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Clinician Perspectives on Implementing HPV Vaccination Guidelines into Practice.

Erika L Thompson1,2, Idara N Akpan2, Tanjila Taskin2

  • 1Department of Quantitative and Qualitative Health Sciences, University of Texas School of Public Health San Antonio, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

Behavioral Medicine (Washington, D.C.)
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Summary

Most healthcare providers discuss HPV vaccination for adults aged 27-45, but inconsistent guideline interpretation may hinder equitable implementation. Further support is needed for shared decision-making.

Keywords:
HPV vaccinationUnited Statesadultsguidelinesshared clinical decision making

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Area of Science:

  • Public Health
  • Infectious Disease Prevention
  • Health Policy

Background:

  • The U.S. offers HPV vaccination for unvaccinated adults aged 27-45 based on shared clinical decision-making.
  • Provider perspectives on this guideline are not well understood.

Purpose of the Study:

  • To explore healthcare provider views on HPV vaccination for adults aged 27-45 in the U.S.
  • To identify challenges and needs in implementing the HPV vaccination guideline for this age group.

Main Methods:

  • Virtual semi-structured interviews with 18 healthcare providers.
  • Thematic analysis of interview transcripts to identify key themes.
  • Interrater reliability assessment for qualitative data analysis.

Main Results:

  • Most providers reported recommending HPV vaccination to patients aged 27-45.
  • Providers used varied criteria (e.g., relationship status, sexual history, prior infection) for discussions.
  • Inconsistencies in guideline interpretation were observed, potentially impacting implementation.

Conclusions:

  • While most providers engage in HPV vaccination discussions for adults, guideline ambiguity poses implementation challenges.
  • Lack of specific guidance may lead to inequitable vaccine access and uptake.
  • Enhanced decision-making tools and educational materials are needed to support providers.