The Implementation and Acceptability of an HPV Vaccination Decision Support System Directed at Both Clinicians and Families

Overview

Journal AMIA Annu Symp Proc

Specialty Medical Informatics

Date 2013 Jan 11

PMID 23304334

Citations 12

Authors

Stephanie Mayne

Dean Karavite

Robert W Grundmeier

Russell Localio

Kristen Feemster

Elena DeBartolo

Cayce C Hughes

Alexander G Fiks

Affiliations

Soon will be listed here.

Abstract

We developed an electronic medical record (EMR)-based HPV vaccine decision support intervention targeting clinicians, (immunization alerts, education, and feedback) and families (phone reminders and referral to an educational website). Through telephone surveys completed by 162 parents of adolescent girls, we assessed the acceptability of the family-focused intervention and its effect on information-seeking behavior, communication, and HPV vaccine decision-making. The intervention was acceptable to parents and 46% remembered receiving the reminder call. Parents reported that the call prompted them to seek out information regarding the HPV vaccine, discuss the vaccine with friends and family, and reach a decision. Parents whose adolescent girls attended practices receiving the clinician-focused intervention were more likely to report that their clinician discussed the HPV vaccine at preventive visits. The results of this study demonstrate the acceptability and potential impact on clinical care of a comprehensive decision support system directed at both clinicians and families.

Citing Articles

Behavioral interventions for vaccination uptake: A systematic review and meta-analysis.

Malik A, Ahmed N, Shafiq M, Elharake J, James E, Nyhan K Health Policy. 2023; 137:104894.

PMID: 37714082 PMC: 10885629. DOI: 10.1016/j.healthpol.2023.104894.

Overcoming Vaccine Hesitancy for Future COVID-19 and HIV Vaccines: Lessons from Measles and HPV Vaccines.

Aguolu O, Malik A, Ahmed N, Omer S Curr HIV/AIDS Rep. 2022; 19(5):328-343.

PMID: 36114951 PMC: 9483354. DOI: 10.1007/s11904-022-00622-0.

Provider perspectives on multilevel barriers to HPV vaccination.

Lake P, Kasting M, Christy S, Vadaparampil S Hum Vaccin Immunother. 2019; 15(7-8):1784-1793.

PMID: 30779687 PMC: 6746510. DOI: 10.1080/21645515.2019.1581554.

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

Lake P, Kasting M, Malo T, Giuliano A, Vadaparampil S Vaccine. 2018; 37(1):187-194.

PMID: 29983257 PMC: 6910205. DOI: 10.1016/j.vaccine.2018.06.073.

User-Centered Design for Developing Interventions to Improve Clinician Recommendation of Human Papillomavirus Vaccination.

Henninger M, McMullen C, Firemark A, Naleway A, Henrikson N, Turcotte J Perm J. 2017; 21:16-191.

PMID: 28898195 PMC: 5593511. DOI: 10.7812/TPP/16-191.

References

Stockwell M, Kharbanda E, Andres Martinez R, Lara M, Vawdrey D, Natarajan K . Text4Health: impact of text message reminder-recalls for pediatric and adolescent immunizations. Am J Public Health. 2012; 102(2):e15-21. PMC: 3483980. DOI: 10.2105/AJPH.2011.300331. View

Garg A, Adhikari N, McDonald H, Rosas-Arellano M, Devereaux P, Beyene J . Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005; 293(10):1223-38. DOI: 10.1001/jama.293.10.1223. View

Mugford M, Banfield P, OHanlon M . Effects of feedback of information on clinical practice: a review. BMJ. 1991; 303(6799):398-402. PMC: 1670701. DOI: 10.1136/bmj.303.6799.398. View

Jamtvedt G, Young J, Kristoffersen D, OBrien M, Oxman A . Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2006; (2):CD000259. DOI: 10.1002/14651858.CD000259.pub2. View

Franzini L, Rosenthal J, Spears W, MARTIN H, BALDERAS L, Brown M . Cost-effectiveness of childhood immunization reminder/recall systems in urban private practices. Pediatrics. 2000; 106(1 Pt 2):177-83. View

