a College of Public Health, University of South Florida , Tampa , FL , USA.
b Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center , Fort Worth , TX , USA.
Hum Vaccin Immunother. 2019;15(7-8):1856-1862. doi: 10.1080/21645515.2019.1565261. Epub 2019 Feb 20.
Evidence suggests a causal connection between the Human Papillomavirus (HPV) and oropharyngeal cancers. HPV-related oropharyngeal cancers are increasing and are the most common HPV-associated cancer. Previous research suggests that dental professionals recognize a role in the prevention of HPV and oropharyngeal cancers. As an initial step to investigating effective mechanisms of incorporating HPV prevention into dental practices, including the HPV vaccine, this qualitative study explored dental opinion leaders' perspectives on barriers and facilitators to HPV-related prevention in the dental profession. Dental opinion leaders were identified through: (1) national professional organizations and advocacy groups, (2) by indication of an expert panel, and (3) focus groups conducted with oral health providers. Thirteen participants representing 11 organizations were interviewed via telephone. Interview recordings were transcribed verbatim and thematically coded using a priori and emergent codes. Opinion leaders described multi-level factors influencing dental providers' HPV-related prevention practice behaviors. Barriers included HPV as a sensitive topic and the need for HPV-related education and skills. Facilitators included perceptions of HPV prevention as part of the dental providers' role and the potential development of passive educational methods to provide HPV-related information to patients. Opinion leaders reported dental providers have a role in the prevention of HPV and oropharyngeal cancer; yet, to fully incorporate this topic into their practice, dental providers need further education and skill-based training. Opinion leaders have significant role in shaping this topic as a priority and identifying potential interventions to assist dental providers' HPV-related prevention. Future research should maximize the role of opinion leaders as key change agents.
有证据表明人类乳头瘤病毒（HPV）与口咽癌之间存在因果关系。HPV 相关的口咽癌正在增加，是最常见的 HPV 相关癌症。先前的研究表明，牙科专业人员认识到在预防 HPV 和口咽癌方面的作用。作为将 HPV 预防纳入牙科实践（包括 HPV 疫苗）的有效机制的初步研究，本定性研究探讨了牙科意见领袖对牙科专业中 HPV 相关预防的障碍和促进因素的看法。通过以下三种方式确定了牙科意见领袖：（1）国家专业组织和倡导团体；（2）专家小组的指示；（3）与口腔卫生提供者进行的焦点小组。代表 11 个组织的 13 名参与者通过电话接受了采访。采访录音逐字转录，并使用预先确定的和新兴的代码进行主题编码。意见领袖描述了影响牙科提供者 HPV 相关预防实践行为的多层次因素。障碍包括 HPV 是一个敏感话题，需要进行 HPV 相关教育和技能培训。促进因素包括将 HPV 预防视为牙科提供者角色的一部分，以及开发被动教育方法为患者提供 HPV 相关信息的潜力。意见领袖报告称，牙科提供者在 HPV 和口咽癌的预防中发挥作用；然而，要将这一主题充分纳入其实践，牙科提供者需要进一步的教育和技能培训。意见领袖在将这一主题作为优先事项，并确定潜在的干预措施来协助牙科提供者的 HPV 相关预防方面，发挥着重要作用。未来的研究应最大限度地发挥意见领袖作为关键变革推动者的作用。
