University of Washington School of Nursing, 1959 NE Pacific St, Box 357260, Seattle, WA, 98195, USA.
Division of Public Health Services, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, M3-B232, Seattle, WA, 98102, USA; Department of Health Services, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351621, Seattle, WA, 98195, USA.
Tumour Virus Res. 2021 Jun;11:200214. doi: 10.1016/j.tvr.2021.200214. Epub 2021 Feb 27.
To develop and evaluate an online continuing education (CE) course designed to improve healthcare provider self-efficacy to make strong adolescent HPV vaccine recommendations to East African immigrant families.
Focus groups with providers and East African immigrant mothers informed course development. Providers serving East African immigrant families were recruited to view the course and complete pre-/post-test and two-month follow-up surveys. Pre-/post differences were compared with paired t-tests.
202 providers completed the course and pre-/post-test; 158 (78%) completed two-month follow-up. Confidence to make strong HPV vaccine recommendations to East African families increased from 68% pre-test to 98% post-test. Confidence to address common parental concerns also increased: safety, 54% pre-test, 92% post-test; fertility, 55% pre-test, 90% post-test; child too young, 68% pre-test, 92% post-test; and pork gelatin in vaccine manufacturing, 38% pre-test, 90% post-test. Two-month follow-up scores remained high (97% for overall confidence, 94%-97% for addressing parental concerns). All pre-/post-test and pre-test/two-month follow-up comparisons were statistically significant (p < 0.05).
The online CE course focused on culturally appropriate strategies for making strong recommendations and addressing specific parental concerns was effective for increasing provider self-efficacy to recommend HPV vaccination to East African families. Similar courses could be tailored to other priority populations.
开发并评估一个在线继续教育（CE）课程，旨在提高医疗保健提供者向东非移民家庭推荐 HPV 疫苗的自信。
对提供者和东非移民母亲进行焦点小组讨论，为课程开发提供信息。招募为东非移民家庭服务的提供者观看课程并完成课前/课后测试和两个月的随访调查。使用配对 t 检验比较课前/课后的差异。
202 名提供者完成了课程和课前/课后测试；158 名（78%）完成了两个月的随访。向东非家庭推荐 HPV 疫苗的信心从课前的 68%增加到课后的 98%。解决常见家长担忧的信心也有所提高：安全性，课前 54%，课后 92%；生育能力，课前 55%，课后 90%；孩子太小，课前 68%，课后 92%；疫苗生产中使用猪明胶，课前 38%，课后 90%。两个月的随访评分仍然很高（总体信心 97%，解决家长担忧的信心 94%-97%）。所有课前/课后测试和课前测试/两个月随访的比较均具有统计学意义（p<0.05）。
该在线 CE 课程专注于针对东非家庭提出强烈推荐和解决特定家长担忧的文化适宜策略，对于提高提供者向东非家庭推荐 HPV 疫苗的自信是有效的。可以为其他重点人群量身定制类似的课程。
