A5000889881- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Hepatitis B Virus Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Genital Health and Disease
- Global Cancer Incidence and Screening
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Adolescent Sexual and Reproductive Health
- Influenza Virus Research Studies
- Behavioral Health and Interventions
- Health Systems, Economic Evaluations, Quality of Life
- Child and Adolescent Health
- Smoking Behavior and Cessation
- Healthcare Policy and Management
- Child Development and Digital Technology
- Patient-Provider Communication in Healthcare
- Vector-Borne Animal Diseases
- Media Influence and Health
- Skin Protection and Aging
- Adolescent and Pediatric Healthcare
- Hepatitis Viruses Studies and Epidemiology
- Mental Health and Patient Involvement
- Public Health Policies and Education
- Obesity, Physical Activity, Diet
University of North Carolina at Chapel Hill
2014-2025
UNC Lineberger Comprehensive Cancer Center
2012-2024
Segeberger Kliniken
2014-2024
University of North Carolina Health Care
2022
Womack Army Medical Center
2022
Media Working Group
2021
Harvard Pilgrim Health Care
2015-2018
Harvard University
2015-2018
Public Health Department
2018
Dana-Farber/Harvard Cancer Center
2016-2017
OBJECTIVE: Improving provider recommendations is critical to addressing low human papillomavirus (HPV) vaccination coverage. Thus, we sought determine the effectiveness of training providers improve their using either presumptive “announcements” or participatory “conversations.” METHODS: In 2015, conducted a parallel-group randomized clinical trial with 30 pediatric and family medicine clinics in central North Carolina. We receive no (control), announcement training, conversation training....
Improving the quality of physicians' recommendations for human papillomavirus (HPV) vaccination is critical to addressing low coverage. Thus, we sought describe HPV vaccine communication practices among primary care physicians.Pediatricians and family physicians (n = 776) completed our national online survey in 2014. We assessed their on strength endorsement (i.e., saying important), timeliness (recommending it by ages 11-12), consistency routinely vs. using a risk-based approach), urgency...
We conducted a longitudinal study to examine human papillomavirus (HPV) vaccine uptake among male adolescents and identify vaccination predictors.In fall 2010 2011, national sample of parents with sons aged 11 17 years (n = 327) their 228) completed online surveys. used logistic regression predictors HPV that occurred between baseline follow-up.Only 2% had received any doses at baseline, an increase 8% by follow-up. About 55% who ever doctor's recommendation get did vaccinate follow-up,...
Background: We sought to estimate the national prevalence of HPV vaccine refusal and delay in a nationally-representative sample parents adolescents. also compared who refused versus delayed terms their vaccination beliefs clinical communication preferences. Methods: In 2014 2015, we conducted an online survey 1,484 US reported on 11- 17-year-old child household. used weighted multinomial logistic regression assess correlates delay. Results: Overall, 28% that they had ever "refused or...
Objective To support efforts to address parental hesitancy towards early childhood vaccination, we sought validate the Vaccination Confidence Scale using data from a large, population-based sample of U.S. parents. Methods We used weighted 9,354 parents who completed 2011 National Immunization Survey. Parents reported on immunization history 19- 35-month-old child in their households. Healthcare providers then verified children's vaccination status for vaccines including measles, mumps, and...
OBJECTIVES: To assess the effectiveness of in-person and webinar-delivered AFIX (Assessment, Feedback, Incentives, eXchange) consultations for increasing adolescent vaccine coverage. METHODS: We randomly assigned 91 primary care clinics in North Carolina, serving 107 443 adolescents, to receive no consultation or an webinar consultation. delivered April through May 2011 August 2011. The state's immunization registry provided coverage data younger patients (ages 11–12 years) older 13–18 3...
Improving healthcare providers' communication about HPV vaccination is critical to increasing uptake. We previously demonstrated that training providers use presumptive announcements introduce improved uptake, whereas them participatory conversations had no effect. To understand how changed provider perceptions and practices, we evaluated intermediate outcomes process measures from our randomized clinical trial, with a particular focus on identifying mechanisms might explain the announcement...
: media-1vid110.1542/5972295740001PEDS-VA_2018-1872Video Abstract OBJECTIVES: We sought to identify effective responses parents' questions and concerns about human papillomavirus (HPV) vaccine.In 2017-2018, we surveyed a national sample of 1196 US parents children aged 9 17 years. recorded brief videos pediatrician providing messages that addressed 7 HPV vaccination topics commonly elicit or (eg, recommended age). randomly assigned 1 the message topics; then viewed 4 on topic in random order...
This article provides best and promising practices for recommending HPV vaccination at age 9 as a way to ensure high uptake. An effective method is the Announcement Approach, which consists of 3 evidence-based steps. The first step, Announce, involves noting that child years old, saying they are due vaccine prevents 6 cancers, you'll vaccinate today. adapted version Announce step simplifies bundled approach used ages 11–12 emphasizes prevention meningitis whooping cough in addition cancers....