Healthcare professionals' perceptions and recommendations regarding adolescent vaccinations in Georgia and Tennessee during the COVID-19 pandemic: A qualitative research
Despite its benefits, HPV vaccine uptake has been historically lower than other recommended adolescent vaccines in the United States (US). While hesitancy and misinformation have threatened vaccinations for many years, the adverse impacts from COVID-19 pandemic on preventive services have been far-r...
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| Veröffentlicht in: | PloS one 2022-11, Vol.17 (11), p.e0277748-e0277748 |
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| creator | Olusanya, Olufunto A White, Brianna Malik, Fauzia Hester, Kyra A Davis, Robert L Bednarczyk, Robert A Shaban-Nejad, Arash |
| description | Despite its benefits, HPV vaccine uptake has been historically lower than other recommended adolescent vaccines in the United States (US). While hesitancy and misinformation have threatened vaccinations for many years, the adverse impacts from COVID-19 pandemic on preventive services have been far-reaching.
To explore the perceptions and experiences of adolescent healthcare providers regarding routine vaccination services during the COVID-19 pandemic.
Between December 2020 and May 2021, in-depth qualitative interviews were conducted via Zoom video conferencing among a purposively selected, diverse group of adolescent healthcare providers (n = 16) within 5 healthcare practices in the US southeastern states of Georgia and Tennessee. Audio recordings were transcribed verbatim and analyzed using a rapid qualitative analysis framework. Our analysis was guided by the grounded theory and inductive approach.
Participants reported that patient-provider communications; effective use of presumptive languaging; provider's continuing education/training; periodic reminders/recall messages; provider's personal conviction on vaccine safety/efficacy; early initiation of HPV vaccination series at 9 years; community partnerships with community health navigators/vaccine champions/vaccine advocates; use of standardized forms/prewritten scripts/standard operating protocols for patient-provider interactions; and vaccine promotion through social media, brochures/posters/pamphlets as well as outreaches to schools and churches served as facilitators to adolescent HPV vaccine uptake. Preventive adolescent services were adversely impacted by the COVID-19 pandemic at all practices. Participants highlighted an initial decrease in patients due to the pandemic, while some practices avoided the distribution of vaccine informational materials due to sanitary concerns.
As part of a larger study, we provided contextual information to refine an intervention package currently being developed to improve adolescent preventive care provision in healthcare practices. Our results could inform the implementation of comprehensive intervention strategies that improve HPV vaccination rates. Additionally, lessons learned (e.g. optimizing patient- provider interactions) could be adopted to expand COVID-19 vaccine acceptance on a sizable scale. |
| doi_str_mv | 10.1371/journal.pone.0277748 |
| format | Article |
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To explore the perceptions and experiences of adolescent healthcare providers regarding routine vaccination services during the COVID-19 pandemic.
Between December 2020 and May 2021, in-depth qualitative interviews were conducted via Zoom video conferencing among a purposively selected, diverse group of adolescent healthcare providers (n = 16) within 5 healthcare practices in the US southeastern states of Georgia and Tennessee. Audio recordings were transcribed verbatim and analyzed using a rapid qualitative analysis framework. Our analysis was guided by the grounded theory and inductive approach.
Participants reported that patient-provider communications; effective use of presumptive languaging; provider's continuing education/training; periodic reminders/recall messages; provider's personal conviction on vaccine safety/efficacy; early initiation of HPV vaccination series at 9 years; community partnerships with community health navigators/vaccine champions/vaccine advocates; use of standardized forms/prewritten scripts/standard operating protocols for patient-provider interactions; and vaccine promotion through social media, brochures/posters/pamphlets as well as outreaches to schools and churches served as facilitators to adolescent HPV vaccine uptake. Preventive adolescent services were adversely impacted by the COVID-19 pandemic at all practices. Participants highlighted an initial decrease in patients due to the pandemic, while some practices avoided the distribution of vaccine informational materials due to sanitary concerns.
