Human Papillomavirus Vaccine Communication Skills for Pediatric Primary Care Clinicians: Evaluation of a Randomized Clinical Trial of the C-LEAR Training on Clinicians' Behavior.

Objective: Cancer prevention can be improved through increasing the uptake of the human papillomavirus (HPV) vaccine resulting from enhanced pediatric primary care clinician recommendations. Although clinician recommendation has been shown repeatedly to be associated with increased vaccination, quality recommendations are not always given. Study design: Thirty pediatric clinics and their 58 respective clinicians were randomized using a cluster design to 3 groups regarding trainings for recommending the HPV vaccine to parents of 11- to 12-year-olds: (1) the Counsel-Listen-Empathize-Answer-Recommend (C-LEAR) approach with bundled counseling (all 3 vaccines together) ( Results: Of the 37 clinicians, 36 completed the training. Adherence to the C-LEAR approach averaged 77% during simulated patient visits ( Conclusion: Following a brief, virtual, communication skills workshop using the C-LEAR approach for vaccine communication, trained clinicians were more likely than untrained clinicians to use some of the counseling strategies consistent with recommended approaches.