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首页> 外文期刊>Journal of public health management and practice: JPHMP >Toward Optimal Communication About HPV Vaccination for Preteens and Their Parents: Evaluation of an Online Training for Pediatric and Family Medicine Health Care Providers
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Toward Optimal Communication About HPV Vaccination for Preteens and Their Parents: Evaluation of an Online Training for Pediatric and Family Medicine Health Care Providers

机译：对Preteens及其父母的HPV疫苗接种的最佳沟通：评估儿科和家庭医学保健提供者的在线培训

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Supplemental Digital Content is Available in the Text. Objective: Health care provider recommendation is a key determinant of human papillomavirus (HPV) vaccination. We developed an online training program for providers that addressed vaccine guidelines, hesitancy to strongly recommend the vaccine, and reluctance to discuss HPV infection as a sexually transmitted infection. Design: Single-group evaluation with 3 waves. Providers completed a 29-item electronic survey with closed and open-ended response options after course completion. Setting: Pediatric and family medicine practices in North Carolina. Participants: Prescribing clinicians (MD, DO, family nurse practitioner, physician assistant) who serve preteens aged 11 to 12 years. In wave 3, we expanded our communities to include nursing and medical staff. Intervention: An asynchronous online course to promote preteen HPV vaccination. Topics included HPV epidemiology, vaccine recommendations from the Advisory Committee on Immunization Practices (ACIP), preteen-provider-parent communication, topics about hesitancy to seek vaccination, subjects related to sexual health, and practice-level strategies to increase vaccination rates. The course, approved for 12 CME and CNE credits, was live for 4 weeks and available on-demand for 3 additional months. Main Outcome Measures: Provider-reported change in vaccine communication, perceptions of course content in improving practice, and satisfaction with materials. Results: A total of 113 providers from 25 practices enrolled in the course and 69 (61%) completed an evaluation. Providers spent an average of 6.3 hours on the course and rated the CDC (Centers for Disease Control and Prevention)-ACIP Web site and multiple resources on hesitancy and communication about sexually transmitted infection vaccines most highly of all materials across the 3 waves. Almost all (96%) agreed the course will improve their practice. About half of all participants said they were either “much more likely” (28%) or “more likely” (19%) to recommend the vaccine after course participation. Conclusions: An online format offers a highly adaptable and acceptable educational tool that promotes interpersonal communication and practice-related changes known to improve providers' vaccine uptake by their patients.
机译：文本中提供了补充数字内容。目的：医疗保健提供商推荐是人乳头瘤病毒（HPV）疫苗接种的关键决定因素。我们开发了一个用于解决疫苗准则的提供商的在线培训计划，犹豫不决，强烈推荐疫苗，并且不愿意将HPV感染讨论为性传播感染。设计：用3波的单组评估。供应商在课程完成后完成了29件电子调查，并在课程完成后使用已关闭和开放的响应选项。环境：北卡罗来纳州的儿科和家庭医学实践。参与者：处方临床医生（MD，DO，家庭护士从业者，医师助理），他为11至12年的Preteens提供服务。在Wave 3中，我们将社区扩展到包括护理和医务人员。干预：促进Preteen HPV疫苗的异步在线课程。主题包括HPV流行病学，免疫惯例咨询委员会（ACIP），Preteen-Provider-Batence沟通咨询委员会的疫苗建议，有关寻求疫苗接种的言论，与性健康有关的主题，以及增加接种率的实践级别战略。批准12名CME和CNE学分的课程，持续4周，并提供3个月的需求。主要观察措施：提供者报告的疫苗通信变化，对改进实践的课程内容的看法以及材料的满意度。结果：课程中注册的25种实践共有113个提供商，69（61％）完成了评估。供应商在课程中平均花费6.3小时，并评定了CDC（疾病控制和预防中心） - ACIP网站和关于犹豫和沟通的多个资源，这些资源在三波线上最高度所有材料的性传播感染疫苗。几乎所有（96％）同意该课程将改善他们的实践。大约一半的参与者表示，他们要么“更容易”（28％）或“更有可能”（19％）推荐课程参与后的疫苗。结论：在线格式提供了一种高度适应和可接受的教育工具，可促进已知的人际关系通信和与实践相关的变化，以改善其患者的疫苗摄取。

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