Clinician Perspectives on Implementing HPV Vaccination Guidelines into Practice.

{"article_title":"Clinician Perspectives on Implementing HPV Vaccination Guidelines into Practice.","author":"\"Thompson, Erika L , Akpan, Idara N , Taskin, Tanjila , Alkhatib, Sarah , Grace, Jessica , Daley, Ellen M , Zimet, Gregory D , Wheldon, Christopher W\"","journal_title":"Behavioral medicine (Washington, D.C.)","issn":"0896-4289 ; Print","isbn":"","publication_date":"20250701","volume":"51","issue":"3","first_page":"233","page_count":"8","accession_number":"39704138","doi":"10.1080\/08964289.2024.2438022","publisher":"Routledge","doctype":"Journal Article","subjects":"Vaccination","interest_area":["Infectious Disease & Vaccines"," Immunology Allergy & Inflammation"," Obstetrics & Gynecology"],"abstract":"In the United States, HPV vaccination is available for unvaccinated 27 to 45 year olds based on a shared clinical decision with a health care provider. Since the implementation of the guideline, little has been known about provider perceptions of this recommendation. The purpose of this study was to elucidate health care provider perspectives on HPV vaccination for 27 to 45 year olds in the United States. Semi-structured interviews were conducted virtually with 18 health care providers regarding current HPV vaccination practices for 27 to 45 year olds, perceptions of the guideline, and shared clinical decision-making needs. Thematic analysis was conducted using interview transcripts, and interrater reliability was achieved for >10% of the transcripts. Overall, most participants reported that they have recommended HPV vaccination to patients aged 27 to 45 year olds; however, they applied various criteria to guide these discussions. Some participants considered the patients' relationship statuses, sexual partnerships, past HPV infection history, and age. Potential needs to facilitate shared clinical decision-making processes included medical record prompts and brief educational materials. While most health care providers in this sample discussed HPV vaccination with their patients ages 27 to 45 years old, there were inconsistencies in the interpretation of the guideline. The lack of specificity in the recommendation will likely result in significant and potentially inequitable implementation difficulties.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=39704138&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Thompson EL, Akpan IN, Taskin T, Alkhatib S, Grace J, Daley EM, Zimet GD, Wheldon CW","Journal_Info":"Publisher: Routledge Country of Publication: United States NLM ID: 8804264 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1940-4026 (Electronic) Linking ISSN: 08964289 NLM ISO Abbreviation: Behav Med Subsets: MEDLINE","Publication_Type":"Journal Article","Published_Date":"2025-07-01","Source":"Behavioral medicine (Washington, D.C.) [Behav Med] 2025 Jul-Sep; Vol. 51 (3), pp. 233-240. Date of Electronic Publication: 2024 Dec 20.","Languages":"English","Electronic_ISSN":"1940-4026","MeSH_Terms":"Papillomavirus Vaccines*\/therapeutic use , Papillomavirus Vaccines*\/administration & dosage , Papillomavirus Infections*\/prevention & control , Vaccination* , Attitude of Health Personnel* , Health Personnel*\/psychology , Practice Guidelines as Topic*, Humans ; Adult ; Female ; Middle Aged ; Male ; United States ; Decision Making, Shared ; Clinical Decision-Making","Subjects":"Humans, Adult, Female, Middle Aged, Male, United States, Decision Making, Shared, Clinical Decision-Making, Papillomavirus Vaccines therapeutic use, Papillomavirus Vaccines administration & dosage, Papillomavirus Infections prevention & control, Vaccination, Attitude of Health Personnel, Health Personnel psychology, Practice Guidelines as Topic","Title_Abbreviations":"Behavioral medicine (Washington, D.C.)","Volume":"51"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"39704138","RelevancyScore":"983","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"982.519348144531"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=39704138&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=39704138&authtype=shib&custid=ns346513&group=main&profile=eds"}