Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA; Penn State Cancer Institute, Hershey, PA 17033, USA.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA.
Vaccine. 2018 Nov 26;36(49):7525-7529. doi: 10.1016/j.vaccine.2018.10.053. Epub 2018 Oct 23.
Parents have varied HPV vaccine communication needs, which presents a challenge for healthcare providers. To improve communication resources for providers, we sought to characterize HPV vaccination messages available in existing educational materials. In fall 2016, we searched PubMed, educational material clearinghouses, and Google for English language HPV vaccination messages. We extracted messages that a provider might use when raising the topic of HPV vaccination, answering common questions, and motivating vaccination. Two reviewers independently coded each message. The search identified 267 unique messages about HPV vaccination. Messages generally were long (mean no. of words = 44, standard deviation [SD] = 33) and required a high level of education to read (mean reading grade level = 10, SD = 3). Only 32% of messages were shorter than 25 words, and 12% had a readability at or below grade 6. Most frequent were messages to address common parent questions or concerns (62%); the most common topics were diseases prevented by HPV vaccine (18%) and safety and side effects (16%). Many messages included information about cancer prevention (26%) and same-day vaccination (13%). Few messages (6%) used a presumptive style to recommend HPV vaccination. In conclusion, available messages about HPV vaccination were markedly varied. We identified few messages that were both brief (to facilitate providers memorizing them) and accessible (to facilitate parents understanding them). Future research should identify which messages lead to HPV vaccine uptake.
家长对 HPV 疫苗的沟通需求各不相同，这给医疗服务提供者带来了挑战。为了改善医疗服务提供者的沟通资源，我们试图描述现有教育材料中 HPV 疫苗接种信息的特点。2016 年秋季，我们在 PubMed、教育材料资源中心和谷歌上搜索了关于 HPV 疫苗接种的英文信息。我们提取了提供者在提出 HPV 疫苗接种话题、回答常见问题和推动疫苗接种时可能使用的信息。两位审查员独立对每条信息进行编码。搜索确定了 267 条关于 HPV 疫苗接种的独特信息。这些信息通常篇幅较长（平均字数为 44 个，标准差为 33 个），阅读水平要求较高（平均阅读年级为 10 年级，标准差为 3 年级）。只有 32%的信息少于 25 个单词，12%的信息的可读性在 6 年级或以下。最常见的是解决常见家长问题或关注点的信息（62%）；最常见的主题是 HPV 疫苗预防的疾病（18%）和安全性和副作用（16%）。许多信息包括关于癌症预防（26%）和当天接种疫苗（13%）的信息。很少有信息（6%）采用假设的风格来推荐 HPV 疫苗接种。总之，现有的 HPV 疫苗接种信息差异很大。我们发现，很少有信息既简短（便于提供者记住）又通俗易懂（便于家长理解）。未来的研究应该确定哪些信息会导致 HPV 疫苗接种率的提高。
