Kumar Maya M, Boies Eyla G, Sawyer Mark H, Kennedy Meredith, Williams Christine, Rhee Kyung E
1 University of California San Diego, CA, USA.
2 American Academy of Pediatrics, California Chapter 3, San Diego, CA, USA.
Clin Pediatr (Phila). 2019 Jan;58(1):17-23. doi: 10.1177/0009922818805217. Epub 2018 Oct 3.
The American Academy of Pediatrics California Chapter 3 created a 20-minute training video targeting barriers to strong provider recommendation of the human papillomavirus (HPV) vaccine. The video included clinical vignettes featuring pediatricians modeling counseling techniques with vaccine-hesitant families. Ninety-six multidisciplinary providers (including pediatric residents) at 6 sites viewed the video and completed baseline and posttest questionnaires assessing their vaccine knowledge, attitudes toward vaccination, and comfort with skills needed to facilitate vaccination. Following the intervention, providers had substantial and statistically significant ( P < .05) improvements in multiple areas assessed, particularly knowledge of the burden of HPV-related disease in males and changes in vaccine response with age; likelihood of "strongly agreeing" that vaccination should not be delayed beyond preadolescence and that HPV vaccine is safe; and feeling "very comfortable" counseling vaccine-hesitant parents and facilitating vaccine completion. This cost-effective and easily disseminated training modality shows promise in increasing provider comfort with HPV vaccine counseling.
美国儿科学会加利福尼亚分会第3章制作了一个20分钟的培训视频，该视频针对阻碍医疗服务提供者大力推荐人乳头瘤病毒（HPV）疫苗的因素。视频中包含临床案例片段，展示了儿科医生对有疫苗犹豫情绪的家庭进行咨询技巧示范。6个地点的96名多学科医疗服务提供者（包括儿科住院医师）观看了该视频，并完成了基线和测试后问卷，以评估他们的疫苗知识、对疫苗接种的态度以及对促进疫苗接种所需技能的掌握程度。干预后，在评估的多个领域，医疗服务提供者有了实质性且具有统计学意义（P < .05）的改善，特别是在男性HPV相关疾病负担的知识以及疫苗反应随年龄变化方面；“强烈同意”不应在青春期前延迟接种疫苗以及HPV疫苗是安全的可能性；以及在为有疫苗犹豫情绪的家长提供咨询和促进疫苗接种完成方面“非常自在”的感觉。这种具有成本效益且易于传播的培训方式在提高医疗服务提供者对HPV疫苗咨询的自信方面显示出了前景。
