Clinician communication strategies associated with increased uptake of the human papillomavirus (HPV) vaccine: A systematic review.

文献信息

DOI	10.3322/caac.21753
PMID	35969145
期刊	CA: a cancer journal for clinicians
影响因子	232.4
JCR 分区	Q1
发表年份	2022
被引次数	18
关键词	临床医生、沟通、人乳头瘤病毒（HPV）、提供者、疫苗接种
文献类型	Systematic Review, Journal Article, Research Support, Non-U.S. Gov't
ISSN	0007-9235
页码	561-569
期号	72(6)
作者	Catherine Constable, Kyle Ferguson, Joey Nicholson, Gwendolyn P Quinn

一句话小结

本研究通过对46项相关文献的全面审查，探讨了医疗保健临床医生的沟通策略对人类乳头瘤病毒（HPV）疫苗接种的影响，发现强烈推荐和推定推荐是促进疫苗接种的有效策略。研究强调了提高疫苗接种率的重要性，并指出未来需要更多研究来评估其他沟通方法的效果。

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临床医生 · 沟通 · 人乳头瘤病毒（HPV） · 提供者 · 疫苗接种

摘要

人类乳头瘤病毒（HPV）目前与美国每年约35,000例新的癌症病例有关，包括女性和男性。Gardasil-9（默克公司）是目前在美国唯一可用的HPV疫苗，几乎对由致癌HPV类型引起的癌前病变具有100%的预防效果。然而，在美国，只有大约一半的青少年完成了HPV疫苗接种。众所周知，医疗保健临床医生的推荐在家长对HPV疫苗接种的决策中发挥着重要作用。越来越多的文献研究了促进HPV疫苗接种的具体沟通策略。需要对这些策略的证据进行全面的审查。作者在PubMed、EMBASE、Cochrane中央注册的对照试验、PsycINFO、护理与相关健康文献累计索引以及Web of Science Complete数据库中搜索了具有明确临床医生沟通策略和HPV疫苗接种或接种意向结果的原始文章（PROSPERO注册号：CRD42020107602）。共纳入了46项研究。作者识别出两种主要策略，其对疫苗接种的积极影响有强有力的证据支持：强烈推荐和推定推荐。由于随机对照试验数量较少，对因果关系的判断受到限制。此外，还有更多研究的机会，以确定动机访谈和癌症预防信息的效果。

英文摘要

Human papillomavirus (HPV) is currently linked to almost 35,000 new cases of cancer in women and men each year in the United States. Gardasil-9 (Merck & Company), the only HPV vaccine now available in the United States, is nearly 100% effective at preventing precancers caused by oncogenic HPV types. In the United States, however, only about one half of adolescents are up to date with HPV vaccination. It is well known that health care clinicians' recommendations play a significant role in parents' decisions regarding HPV vaccination. A growing body of literature examines specific communication strategies for promoting uptake of the HPV vaccine. A comprehensive review of the evidence for each of these strategies is needed. The authors searched the PubMed, EMBASE, Cochrane Central Register of Controlled Trials, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Web of Science Complete databases for original articles with a defined clinician communication strategy and an outcome of HPV vaccine uptake or intention to vaccinate (PROSPERO registry no. CRD42020107602). In total, 46 studies were included. The authors identified two main strategies with strong evidence supporting their positive impact on vaccine uptake: strong recommendation and presumptive recommendation. Determinations about a causal relationship were limited by the small numbers of randomized controlled trials. There is also opportunity for more research to determine the effects of motivational interviewing and cancer-prevention messaging.

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主要研究问题

核心洞察

研究背景和目的
人乳头瘤病毒（HPV）与美国每年约35,000例新发癌症病例密切相关，而目前美国仅有Gardasil-9疫苗可供接种，且其在预防由致癌型HPV引起的癌前病变方面几乎有效。然而，美国青少年中仅约一半完成了HPV疫苗的接种。研究表明，医疗保健临床医生的推荐对家长的接种决策具有重要影响。因此，本研究旨在系统性回顾特定的沟通策略，以促进HPV疫苗的接种率。
主要方法和发现
研究者通过PubMed、EMBASE、Cochrane中央注册的随机对照试验、PsycINFO、护理和健康相关文献的累积索引及Web of Science Complete数据库，筛选了涉及定义清晰的临床沟通策略和HPV疫苗接种结果或接种意向的原始文章，最终纳入了46项研究。研究发现，强烈推荐和推定推荐是两种具有显著证据支持的主要沟通策略，这两种策略均能有效提高疫苗接种率。然而，由于随机对照试验数量较少，因果关系的确定受到限制。此外，研究还指出了动机访谈和癌症预防信息传播策略的潜在研究机会。
核心结论
本系统评价明确了强烈推荐和推定推荐在提升HPV疫苗接种率方面的有效性。这表明，临床医生在沟通中采取更积极的推荐方式，可以显著影响家长对疫苗接种的接受度。尽管现有研究提供了有益的见解，但由于缺乏足够的高质量随机对照试验，进一步的研究仍然是必要的，以更全面地理解不同沟通策略的影响。
研究意义和影响
本研究为提升HPV疫苗接种率提供了重要的实证支持，强调了医疗沟通在公共卫生中的重要性。通过优化临床医生的沟通策略，可以有效提升家长对HPV疫苗的认可度和接种率，从而在未来降低HPV相关癌症的发生率。此外，研究还指出了未来研究的方向，鼓励探索动机访谈和癌症预防信息传播的有效性，以进一步改善疫苗接种的整体策略和实践。

