- Parental HPV vaccine hesitancy can be reversed by assertive, persistent provider feedback/encouragement.
Why this matters
- Providers are parents’ preferred source for vaccine information.
- Using an assertive, persistent style to respectfully engage parents, address questions or concerns, and promote HPV vaccination may reverse hesitancy and increase same-day vaccination.
- 43 discussions, 11 providers, 72% parents were Hispanic, 28% African American.
- Parents expressed vaccine hesitancy in 37/43 visits, 73% (n=27) were refusals or request for delays (e.g., ‘let me think about it’).
- Parents’ questions focused on safety- or disease-specific concerns.
- Providers acquiesced in 16% (6) of visits, agreeing to delay vaccination, or agreeing to parents’ choice to accept/refuse.
- 35% (13) of visits contained a mixture of provider acquiescence and persistence (i.e., probing to understand concerns followed by eventual acquiescence).
- In 48.6% (18) of visits, providers responded by persistence only.
- Same-day vaccine uptake was 0% when providers acquiesced, 15.4% (2/13) when provider response was mixed, and 94.4% (17/18) when providers were persistent.
- Qualitative cohort analysis to develop typology around patient-provider communication around HPV vaccination hesitancy and patterns of association between communication and same-day vaccination.
- Funding: None.
- Focus solely on verbal vs nonverbal vaccine hesitancy.