Download or read book Examining the Impact of Healthcare Providers in Relation to Gaining Patient s Acceptance and Initiation of the HPV Vaccine written by Millie Elizabeth Knox and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The human papillomavirus (HPV) is a prevalent virus and the most common sexually transmitted infection (STI) worldwide. Nearly 80 million people, approximately one in four, are currently infected in the United States (US). Given that HPV infections affects over 20 million Americans with possible life-threatening consequences, the importance of adhering to the recommended two-dose or three-dose vaccination series has a significant impact on cancer prevention. Research studies have suggested that adolescents and young adults are at an increased risk of STIs and low HPV vaccination rates. For this integrative review, the target population was adolescents to young adults, ages 9-26 years. Education on the benefits of HPV vaccination has been key to increasing vaccination rates. Healthcare costs associated with preventing and treating HPV-related conditions in the US have been at least $8.0 billion annually. HPV vaccines are the most effective and safest way to protect against HPV and a significant element in reducing future adverse health outcomes related to HPV. The Gardasil 9 vaccine is the recommended HPV vaccine, and it protects against the most high-risk strands of HPV, strands 16 and 18, plus several other high-risk strands that cause HPV-associated cancers and other abnormalities. The Centers for Disease Control and Prevention (CDC) recommends that males and females between the ages of 9 and 26 be offered the Gardasil vaccine to combat HPV-related infections and cancers. The primary purpose of this integrative review was to examine the impact of the vaccine provider in relation to gaining the patient's acceptance and initiation of the HPV vaccine. Implications from this project may influence healthcare organizations to make HPV Gardasil vaccination a priority. Keywords: HPV, HPV vaccine, adolescents, prevention, education strategies, primary care providers (PCP)

Download or read book Meta Ethnography written by George W. Noblit and published by SAGE. This book was released on 1988-02 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies

Download or read book Barriers to Communicating About HPV Vaccination A Case Study of Parents and Healthcare Providers in a Rural Religious Community written by Melissa Meghan Thompson and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this dissertation was to learn more about the communication barriers and strategies reported by parents of pediatric patients and healthcare providers regarding vaccination against Human Papillomavirus (HPV). Participants in this study were parents of pediatric patients and pediatric healthcare providers at two health facilities in a rural, southern, religious community. My research questions sought to understand the communication barriers and communication strategies that could impact vaccine decision-making, not the decision-making process. I held preliminary informal interviews with providers; conducted in-depth, semi-structured interviews with parents and providers; and took extensive field notes. The data presented five types of communication barriers: comfort with the discourse, education, perceived risk, religion, and vaccine acceptance. Three communication strategies were found: collaborating, framing, and relationship building. My recommendations include the following: the relationship between parent and provider should be enhanced; both parties should listen intently; providers should work to understand the communication barriers presented by parents; and providers should develop frames, specifically stories used to explain and elicit vaccination.