引用本文的文献

Uptake of HPV vaccination among boys after the introduction of gender-neutral HPV vaccination in Germany before and during the COVID-19 pandemic. - Cornelia Wähner;Johannes Hübner;Dörte Meisel;Jörg Schelling;Rebecca Zingel;Sarah Mihm;Regine Wölle;Miriam Reuschenbach - Infection (2023)
Optimizing timing of adolescent vaccines: Impact of initiating HPV vaccination before Tdap or meningococcal vaccination on timely completion of the HPV vaccine series. - Sidika Kajtezovic;Jake R Morgan;Stephen Fiascone;Heather M Brandt;Rebecca B Perkins - Human vaccines & immunotherapeutics (2023)
HPV vaccine recommendations by age: A survey of providers in federally qualified health centers. - Paige Lake;Lindsay Fuzzell;Naomi C Brownstein;Holly B Fontenot;Alexandra Michel;McKenzie McIntyre;Ashley Whitmer;Sarah L Rossi;Rebecca B Perkins;Susan T Vadaparampil - Human vaccines & immunotherapeutics (2023)
How to make effective HPV vaccine recommendations starting at age 9. - Noel T Brewer;Benjamin Z Kahn;Katherine I Kritikos;Jennifer A Heisler-MacKinnon;Jessica D Young;Melissa B Gilkey - Human vaccines & immunotherapeutics (2023)
Patient-Provider Health Communication Strategies: Enhancing HPV Vaccine Uptake among Adolescents of Color. - Mia Ann Xu;Jasmin Choi;Ariadna Capasso;Ralph DiClemente - Healthcare (Basel, Switzerland) (2023)
Determinants of the Implementation of Human Papillomavirus Vaccination in Zambia: Application of the Consolidated Framework for Implementation Research. - Mwansa Ketty Lubeya;Carla J Chibwesha;Mulindi Mwanahamuntu;Moses Mukosha;Bellington Vwalika;Mary Kawonga - Vaccines (2023)
Benefits, challenges, and strategies related to using presumptive recommendations for HPV vaccination: A qualitative study with rural and non-rural-serving primary care professionals. - Olufeyisayo O Odebunmi;Lisa P Spees;Caitlin B Biddell;Tatenda Yemeke;Juan Yanguela;Colleen Higgins;Melissa B Gilkey;Sachiko Ozawa;Stephanie B Wheeler - Human vaccines & immunotherapeutics (2024)
Facilitators and barriers of HPV vaccination: a qualitative study in rural Georgia. - Courtney N Petagna;Stephen Perez;Erica Hsu;Brenda M Greene;Ionie Banner;Robert A Bednarczyk;Cam Escoffery - BMC cancer (2024)
Effect of an HPV Vaccination Multi-Level, Multi-Component Program on HPV Vaccination Initiation and Completion in a Pediatric Clinic Network. - Lara S Savas;Ross Shegog;Erica L Frost;C Mary Healy;Dale S Mantey;Sharon P Coan;L Aubree Shay;Travis A Teague;Juan J Ferreris;Sharice M Preston;Sally W Vernon - Vaccines (2024)
Clinician Communication Training to Increase Human Papillomavirus Vaccination Uptake: A Systematic Review and Meta-Analysis. - Nutthaporn Chandeying;Therdpong Thongseiratch - Vaccines (2024)

... (8 更多篇文献)

Clinician communication strategies associated with increased uptake of the human papillomavirus (HPV) vaccine: A systematic review. ​

文献信息 ​

一句话小结 ​

在麦伴科研 (maltsci.com) 搜索更多文献 ​

摘要 ​

英文摘要 ​

麦伴智能科研服务 ​

主要研究问题 ​

核心洞察 ​

引用本文的文献 ​