Mayne Stephanie, Karavite Dean, Grundmeier Robert W, Localio Russell, Feemster Kristen, DeBartolo Elena, Hughes Cayce C, Fiks Alexander G
Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
AMIA Annu Symp Proc. 2012;2012:616-24. Epub 2012 Nov 3.
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.
我们开发了一种基于电子病历（EMR）的HPV疫苗决策支持干预措施，针对临床医生（免疫接种提醒、教育和反馈）以及家庭（电话提醒和转介至教育网站）。通过对162名青春期女孩家长进行的电话调查，我们评估了以家庭为重点的干预措施的可接受性及其对信息寻求行为、沟通和HPV疫苗决策的影响。家长们接受了该干预措施，46%的家长记得接到过提醒电话。家长们表示，这个电话促使他们去寻找有关HPV疫苗的信息，与朋友和家人讨论疫苗，并做出决定。其青春期女孩所在医疗机构接受了以临床医生为重点的干预措施的家长，更有可能报告称其临床医生在预防性就诊时讨论了HPV疫苗。这项研究的结果证明了针对临床医生和家庭的综合决策支持系统在临床护理方面的可接受性和潜在影响。
