Provider communication about HPV vaccination: A systematic review

Area of Science:

• Public Health
• Health Communication
• Vaccinology

Background:

• Improving human papillomavirus (HPV) vaccination coverage in the U.S. is crucial.
• Effective healthcare provider recommendations are key to increasing vaccination rates.

Purpose of the Study:

• To systematically review studies on provider communication strategies for HPV vaccination.
• To inform quality improvement initiatives aimed at enhancing HPV vaccine uptake.

Main Methods:

• Conducted a systematic literature search across major databases (MEDLINE, CINAHL, EMBASE, POPLINE) in August 2015.
• Included 101 qualitative and quantitative studies examining provider-patient communication regarding HPV vaccination.

Main Results:

• Provider discomfort discussing sensitive topics and perceived parental hesitancy were barriers to recommendation.
• Younger patients, males, and racial/ethnic minorities were less likely to receive recommendations.
• Providers often delivered mixed messages, failing to strongly endorse the HPV vaccine or presenting it as optional.

Conclusions:

• Targeted interventions are necessary to equip healthcare providers with effective communication skills for HPV vaccination.
• Addressing provider-based barriers and improving recommendation clarity can enhance vaccine acceptance.