Berenson Abbey B, Rahman Mahbubur, Hirth Jacqueline M, Rupp Richard E, Sarpong Kwabena O
a Center for Interdisciplinary Research in Women's Health; The University of Texas Medical Branch ; Galveston , TX , USA.
Hum Vaccin Immunother. 2015;11(6):1331-6. doi: 10.1080/21645515.2015.1022691.
Recommendation by a healthcare provider is critical to increase human papillomavirus (HPV) vaccine uptake in the US. However, current deficits in providers' knowledge of HPV and its vaccine are not fully understood and interventions to amend knowledge gaps are untested. To determine whether attending a structured presentation could increase provider knowledge of the HPV vaccine, we assessed knowledge levels of physicians, non-physician healthcare workers, and medical students before and after attending a 30-minute lecture held between October 2012 and June 2014. Paired t-test and McNemar's test were used to compare knowledge scores and the proportion of correct responses for each question, respectively. Multiple linear regression analyses were performed to examine correlates of baseline knowledge and change in knowledge scores post-intervention. A total of 427 participants, including 75 physicians, 208 medical students, and 144 nurses or other healthcare workers, attended one of 16 presentations and responded to both pre-test and post-test surveys. Baseline knowledge was low among all groups, with scores higher among older participants and physicians/medical students. On average, knowledge scores significantly improved from 8 to 15 after the presentation (maximum possible score 16) (P < .001), irrespective of specialty, race/ethnicity, gender, and age. Although lower at baseline, knowledge scores of younger participants and non-physician healthcare workers (e.g., nurses, physician assistants (PAs), nursing students) improved the most of all groups. We conclude that a brief, structured presentation increased HPV knowledge among a variety of healthcare workers, even when their baseline knowledge was low.
医疗服务提供者的建议对于提高美国人类乳头瘤病毒（HPV）疫苗接种率至关重要。然而，目前医疗服务提供者对HPV及其疫苗知识的欠缺尚未得到充分了解，且弥补知识差距的干预措施也未经测试。为了确定参加结构化讲座是否能增加医疗服务提供者对HPV疫苗的了解，我们评估了2012年10月至2014年6月期间参加30分钟讲座前后医生、非医生医护人员和医学生的知识水平。配对t检验和McNemar检验分别用于比较知识得分和每个问题的正确回答比例。进行多元线性回归分析以检查基线知识的相关因素以及干预后知识得分的变化。共有427名参与者，包括75名医生、208名医学生和144名护士或其他医护人员，参加了16场讲座中的一场，并对测试前和测试后的调查问卷都做出了回应。所有组的基线知识水平都较低，年龄较大的参与者以及医生/医学生的得分更高。平均而言，讲座后知识得分从8分显著提高到15分（满分16分）（P <.001），无论专业、种族/民族、性别和年龄如何。尽管年轻参与者和非医生医护人员（如护士、医师助理（PA）、护理专业学生）的基线知识较低，但他们在所有组中知识得分提高最多。我们得出结论，即使基线知识水平较低，简短的结构化讲座也能提高各类医护人员对HPV的知识。
