Importance of a team approach to recommending the human papillomavirus vaccination

Holly B. Fontenot, Melanie L. Kornides, Annie-Laurie McRee, Melissa B. Gilkey

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background and purpose: Few studies have examined human papillomavirus (HPV) vaccine communication in the context of the health care team. Methods: In 2016, the investigators conducted a national, online survey of U.S. parents who reported having discussed HPV vaccination with their adolescent’s health care team. Multivariable logistic regression assessed associations between HPV vaccine initiation ($1 dose) and having: 1) discussed HPV vaccination with multiple team members and 2) received congruent recommendations about HPV vaccination. Conclusions: Of the 795 parents in the sample, about half (52%) reported discussing HPV vaccination with multiple team members, including nurse practitioners, nurses, and physicians. Most reported receiving congruent recommendations for (76%) or against (12%) HPV vaccination; few (12%) received mixed recommendations. Parents who discussed HPV vaccination with multiple team members had greater odds of series initiation (odds ratio [OR] = 2.34, 95% CI: 1.61–3.40), whereas those who received mixed versus congruent recommendations for HPV vaccination had lower odds of vaccination (OR = 0.56, 95% CI: 0.33–0.95). Implications for practice: Findings suggest that a coordinated team approach to recommendations may encourage HPV vaccination. Nurse practitioners are well positioned to facilitate coordination efforts within their clinical practices.

Original languageEnglish (US)
Pages (from-to)368-372
Number of pages5
JournalJournal of the American Association of Nurse Practitioners
Volume30
Issue number7
DOIs
StatePublished - Jan 1 2018

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Vaccination
Papillomavirus Vaccines
Patient Care Team
Nurse Practitioners
Parents
Odds Ratio
Logistic Models
Nurses
Communication
Research Personnel
Physicians

Keywords

  • Adolescent health
  • Control
  • Human papillomavirus infections/prevention
  • Human papillomavirus vaccine

PubMed: MeSH publication types

  • Journal Article

Cite this

Importance of a team approach to recommending the human papillomavirus vaccination. / Fontenot, Holly B.; Kornides, Melanie L.; McRee, Annie-Laurie; Gilkey, Melissa B.

In: Journal of the American Association of Nurse Practitioners, Vol. 30, No. 7, 01.01.2018, p. 368-372.

Research output: Contribution to journalArticle

Fontenot, Holly B. ; Kornides, Melanie L. ; McRee, Annie-Laurie ; Gilkey, Melissa B. / Importance of a team approach to recommending the human papillomavirus vaccination. In: Journal of the American Association of Nurse Practitioners. 2018 ; Vol. 30, No. 7. pp. 368-372.
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