Identifying Healthcare Professionals with Lower Human Papillomavirus (HPV) Vaccine Recommendation Quality: A Systematic Review

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Citation

Kong, Wei Yi; Oh, Nul Loren; Kennedy, Kathryn L.; Carlson, Rebecca B.; Liu, Amy; Ozawa, Sachiko; Brewer, Noel T.; & Gilkey, Melissa B. (Online ahead of print). Identifying Healthcare Professionals with Lower Human Papillomavirus (HPV) Vaccine Recommendation Quality: A Systematic Review. Journal of Adolescent Health.

Abstract

PURPOSE: Strengthening healthcare professionals' (HCPs) communication is an evidence-based approach to increasing human papillomavirus (HPV) vaccine uptake among adolescents. To better target future interventions, we sought to synthesize evidence on HCP subgroups who most need to improve their HPV vaccine recommendation quality.
METHODS: We searched five databases for quantitative studies published from 2012 to 2022 on HPV vaccine recommendation quality, including recommendation consistency and strength, for United States adolescents. Two coders independently abstracted data from each eligible study, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We summarized variation in recommendation quality by clinical and HCP characteristics.
RESULTS: The 28 eligible studies indicated that relatively low proportions of HCPs used higher-quality recommendation practices (median: 61% across 30 measures) and that recommendation quality varied across HCP subgroups. The most consistent findings were that more pediatric HCPs used higher-quality recommendations than family medicine HCPs (8 of 11 studies, 2-60 percentage point difference) and that HPV-related knowledge was associated with higher recommendation quality (four of seven studies). Most studies observed no differences in recommendation quality by clinical role (e.g., provider vs. nurse) or HCP demographics (e.g., gender, age, race/ethnicity).
DISCUSSION: Studies suggest a substantial need to improve HCPs' recommendation quality, with opportunities for targeting future interventions.

URL

http://dx.doi.org/10.1016/j.jadohealth.2023.11.016

Reference Type

Journal Article

Year Published

Online ahead of print

Journal Title

Journal of Adolescent Health

Author(s)

Kong, Wei Yi
Oh, Nul Loren
Kennedy, Kathryn L.
Carlson, Rebecca B.
Liu, Amy
Ozawa, Sachiko
Brewer, Noel T.
Gilkey, Melissa B.

Article Type

Review

ORCiD

Ozawa - 0000-0001-7608-9038