Download or read book HPV Vaccine Awareness and Acceptance written by Jamie Phillipich and published by . This book was released on 2014 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Many studies have assessed the public’s perceptions and acceptability of the Human Papillomavirus (HPV) vaccine, while others have analyzed the media’s coverage of the vaccine, however few have specifically assessed the media influence on the perception HPV and vaccine compliance. College freshman in fall 2013 were the first group of adolescent females targeted by the proposed Gardasil vaccine guidelines in 2006 for 11-12 year old girls, and the first group of adolescent males targeted in 2009 for 15-16 year old boys. Thus, there is limited data evaluating how this population was educated about HPV and if the media has influenced their perception and acceptance of the vaccine. The aim of this study was to evaluate this population’s education about HPV/Gardasil and determine if the media had in increased role in their reception of HPV knowledge and if the media influenced their reception of the HPV vaccine, Gardasil. Methods: One thousand randomly selected 18-19 year old freshman students at Grand Valley State University were invited to participate in this cross-sectional quantitative pilot study using an on-line, anonymous questionnaire. The 48 question survey evaluated participant demographics, basic STD knowledge and perceptions, HPV knowledge, personal sexual behaviors, acquisition of sexual health information, knowledge about Gardasil, vaccination barriers, and vaccination status. Pearson Chi-Square tests, score developments, Mann-Whitney, and Spearman’s rank correlation were used to analyze data. Results: One hundred forty six students completed the survey. The majority of participants were female (69.2%) and white, non-Hispanics (87.7%). The study revealed 68% of respondents reported obtaining HPV and Gardasil related information from the media, and 37% of respondents felt that the information presented in the media was not believable. Respondents reported receiving the most believable HPV –related information from health education classes and healthcare providers. An HPV knowledge score was developed and Mann-Whitney analysis revealed that neither gender (p-value=0.619), vaccination status (p-value=0.417), nor parent’s having a college degree (p-value=0.210) had a significant impact on HPV knowledge. Additionally, a health score analyzed the amount of interaction between healthcare providers and media exposure students received. A Mann-Whitney test revealed gender had a significant impact (p-value=0.001) on the health score, with females outscoring (M=3.27. SD=1.054) males (M=2.36, SD=1.125). Individuals who received the vaccine scored significantly higher (M=3.64, SD=0.586, p-value,0.001) than those who did not receive the vaccine ((M=2.45, SD=1.234). Additionally, 41% of the respondents had a health score of 100% with 25% of this subset reporting receiving the vaccine. Thus, despite receiving all the health information about Gardasil, 75% had not been vaccinated. Conclusion: The result of this study suggests that regardless of the amount of interaction students had with healthcare providers and /or the media, it did not affect their overall knowledge of HPV or Gardasil. It is imperative as providers, to impact accurate, honest information with patients and their families so they have information necessary to make informed decisions about their health, particularly in regards to HPV information and Gardasil vaccine.

Download or read book Qualitative Research Methods written by Monique Hennink and published by SAGE. This book was released on 2010-11-30 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lecturers, click here to request an e-inspection copy of this text Qualitative Research Methods is based on the authors′ highly successful multidisciplinary qualitative methods workshops, which have been conducted for over a decade. In this book the authors propose a ′qualitative research cycle′ that leads students through the selection of appropriate methods, the collection of data and the transformation of findings into a finished project. It provides a clear explanation of the nature of qualitative research and its key concepts. Topics covered include: o formulating qualitative research questions o ethical issues o in-depth interviews o focus group discussions o observation o coding o data analysis o writing up qualitative research This text is ideal for any students taking a qualitative methods course or producing a qualitative research project at undergraduate or graduate level. It is illustrated throughout with case studies and field examples from a range of international contexts. The practical techniques are also accompanied by the author′s own research tools including interview guides, real coded data and comprehensive research checklists.

Download or read book Red Book 2015 written by David W. Kimberlin and published by . This book was released on 2015-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The AAP's authoritative guide to the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions." -- Provided by publisher.

