“I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine Promotion
The human papillomavirus (HPV) vaccine can prevent HPV-related oropharyngeal cancers. Dental practitioners are uniquely positioned to promote HPV vaccines during routine dental care but experience barriers to doing so. Qualitative interviews were conducted with dental practitioners to understand bar...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-04-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/12/7/780 |
| _version_ | 1797212548980801536 |
|---|---|
| author | Meghan M. JaKa Maren S. G. Henderson Amanda D. Gillesby Laura J. Zibley Sarah M. Basile Bryan S. Michalowicz Donald Worley Elyse O. Kharbanda Steve E. Asche Patricia L. Mabry Brad D. Rindal |
| author_facet | Meghan M. JaKa Maren S. G. Henderson Amanda D. Gillesby Laura J. Zibley Sarah M. Basile Bryan S. Michalowicz Donald Worley Elyse O. Kharbanda Steve E. Asche Patricia L. Mabry Brad D. Rindal |
| author_sort | Meghan M. JaKa |
| collection | DOAJ |
| description | The human papillomavirus (HPV) vaccine can prevent HPV-related oropharyngeal cancers. Dental practitioners are uniquely positioned to promote HPV vaccines during routine dental care but experience barriers to doing so. Qualitative interviews were conducted with dental practitioners to understand barriers and inform intervention strategies to promote HPV vaccines. Dental practitioners were invited to participate in phone interviews about knowledge, self-efficacy, and the fear of negative consequences related to HPV vaccine promotion as well as feedback on potential interventions to address these barriers. Interviews were audio recorded, transcribed, and analyzed using rapid qualitative analysis with a sort-and-sift matrix approach. Interviews were completed with 11 practitioners from six dental clinics (avg. 31 min). Though most thought HPV vaccination was important, they lacked detailed knowledge about when and to whom the vaccine should be recommended. This led to a hypothesized need for discussions of sexual history, feelings of limited self-efficacy to make the recommendation, and fear of patient concerns. Still, practitioners were supportive of additional training opportunities and provided input into specific interventions. The nuance of how these barriers were described by practitioners, as well as the possible solutions they identified, will help shape future interventions supporting HPV vaccine promotion in dental care. |
| first_indexed | 2024-04-24T10:44:09Z |
| format | Article |
| id | doaj.art-175cc2800d4e48ff9503cf7e2e22df67 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-04-24T10:44:09Z |
| publishDate | 2024-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-175cc2800d4e48ff9503cf7e2e22df672024-04-12T13:19:00ZengMDPI AGHealthcare2227-90322024-04-0112778010.3390/healthcare12070780“I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine PromotionMeghan M. JaKa0Maren S. G. Henderson1Amanda D. Gillesby2Laura J. Zibley3Sarah M. Basile4Bryan S. Michalowicz5Donald Worley6Elyse O. Kharbanda7Steve E. Asche8Patricia L. Mabry9Brad D. Rindal10Center for Evaluation & Survey Research, HealthPartners Institute, Bloomington, MN 55425, USACenter for Evaluation & Survey Research, HealthPartners Institute, Bloomington, MN 55425, USACenter for Oral Health Integration, HealthPartners Institute, Bloomington, MN 55425, USACenter for Evaluation & Survey Research, HealthPartners Institute, Bloomington, MN 55425, USACenter for Oral Health Integration, HealthPartners Institute, Bloomington, MN 55425, USACenter for Oral Health Integration, HealthPartners Institute, Bloomington, MN 55425, USAHealthPartners Dental Group, Bloomington, MN 55425, USAHealthPartners Institute, Bloomington, MN 55425, USAHealthPartners Institute, Bloomington, MN 55425, USAHealthPartners Institute, Bloomington, MN 55425, USACenter for Oral Health Integration, HealthPartners Institute, Bloomington, MN 55425, USAThe human papillomavirus (HPV) vaccine can prevent HPV-related oropharyngeal cancers. Dental practitioners are uniquely positioned to promote HPV vaccines during routine dental care but experience barriers to doing so. Qualitative interviews were conducted with dental practitioners to understand barriers and inform intervention strategies to promote HPV vaccines. Dental practitioners were invited to participate in phone interviews about knowledge, self-efficacy, and the fear of negative consequences related to HPV vaccine promotion as well as feedback on potential interventions to address these barriers. Interviews were audio recorded, transcribed, and analyzed using rapid qualitative analysis with a sort-and-sift matrix approach. Interviews were completed with 11 practitioners from six dental clinics (avg. 31 min). Though most thought HPV vaccination was important, they lacked detailed knowledge about when and to whom the vaccine should be recommended. This led to a hypothesized need for discussions of sexual history, feelings of limited self-efficacy to make the recommendation, and fear of patient concerns. Still, practitioners were supportive of additional training opportunities and provided input into specific interventions. The nuance of how these barriers were described by practitioners, as well as the possible solutions they identified, will help shape future interventions supporting HPV vaccine promotion in dental care.https://www.mdpi.com/2227-9032/12/7/780HPV vaccinationoropharyngeal cancersemi-structured interviewsrapid qualitative analysisimplementation sciencebehavioral mechanisms |
| spellingShingle | Meghan M. JaKa Maren S. G. Henderson Amanda D. Gillesby Laura J. Zibley Sarah M. Basile Bryan S. Michalowicz Donald Worley Elyse O. Kharbanda Steve E. Asche Patricia L. Mabry Brad D. Rindal “I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine Promotion Healthcare HPV vaccination oropharyngeal cancer semi-structured interviews rapid qualitative analysis implementation science behavioral mechanisms |
| title | “I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine Promotion |
| title_full | “I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine Promotion |
| title_fullStr | “I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine Promotion |
| title_full_unstemmed | “I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine Promotion |
| title_short | “I’m Torn”: Qualitative Analysis of Dental Practitioner-Perceived Barriers, Facilitators, and Solutions to HPV Vaccine Promotion |
| title_sort | i m torn qualitative analysis of dental practitioner perceived barriers facilitators and solutions to hpv vaccine promotion |
| topic | HPV vaccination oropharyngeal cancer semi-structured interviews rapid qualitative analysis implementation science behavioral mechanisms |
| url | https://www.mdpi.com/2227-9032/12/7/780 |
| work_keys_str_mv | AT meghanmjaka imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT marensghenderson imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT amandadgillesby imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT laurajzibley imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT sarahmbasile imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT bryansmichalowicz imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT donaldworley imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT elyseokharbanda imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT steveeasche imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT patricialmabry imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion AT braddrindal imtornqualitativeanalysisofdentalpractitionerperceivedbarriersfacilitatorsandsolutionstohpvvaccinepromotion |