A scoping review of pediatric healthcare provider HPV vaccine communication trainings and implementation outcomes: A critical analysis and recommendations for improvement
A partir d'une revue systématique de la littérature publiée entre 2013 et 2023 (17 articles), cette étude analyse l'effet de formations sur la pratique des professionnels de santé en pédiatrie concernant la vaccination contre le papillomavirus humain
Objective: While training providers to use high-quality human papillomavirus (HPV) vaccine recommendations increases vaccine rates, there is limited synthesized data on implementation outcomes and how these trainings change providers' practices. Such information is needed to provide direction for improving trainings. Therefore, the aim was to systematically analyze scientific literature assessing the use of implementation outcomes and behavior change theories to evaluate communication trainings designed to enhance HPV vaccine recommendation skills.
Methods: Five databases were searched, identifying 6194 titles and abstracts published between November 2013 and November 2023. Full-text screening yielded 17 articles meeting inclusion criteria (pediatric providers completing HPV vaccine communication training assessing ≥one implementation outcome). We extracted: training methods, use of theory, and implementation outcomes.
Results: Nearly all studies (n = 15) analyzed results at the clinic-level, while 14 studies also assessed provider-level outcomes. Of the clinic-level implementation outcomes, penetration (n = 12) was the most reported outcome, followed by adoption (n = 4) and cost (n = 4). Acceptability (n = 10), adoption (n = 8), appropriateness (n = 8) and feasibility (n = 7) were most reported provider-level outcomes. Four articles explicitly used theory and 12 articles assessed discrete theoretical constructs.
Conclusions: While clinic-level penetration, adoption, and costs were the most reported outcomes, fidelity was underreported, limiting accuracy of determining the trainings' effectiveness. For provider-level outcomes, training acceptability was high but had varying feasibility rates. Further, there was limited theory-driven evaluations and limited mechanisms of change to improve trainings and increase HPV vaccine uptake. Future studies should measure fidelity, determine the disconnect between acceptability and feasibility rates, and include theory-driven evaluations.
Preventive Medicine , résumé, 2025