Download or read book The Impact of a Group Health Cooperative HPV Vaccination Promotion Program on Initiation of the HPV Vaccine written by Gabrielle D. Gundersen and published by . This book was released on 2016 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: The purpose of this study is to examine the impact of a Group Health Cooperative outreach and reminder program on initiation of the HPV vaccine among 10-12 year olds receiving care at seven Group Health clinics in Western Washington. Study Design: The outreach and reminder initiative was a randomized control trial. Eligible children were randomized to receive an outreach letter and reminder calls about the HPV vaccine (intervention) or usual care (control). Randomization was at the child-level and stratified by clinic and gender, but outreach and reminder efforts were addressed and targeted to parents. Methods: This study conducted a preliminary analysis of the impact of the outreach and reminder program on initiation of the HPV vaccine for the overall study population and stratified by age. Chi-square tests were used to assess associations between group assignment (intervention or control) and receipt of HPV dose 1. Kaplan-Meier survival curves with log-rank tests were used to compare HPV vaccine initiation over time between the intervention and control groups. Results: A total of 1,805 children were included in the study; 1,354 were randomized to the intervention and 451 to control. Our analysis included 1,770 children after excluding 35 children who disenrolled after randomization, but before the intervention began. Overall, the intervention was not significantly associated with initiation of the HPV vaccine; 398 (30.1%) intervention children received HPV dose 1 compared to 121 (27.1%) control children (Chi-square test, p=0.23). There was also no association between the intervention and initiation of the HPV vaccine when the children were stratified by age (Chi-square test, 10 yrs, p=0.78; 11 yrs, p=0.31; 12 yrs, p=0.38). The Kaplan-Meier analyses showed that the difference in the vaccine initiation rates between the groups was not significant, overall (Log-rank test, p=0.08), nor when the children were stratified by age (Log-rank test, 10 yrs, p=0.71; 11 yrs, p=0.10; 12 yrs, p=0.31). Yet, a secondary analysis looking at vaccine initiation from the start of the reminder calls to the end of the analysis period showed a 6.2% difference in vaccine initiation rates between the intervention and control groups for 11 year olds (Chi-square test, p=0.07, Log-rank test, p=0.06). Conclusions: Group Health’s outreach and reminder program was not significantly associated with an increase in initiation of the HPV vaccine. However, while not significant, our data suggests that reminder calls may increase the initiation of the HPV vaccine among 11 year old children eligible for the vaccine in an insured population.

Download or read book Provider Recommendation of HPV Vaccination written by Erica S. Landis and published by . This book was released on 2016 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt: The present study, guided by preproduction formative research principles, employed in-depth interviews and a brief survey with pediatric healthcare providers (N=15) to investigate the consistency between behavioral intention to strongly recommend the HPV vaccine, and implementation of the actual behavior. Specifically, the Integrative Model of Behavioral Prediction (IMBP) was used as a framework to examine the impact of skills and environmental constraints on that behavioral intention-behavioral performance relationship. Results suggest providers intend to strongly recommend the HPV vaccine at a high level, but actually recommend the vaccine with a slightly lesser frequency. A thematic analysis of interview transcripts yielded a list of skills (e.g., tact, cultural competence) and environmental constraints (e.g., a lack of policy or school entry requirement, limited time designated for each patient) that contribute to that consistency gap. Additionally, healthcare providers indicated several preferences on training design (e.g., Continuing Medical Education course, delivered by medical and communication professionals) that could be used to inform future message construction. Suggestions for overcoming the environmental constraints reported by providers are presented, and implications for incorporating the emergent skills and preferences into training as a novel strategy for improving provider communication about the HPV vaccine outlined.

Download or read book The PCP s Perceptions Towards an HPV Vaccine Information Sheet on HPV Recommendation for Parents and Male Adolescents written by Courtney Kim and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Despite the availability of the HPV vaccine for males since 2011 (Markowitz et al., 2018), male HPV vaccination rates continue to remain low. A review of the literature revealed a consistent theme for the strong influence of provider recommendations on increasing HPV vaccine acceptance rates (Krantz et al., 2018; Markowitz et al., 2018; Tan et al., 2017). The problem, however, is that providers do not recommend the vaccine as often as they should or are not equipped with effective communication tools to improve their recommendations. This proposed study aims to focus on PCP's perception of the dissemination of an HPV vaccine information sheet before scheduled health maintenance or sick visits, and how this can facilitate conversations about HPV and the HPV vaccine between PCPs and parents / male adolescents. Research question: "How will the dissemination of an HPV vaccine information sheet before scheduled health maintenance or sick visits affect PCP's perception of HPV vaccine recommendation to parents and male adolescents?" Methods: The study design for this proposed study is a cross-sectional descriptive design that focuses on primary care clinics throughout Southern California. The CDC's HPV vaccine information sheet will be emailed to parents of adolescent males prior to the scheduled health maintenance or sick visit, followed by providers completing a modified SUS questionnaire to evaluate the impact of the intervention. The timeframe for this study will be six months. The primary outcome of the modified SUS will be to examine the impact of the HPV vaccine information sheet on PCP's perception of HPV vaccine recommendations for parents and male adolescents.

