Evidence map›Paper›PMID 41796257›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2026

Clinician Perspectives on the Implementation of a Web-Based Tool to Support Shared Decision-Making for Mid-Adult HPV Vaccination.

Christopher W Wheldon, Sarah A Alkhatib, Jessica Grace, Idara N Akpan, Ellen M Daley, Gregory D Zimet, Justin Luningham, Jonathan Engler, Erika L Thompson

Abstract read
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In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Christopher W WheldonDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave. Ritter Hall Annex 9th Floor, Room 955, Philadelphia, PA, 19122, USA. chris.wheldon@temple.edu.ORCID http://orcid.org/0000-0002-0452-0252
Sarah A AlkhatibDepartment of Biostatistics and Epidemiology, School of Public Health, Health Science Center, University of North Texas, Fort Worth, TX, USA.
Jessica GraceDepartment of Social Work, University of North Texas, Denton, TX, USA.
Idara N AkpanDepartment of Biostatistics and Epidemiology, School of Public Health, Health Science Center, University of North Texas, Fort Worth, TX, USA.
Ellen M DaleyCollege of Public Health, University of South Florida, Tampa, FL, USA.
Gregory D ZimetDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Justin LuninghamCollege of Science & Engineering, Texas Christian University, Fort Worth, TX, USA.
Jonathan EnglerDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave. Ritter Hall Annex 9th Floor, Room 955, Philadelphia, PA, 19122, USA.
Erika L ThompsonDepartment of Quantitative and Qualitative Health Sciences, University of Texas School of Public Health San Antonio, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.

Funding

MSD Sharp and Dohme Investigator-Initiated Studies Program
6 · The paper itself

Abstract

In 2019, the U.S. Advisory Committee on Immunization Practices recommended shared clinical decision-making (SCDM) for HPV vaccination among unvaccinated adults aged 27–45 years (i.e., mid-adult). However, the implementation of this recommendation is challenging. This study assessed a decision tool, HPV Decide, designed to facilitate SCDM for mid-adult HPV vaccination. We used exploratory sequential mixed methods to gather stakeholder and provider perspectives on a beta version of HPV Decide. Qualitative feedback from providers and stakeholders (N = 24) was collected through semi-structured interviews. Quantitative data from health care providers (N = 600) on usability in clinical practice was collected via online surveys. Interviewees provided feedback on the preferred delivery method and timing, the need for support and training, and key barriers and facilitators to SCDM. Quantitative data showed that 68.3% of providers were likely to use the tool, 67% believed it could be easily integrated into practice, and 54% thought patients would be interested in using it. Findings suggest that a web-based decision tool to facilitate SCDM for mid-adult HPV vaccination is both acceptable and feasible for integration into clinical practice. Providers expressed strong preferences for clinic-based access and electronic delivery. Clinicians supported the integration of a web-based decision tools into clinical practice to enhance shared decision-making.

Indexed as

Clinical practiceDecision aidHealth care providersHPV vaccinationImmunizationMid-adultShared decision-making

Identifiers

PMID41796257

What OpenQuestion holds

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Registered trials

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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.