PharmacoEconomics & Outcomes News 804, p13 - 2 Jun 2018 Discussion with parents can increase HPV vaccination Effective communication between providers and parents hesitant to allow human papillomavirus (HPV) vaccination in their adolescents for the prevention of HPV-related cancers can result in same-day vaccination, according to findings of a US study published in Pediatrics. Researchers at paediatric clinics in Dallas, Texas, recorded 43 visits between July 2014 and May 2015 in adolescents 11 to 17 years of age whose parents had not made a decision to permit HPV vaccination, and qualitatively coded parents’ expressed hesitancy, and providers’ responses to defer vaccination or persist with discussion. Overall, 37 parents expressed hesitancy, with assertive responses (27 visits), questions (16) or concerns (12). Same-day vaccination was reported in 71% of adolescents after hesitancy expressed with a question, and 75% of adolescents after hesitancy expressed with a concern, but in only 33% of adolescents after hesitancy expressed with an assertive response. Providers responded with persistence (18 visits), both acquiescence and persistence (13), or acquiescence only (6). No adolescents received HPV vaccination after providers responded with acquiescence only, but 17 out of 18 adolescents were vaccinated after providers responded with persistence only. "With our exploratory examination of the relationship between parent-provider communication about HPV vaccine hesitancy and vaccination behavior, we suggest that persistently engaging parents who express hesitancy can lead to same-day vaccination and that these conversations are short (≈2–3 minutes) . . . our findings reveal a potentially important missed opportunity when providers simply acquiesce to parental expressions of hesitation," said the researchers. Shay LA, et al. Parent-Provider Communication of HPV Vaccine Hesitancy. Pediatrics : 15 May 2018. Available from: URL: http://dx.doi.org/10.1542/ peds.2017-2312 803323514 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804
PharmacoEconomics & Outcomes News – Springer Journals
Published: Jun 2, 2018
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