Download or read book Effect of Health Beliefs and Acculturation on HPV Vaccine Acceptance Among Asian Indian Parents written by Daisy George Mullassery and published by . This book was released on 2016 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Asian Indians are considered the third largest Asian community in the United States numbering 3.2 million per records from the U.S. census bureau for the year 2010, but little is known about Asian Indian parents' acceptance of the HPV vaccine for their children. Human Papillomavirus (HPV) is the most common sexually transmitted disease in the United States. Even though HPV vaccination is highly effective in preventing HPV infection, many studies have proposed that the vaccination rates in general are low. According to the teen vaccination coverage report by Center for Disease Control in 2014, only 37.6% of girls and 13.9% of boys between the age group of 13 - 17 years received all three doses of HPV vaccination. The key determinant of HPV vaccination rates is parental acceptance. The major factors affecting parental acceptance of HPV vaccination include health beliefs, educational level, religion, child's gender, subjective norms, (peer, family, and social pressure), and personal experience of the disease. While there are several studies in the U.S that have examined parental acceptance of HPV vaccination in general, to date there were no studies specifically focusing on Asian Indian parents living in the U.S, nor any that had assessed the effects of acculturation (cultural identity) on HPV acceptance in the commonly available databases. Therefore, because the factors affecting HPV vaccination acceptance of Asian Indian parents are unknown, the purpose of this study was to determine the effects of health beliefs (perceived seriousness, perceived susceptibility, perceived barriers, perceived benefits) and acculturation (cultural identity) and to explore the effects of educational level, religion, child's gender, subjective norms, and personal experience of the disease on Asian Indian parental acceptance of the HPV vaccine. Methods: A comparative descriptive cross-sectional design based on a theoretical framework of Health Belief Model was used for the study. The sample, Asian Indian parents, who have children between the ages of 9-16 years, were recruited from various places of worship and community organizations from the Houston Metropolitan area and all over the U.S. Participants were recruited directly, with the help of formal and informal leaders of these organizations and through email. Participants were provided with a web-link for the research survey to assess the effect of health beliefs, acculturation, and demographic factors on HPV vaccine acceptance. As established by previous research on non-Asian Indian parents, the acceptance of at least one dose of HPV vaccination was expected to be 45% and the acceptance of Hepatitis B vaccination to be 90%. Using the above estimates, a sample size of 160 participants was deemed sufficient to achieve 81% power to detect a difference between group proportions of 0.45 with a significance level (alpha) of 0.05 using a two-sided two dependent group McNemar test. The same sample size is sufficient for hierarchical logistic regression analysis to achieve 81% power, 0.05 alpha, and a 1.65 Odds Ratio. The expected survey response rate was about 50%, based on previous research conducted to examine variations in response rates to email surveys. Data Analysis: The obtained data was directly entered into SPSS and then cleaned, coded, and checked for shape of distribution and outliers, and then analyzed using descriptive statistics. The rates of HPV vaccination acceptance was compared to Hepatitis B vaccination acceptance using a two-sided two dependent group McNemar Chi square test. The effect of health beliefs and acculturation on vaccination acceptance was carried out using hierarchical logistic regression models. Educational level, religion, and child's gender were added as covariates in the first step; subjective norms, and personal experience of the disease were added as co-variates in the second step; and health beliefs and acculturation were added in the third step of the logistic regression model. Results: The findings suggested that Asian Indian parents were significantly more likely to accept Hepatitis B vaccination than HPV vaccination (OR = 27.7, P =