Ross S, Haverhals L, Main D, Bull S, Pratte K, Lin C . Adoption and use of an online patient portal for diabetes (Diabetes-STAR). AMIA Annu Symp Proc. 2007; :1080. PMC: 1839692. View

Dempsey A, Zimet G, Davis R, Koutsky L . Factors that are associated with parental acceptance of human papillomavirus vaccines: a randomized intervention study of written information about HPV. Pediatrics. 2006; 117(5):1486-93. DOI: 10.1542/peds.2005-1381. View

Gaglani M, Riggs M, Kamenicky C, Glezen W . A computerized reminder strategy is effective for annual influenza immunization of children with asthma or reactive airway disease. Pediatr Infect Dis J. 2001; 20(12):1155-60. DOI: 10.1097/00006454-200112000-00012. View

Cates J, Brewer N, Fazekas K, Mitchell C, Smith J . Racial differences in HPV knowledge, HPV vaccine acceptability, and related beliefs among rural, southern women. J Rural Health. 2009; 25(1):93-7. DOI: 10.1111/j.1748-0361.2009.00204.x. View

10.

Lieu T, Capra A, Makol J, Black S, Shinefield H . Effectiveness and cost-effectiveness of letters, automated telephone messages, or both for underimmunized children in a health maintenance organization. Pediatrics. 1998; 101(4):E3. DOI: 10.1542/peds.101.4.e3. View

11.

Markowitz L, Dunne E, Saraiya M, Lawson H, Chesson H, Unger E . Quadrivalent Human Papillomavirus Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2007; 56(RR-2):1-24. View

12.

Hak E, van Essen G, Stalman W, de Melker R . Improving influenza vaccination coverage among high-risk patients: a role for computer-supported prevention strategy?. Fam Pract. 1998; 15(2):138-43. DOI: 10.1093/fampra/15.2.138. View

13.

Daley M, Steiner J, Brayden R, Xu S, Morrison S, Kempe A . Immunization registry-based recall for a new vaccine. Ambul Pediatr. 2002; 2(6):438-43. DOI: 10.1367/1539-4409(2002)002<0438:irbrfa>2.0.co;2. View

14.

. National and state vaccination coverage among adolescents aged 13 through 17 years--United States, 2010. MMWR Morb Mortal Wkly Rep. 2011; 60(33):1117-23. View

15.

Brewer N, Fazekas K . Predictors of HPV vaccine acceptability: a theory-informed, systematic review. Prev Med. 2007; 45(2-3):107-14. DOI: 10.1016/j.ypmed.2007.05.013. View

16.

Rosenthal S, Weiss T, Zimet G, Ma L, Good M, Vichnin M . Predictors of HPV vaccine uptake among women aged 19-26: importance of a physician's recommendation. Vaccine. 2010; 29(5):890-5. DOI: 10.1016/j.vaccine.2009.12.063. View

17.

Tiro J, Meissner H, Kobrin S, Chollette V . What do women in the U.S. know about human papillomavirus and cervical cancer?. Cancer Epidemiol Biomarkers Prev. 2007; 16(2):288-94. DOI: 10.1158/1055-9965.EPI-06-0756. View

18.

Waller J, Marlow L, Wardle J . Mothers' attitudes towards preventing cervical cancer through human papillomavirus vaccination: a qualitative study. Cancer Epidemiol Biomarkers Prev. 2006; 15(7):1257-61. DOI: 10.1158/1055-9965.EPI-06-0041. View

19.

Riedesel J, Rosenthal S, Zimet G, Bernstein D, Huang B, Lan D . Attitudes about human papillomavirus vaccine among family physicians. J Pediatr Adolesc Gynecol. 2005; 18(6):391-8. DOI: 10.1016/j.jpag.2005.09.004. View

20.

Briss P, Rodewald L, Hinman A, Shefer A, Strikas R, Bernier R . Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults. The Task Force on Community Preventive Services. Am J Prev Med. 2000; 18(1 Suppl):97-140. DOI: 10.1016/s0749-3797(99)00118-x. View