitudes, PracticeHuman Papillomavirus VirusesHumansPrimary Health CareUnited StatesVaccinationPapillomavirus VaccinesCancerHPVMedical educationOnline educational modulePreventionVaccination

Identifiers

PMID38053126
PMCPMC10698955
OpenAlexW4389334389

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.