Project Overview +

The overarching goal of this proposal is to develop and test a 3-phase intervention to improve provider-level communication and recommendation for the HPV vaccine for adolescent patients. Our intervention will target provider-patient communication before, during and after the clinical encounter so as to have the potential to impact various stages of parents' decision-making about the vaccine.

Related Media +

Related Media:

Aims +

Aim 1. To assess baseline adolescent vaccination levels and HPV vaccine communication activities among the study practices.

Aim 2. To develop in conjunction with provider feedback the in-clinic HPV Fact Sheet, and overall study implementation procedures.

Aim 3. To assess the impact of the intervention on adolescent vaccine utilization, clinical practice and provider communication.

Participants +

The study population consists of:

  • 20 primary care medical practices (pediatric/family; 10 private/10 public)
  • up to 4 health care providers at each practice
  • adolescent patients 11 to 17 years of age and their parents

Intervention +

The first component of the intervention is a web-based educational tool provided to the parent before their adolescents' scheduled appointment. The tool, called VaxFacts-HPV, provides individualized educational material that addresses the unique questions and concerns about the HPV vaccine that each parent may have.

A second tool we will use is our "Decision-Aid for HPV Vaccination" It will be given to parents who remain unconvinced about HPV vaccination at the end of the clinical encounter in order to enable them to prioritize their health goals for their children and make decisions about HPV vaccination that align with those goals.

The third, and core, component of our intervention is delivered in the clinic by providers. It consists of a provider-developed "HPV Fact Sheet" that reflects the most relevant discussion points identified by providers about HPV infection and vaccination combined with improved provider communication skills obtained via communication training session for providers to increase their ability to engage with HPV vaccine hesitant parents. 

Strengthening physician communication about adolescent vaccines

08/01/2013 - 07/31/2016

Sponsor(s)

Centers for Disease Control and Prevention

Principal Investigator:

Amanda F. Dempsey, MD, PhD, MPH

Co-Investigator(s):

Karen Albright, PhD
Miriam Dickinson, PhD
Simon Hambidge, MD, PhD
Sean T. O'Leary, MD