Download or read book HPV Vaccination in Females written by Brooke Bouza and published by . This book was released on 2020 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Two reasons for subpar coverage of the Human papillomavirus (HPV) vaccine are missed clinical opportunities and nonacceptance of the vaccine upon recommendation from a medical provider. The purpose of study one was to examine factors associated with access and adherence to physician's recommendations in association with HPV vaccine uptake. Data were obtained from National Health Interview Survey (2017). Variables theoretically related to clinical opportunities and adherence to physician's recommendations were examined in association with HPV vaccine uptake. Univariate logistic regressions were run to determine the associations between the aforementioned variables and uptake of the HPV vaccine. Multinomial logistic regressions were used to determine if the variables demonstrate different associations between those who received the vaccine between 9-16 years of age and 17-26 years of age, compared to never receiving the vaccine. The sample was limited to females aged 18-26 years. Compared to receiving no health care, receiving care from a general medical provider (GP) only was associated with higher vaccine uptake; however, there no difference in respondents who received care from an OBGYN only and respondents who saw an OBGYN and a GP had the highest vaccine uptake. These same patterns of association were present in the multinomial model for those who received the vaccine between 9-16 years of age, but not 17-18 years of age. No other variables were associated with the uptake of the HPV vaccine in either the logistic or multinomial regression models. Seeing a GP, but not an OBGYN is associated with greater protection from HPV infections. Engaging in routine and preventative measures at a younger age may result in continuing this behavior into young adulthood. In the past two decades cancer was acknowledged as a new health concern for individuals with an intellectual disability (ID). Despite such recognition, no research in the US has sought to examine their uptake of the cancer-preventing, HPV vaccine. Physicians can provide insight into the factors they consider when deciding whether to recommend the vaccine and can provide insight into the discussions they have with patients/caregivers regarding the vaccine. The purpose of this study was to examine physicians' experiences of recommending the HPV vaccine to females with an ID. An online open-ended survey was employed. Data were analyzed using inductive content analysis. Forty-nine out of 51 participants had previously recommended the HPV vaccine to females with an ID. Physicians believed the HPV vaccine was important because of the population's noncompliance with pap smears and risk of sexual abuse. Physicians believed the vaccine was less important for patients who were unlikely to be sexually active. Physicians generally described parents as uncertain, but receptive of the vaccine. There were some responses which implied caregivers did not believe their child would be sexually active and therefore were not at risk for contracting HPV. Both patients and parents believed immunizations generally could be traumatic for this population. Physicians were supportive of the HPV vaccine for females with an ID and perceived parents as wanting to protect their child, but uncertain about the vaccine's necessity.

Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

Download or read book Canadian Immunization Guide written by Canada. Comité consultatif national de l'immunisation and published by . This book was released on 2006 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: The seventh edition of the Canadian Immunization Guide was developed by the National Advisory Committee on Immunization (NACI), with the support ofthe Immunization and Respiratory Infections Division, Public Health Agency of Canada, to provide updated information and recommendations on the use of vaccines in Canada. The Public Health Agency of Canada conducted a survey in 2004, which confi rmed that the Canadian Immunization Guide is a very useful and reliable resource of information on immunization.

Download or read book Demographic Indicators of Willingness to Acquire the HPV Vaccine Among Sexually Transmitted Disease Clinic Patients in San Diego County written by Aline V. Dang and published by . This book was released on 2010 with total page 89 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: To examine the relationship of demographics, sexual behaviors, and vaccine attitudes with the acceptance of the human papillomavirus (HPV) vaccine or the intent to self-vaccinate. Methods: New clients (n = 1325) attending the San Diego County Sexually Transmitted Diseases Clinic were recruited to participate in a study of self-acceptance for the administration of a vaccine against human papillomavirus (HPV). Participants were asked to complete an anonymous questionnaire about attitudes toward vaccines, health history, sexual behaviors, knowledge about HPV and HPV vaccinations, and socio-demographic information. Results: Approximately fifty five percent of clients indicated that they would be interested in getting an HPV vaccine; about sixteen percent indicated that they were against it, and roughly thirty percent were uncertain about it. In a multivariable polychotomous logistic regression model, when comparing individuals who answered unsure about getting an HPV vaccine to those who said yes, those individuals who had no knowledge about HPV were more unsure about getting an HPV vaccine compared to those with a lot of knowledge, when comparing those who stated that they were unwilling to get an HPV vaccine to those that were willing, those who had never had genital warts were more against getting an HPV vaccine compared to those who had a genital warts infection, and after comparing individuals who responded that they were uncertain about getting an HPV vaccine, those who had insurance were more unsure about getting an HPV vaccine compared to those who were uninsured. Conclusions: New clients at the San Diego County Sexually Transmitted Diseases Clinic decisions regarding the HPV vaccine were influenced by their amount of knowledge about HPV, whether they had ever had a genital wart infection, and their insurance coverage status. Their decisions were not related to their age, education, type of sexual partners, race, having a past or current sexual partner tell them they had genital warts, number of lifetime sexual partners, employment status, or income level.

