An environmental scan to examine stakeholder perspectives on human papillomavirus vaccination: A mixed methods study

Paige Lake; Monica L Kasting; Teri Malo; Anna R Giuliano; Susan T Vadaparampil

doi:10.1016/j.vaccine.2018.06.073

An environmental scan to examine stakeholder perspectives on human papillomavirus vaccination: A mixed methods study

Vaccine. 2019 Jan 3;37(1):187-194. doi: 10.1016/j.vaccine.2018.06.073. Epub 2018 Jul 5.

Authors

Paige Lake¹, Monica L Kasting², Teri Malo³, Anna R Giuliano², Susan T Vadaparampil⁴

Affiliations

¹ Moffitt Cancer Center, Tampa, FL, USA.
² Moffitt Cancer Center, Tampa, FL, USA; Center for Infection in Cancer Research, Moffitt Cancer Center, Tampa, FL, USA.
³ Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
⁴ Moffitt Cancer Center, Tampa, FL, USA; College of Medicine, University of South Florida, Tampa, FL, USA. Electronic address: susan.vadaparampil@moffitt.org.

Abstract

Purpose: Human papillomavirus (HPV) vaccine series completion rates among females and males remain low in Florida (46.4% and 34.5%, respectively). Multiple stakeholders influence vaccination uptake, including health care providers (HCPs), public health professionals (PHPs), and members of professional organizations. We examined stakeholder efforts related to increasing vaccine uptake and education among parents/adolescents and HCPs.

Methods: We conducted an environmental scan of stakeholder efforts and identified stakeholders using our professional networks and a snowball sampling approach. Stakeholders (n = 46) completed a survey about involvement in and barriers to vaccination promotion efforts. A subset (n = 12) of stakeholders participated in follow-up interviews further exploring vaccination efforts and barriers. Survey data were analyzed using descriptive statistics. Interview data were analyzed using deductive analysis and coded using constructs from the PRECEDE-PROCEED model.

Results: The majority of our survey sample was PHPs (50.0%) and HCPs (32.6%). Stakeholder efforts were focused on adolescent/parent/HCP education including providing: educational materials for HCPs (55.8%) and adolescents/parents (59.6%), one-on-one consultations for adolescents/parents (55.3%), and HCP education (54.7%). Lack of knowledge/understanding and education/information were barriers reported across almost all groups/areas. Office staff/HCP education and distribution of patient education materials were efforts described as important during qualitative interviews. Stakeholders also noted HCP discomfort when recommending HPV vaccine, parental perceptions that the vaccine is unnecessary, and a lack of education/understanding among parents and HCPs.

Conclusions: Results suggest the need for parent/adolescent education, specifically targeting key areas we identified: importance and benefits of HPV vaccine, and education and skill building in vaccine communication for HCPs.

Keywords: Cancer; Education; Human papillomavirus; PRECEDE PROCEED model; Vaccination.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Health Knowledge, Attitudes, Practice*
Health Personnel / education
Humans
Immunization Programs*
Papillomavirus Infections / prevention & control
Papillomavirus Vaccines / administration & dosage*
Parents / education
Patient Acceptance of Health Care
Public Health
Surveys and Questionnaires
Vaccination / psychology*

Substances

Papillomavirus Vaccines

Abstract

Publication types

MeSH terms

Substances

Grants and funding