Journal
CLINICAL PEDIATRICS
Volume 58, Issue 1, Pages 17-23Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0009922818805217
Keywords
human papillomavirus vaccines; vaccination refusal; counseling; primary health care; adolescent health; medical education
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Funding
- 2015 Adolescent Vaccinations and Wellness Grant - national American Academy of Pediatrics
- Merck
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The American Academy of Pediatrics California Chapter 3 created a 20-minute training video targeting barriers to strong provider recommendation of the human papillomavirus (HPV) vaccine. The video included clinical vignettes featuring pediatricians modeling counseling techniques with vaccine-hesitant families. Ninety-six multidisciplinary providers (including pediatric residents) at 6 sites viewed the video and completed baseline and posttest questionnaires assessing their vaccine knowledge, attitudes toward vaccination, and comfort with skills needed to facilitate vaccination. Following the intervention, providers had substantial and statistically significant (P < .05) improvements in multiple areas assessed, particularly knowledge of the burden of HPV-related disease in males and changes in vaccine response with age; likelihood of strongly agreeing that vaccination should not be delayed beyond preadolescence and that HPV vaccine is safe; and feeling very comfortable counseling vaccine-hesitant parents and facilitating vaccine completion. This cost-effective and easily disseminated training modality shows promise in increasing provider comfort with HPV vaccine counseling.
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