title: Clinician and Parent Perspectives on Educational Needs for Increasing Adolescent HPV Vaccination.
abstract: Human papillomavirus (HPV)-related morbidity and mortality remain a significant public health burden despite the availability of HPV vaccines for cancer prevention. We engaged clinicians and parents to identify barriers and opportunities related to adolescent HPV vaccination within a focused geographic region. This mixed-method study design used an interviewer-administered semi-structured interview with clinicians (n = 52) and a written self-administered survey with similar items completed by parents (n = 54). Items focused on experiences, opinions, and ideas about HPV vaccine utilization in the clinical setting, family, and patient perceptions about HPV vaccination and potential future efforts to increase vaccine utilization. Quantitative items were analyzed using descriptive statistics, while qualitative content was analyzed thematically. Suggested solutions for achieving higher rates of HPV vaccination noted by clinicians included public health education, the removal of stigma associated with vaccines, media endorsements, and targeting parents as the primary focus of educational messages. Parents expressed the need for more information about HPV-related disease, HPV vaccines, vaccine safety, sexual concerns, and countering misinformation on social media. Results from this mixed-method study affirm that educational campaigns targeting both health care professionals and parents represent a key facilitator for promoting HPV vaccination; disease burden and cancer prevention emerged as key themes for this messaging.
authors.affiliation: Cancer Prevention and Control, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY, 14263, USA.
authors.forename: Christy A
authors.initials: CA
authors.lastname: Widman
authors.affiliation: Cancer Prevention and Control, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY, 14263, USA.
authors.forename: Elisa M
authors.initials: EM
authors.lastname: Rodriguez
authors.affiliation: Cancer Prevention and Control, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY, 14263, USA.
authors.forename: Frances
authors.initials: F
authors.lastname: Saad-Harfouche
authors.affiliation: Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA.
authors.forename: Annamaria Masucci
authors.initials: AM
authors.lastname: Twarozek
authors.affiliation: Cancer Prevention and Control, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY, 14263, USA.
authors.forename: Deborah O
authors.initials: DO
authors.lastname: Erwin
authors.affiliation: Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA. martin.mahoney@roswellpark.org.
authors.forename: Martin C
authors.initials: MC
authors.lastname: Mahoney
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D027383:Papillomaviridae / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000517:prevention & control* / Q000821:virology; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010465:Perception; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescents; Clinician education; Community education; Human papillomavirus; Vaccination