Download or read book Deadly Choices written by Paul A. Offit and published by Basic Books (AZ). This book was released on 2015-03-10 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: A renowned researcher vigorously challenges the anti-vaccine movement in this powerful defense of science in the face of fear.

Download or read book Two Shots to Cancer Prevention written by Julie Dang and published by . This book was released on 2018 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: The current HPV vaccine uptake rate is not on track to achieve the Healthy People 2020 goal of 80%, nor attain the desired reduction in HPV-related cancer burden that could be achieved through optimal uptake. Increasing the HPV vaccination rates to 80% could prevent an additional 53,000 future cervical cancer cases in the U.S among girls who are 12 years or younger over the course of their lifetime as well as many additional cases of other cancers, precancers, and genital warts in both sexes. Understanding the current HPV vaccination trends, determining predictors of vaccination, and identifying the characteristics of primary care visits that are missed opportunities for HPV vaccination allows for the development of more effective strategies that can accelerate HPV vaccine uptake. My dissertation, comprised of three papers, examines the multiple levels of influence associated with uptake of the HPV vaccine among preadolescents ages 11-12 at the provider, patient/parent, and visit levels. The findings will help elucidate salient factors that influence the provider’s decision to recommend the HPV vaccine to their patients, the parent’s decision to accept and follow through with that recommendation, the processes of care that are required to ensure that recommendation is carried out, and the relationships among these various factors. The first and second paper utilizes electronic medical records and administrative data to identify: 1) patient and provider factors associated with HPV vaccine uptake and 2) patient, provider and visit factors associated with missed clinical opportunities to recommend and administer the HPV vaccine. The third paper explores the clinic, primary care team and parent level factors that affect uptake of the HPV vaccine through semi-structured key-informant interviews. The primary conclusions from this research highlight the importance of developing and implementing multi-level interventions that engage parents, all clinic staff (e.g. providers and support staff) and health care systems. Education, training and communication for HPV vaccines should focus on emphasizing the importance of timely vaccinations, bundling the HPV vaccines with other vaccines due at the same time, and ensuring that all clinic staff provide a strong and consistent HPV vaccination recommendation.

Download or read book Relationship Between Parental Initiation of the HPV Vaccine and Method of Education written by Victoria Natalie Volz and published by . This book was released on 2018 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) is a common sexually transmitted infection that may lead to medical conditions, such as genital warts and cancers of the reproductive and oropharyngeal tracts in both men and women. The HPV vaccine offers protection against this infection, and has been available since 2006; it is recommended that adolescents receive the vaccine to provide protection before their sexual debut. Using the health belief model (HBM) and testing through hierarchical binary logistic regression, this quantitative nonexperimental correlational project was an investigation into the role that proactive provider education and recommendation has on the acceptance of the HPV vaccine among parents of adolescents when compared to provision of vaccine information statements (VIS). This project was conducted within four school-based health centers (SBHCs) in Las Vegas, NV. The participants were from families with a lower than average socioeconomic status. The sample consisted of 67 participants, 42 of whom received standard vaccine education and 25 of whom received targeted vaccine education. Findings indicated that when providers had direct conversations with participants about the vaccine, parents were 8.54 times more likely to accept vaccination for their child than when they were provided the VIS. This information about best practices may help protect children prior to exposure to HPV. In turn, this change may reduce the incidence of HPV-related infections and cancers, thus protecting the health of future generations.