As part of a larger study, we provided contextual information to refine an intervention package currently being developed to improve adolescent preventive care provision in healthcare practices. Our results could inform the implementation of comprehensive intervention strategies that improve HPV vaccination rates. Additionally, lessons learned (e.g. optimizing patient- provider interactions) could be adopted to expand COVID-19 vaccine acceptance on a sizable scale.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0277748</identifier><identifier>PMID: 36399477</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adolescents ; Beliefs, opinions and attitudes ; Biology and Life Sciences ; Brochures ; Churches ; Continuing education ; Control ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - prevention & control ; COVID-19 Vaccines ; Demographic aspects ; Epidemics ; Georgia - epidemiology ; Health care ; Health Knowledge, Attitudes, Practice ; Health Personnel ; Health promotion ; Human papillomavirus ; Humans ; Immunization ; Medical personnel ; Medicine and Health Sciences ; Methods ; Navigators ; Pandemics ; Pandemics - prevention & control ; Papillomavirus Infections - prevention & control ; Papillomavirus Vaccines - therapeutic use ; Patients ; People and Places ; Qualitative analysis ; Qualitative Research ; Schools ; Teenagers ; Tennessee - epidemiology ; United States ; Vaccination ; Vaccines ; Videoconferencing</subject><ispartof>PloS one, 2022-11, Vol.17 (11), p.e0277748-e0277748</ispartof><rights>Copyright: © 2022 Olusanya et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Olusanya et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Olusanya et al 2022 Olusanya et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-2d81a942dedebe0020a386db9be6937f2fee0897e89d6c6527c5a076c752e3323</citedby><cites>FETCH-LOGICAL-c692t-2d81a942dedebe0020a386db9be6937f2fee0897e89d6c6527c5a076c752e3323</cites><orcidid>0000-0001-6983-2882 ; 0000-0001-7576-5874</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674128/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674128/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36399477$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Fischer, Florian</contributor><creatorcontrib>Olusanya, Olufunto A</creatorcontrib><creatorcontrib>White, Brianna</creatorcontrib><creatorcontrib>Malik, Fauzia</creatorcontrib><creatorcontrib>Hester, Kyra A</creatorcontrib><creatorcontrib>Davis, Robert L</creatorcontrib><creatorcontrib>Bednarczyk, Robert A</creatorcontrib><creatorcontrib>Shaban-Nejad, Arash</creatorcontrib><title>Healthcare professionals' perceptions and recommendations regarding adolescent vaccinations in Georgia and Tennessee during the COVID-19 pandemic: A qualitative research</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Despite its benefits, HPV vaccine uptake has been historically lower than other recommended adolescent vaccines in the United States (US). While hesitancy and misinformation have threatened vaccinations for many years, the adverse impacts from COVID-19 pandemic on preventive services have been far-reaching.
To explore the perceptions and experiences of adolescent healthcare providers regarding routine vaccination services during the COVID-19 pandemic.
Between December 2020 and May 2021, in-depth qualitative interviews were conducted via Zoom video conferencing among a purposively selected, diverse group of adolescent healthcare providers (n = 16) within 5 healthcare practices in the US southeastern states of Georgia and Tennessee. Audio recordings were transcribed verbatim and analyzed using a rapid qualitative analysis framework. Our analysis was guided by the grounded theory and inductive approach.
Participants reported that patient-provider communications; effective use of presumptive languaging; provider's continuing education/training; periodic reminders/recall messages; provider's personal conviction on vaccine safety/efficacy; early initiation of HPV vaccination series at 9 years; community partnerships with community health navigators/vaccine champions/vaccine advocates; use of standardized forms/prewritten scripts/standard operating protocols for patient-provider interactions; and vaccine promotion through social media, brochures/posters/pamphlets as well as outreaches to schools and churches served as facilitators to adolescent HPV vaccine uptake. Preventive adolescent services were adversely impacted by the COVID-19 pandemic at all practices. Participants highlighted an initial decrease in patients due to the pandemic, while some practices avoided the distribution of vaccine informational materials due to sanitary concerns.
As part of a larger study, we provided contextual information to refine an intervention package currently being developed to improve adolescent preventive care provision in healthcare practices. Our results could inform the implementation of comprehensive intervention strategies that improve HPV vaccination rates. Additionally, lessons learned (e.g. optimizing patient- provider interactions) could be adopted to expand COVID-19 vaccine acceptance on a sizable scale.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Beliefs, opinions and attitudes</subject><subject>Biology and Life Sciences</subject><subject>Brochures</subject><subject>Churches</subject><subject>Continuing education</subject><subject>Control</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - prevention & control</subject><subject>COVID-19 Vaccines</subject><subject>Demographic aspects</subject><subject>Epidemics</subject><subject>Georgia - epidemiology</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Personnel</subject><subject>Health promotion</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Navigators</subject><subject>Pandemics</subject><subject>Pandemics - prevention & control</subject><subject>Papillomavirus Infections - prevention & control</subject><subject>Papillomavirus Vaccines - therapeutic use</subject><subject>Patients</subject><subject>People and Places</subject><subject>Qualitative analysis</subject><subject>Qualitative Research</subject><subject>Schools</subject><subject>Teenagers</subject><subject>Tennessee - epidemiology</subject><subject>United States</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Videoconferencing</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1tv0zAUxyMEYmPwDRBEQuLy0OJLEts8IE0FtkqTKsHYq-XaJ62n1M7sZIKPxLfEabOpRXtAeUh88jv_c_E5WfYSoymmDH-89n1wqpm23sEUEcZYwR9lx1hQMqkIoo_3vo-yZzFeI1RSXlVPsyNaUSEKxo6zP-egmm6tVYC8Db6GGK1PsvFd3kLQ0HbpGHPlTB5A-80GnFE7W4CVCsa6Va6MbyBqcF1-q7S2biSsy8_Ah5VVW4FLcC7pA-SmD4Nft4Z8triaf5lgkbcJgY3Vn_LT_KZXje2Syi2kMBFU0Ovn2ZM65QUvxvdJ9vPb18vZ-eRicTafnV5MdCVINyGGYyUKYsDAEhAiSKWizVIsoRKU1aQGQFww4MJUuioJ06VCrNKsJEApoSfZ651u2_goxy5HSRhlDHFW4ETMd4Tx6lq2wW5U-C29snJrSAVLFTqrG5BIpKQYFVWJdSFKUIUqSMkxRhhzMDxpfR6j9csNmKGHQTUHood_nF3Llb-VokqpkEHg_SgQ_E0PsZMbm66iaZQD32_z5pizsmAJffMP-nB1I7VSqQDrap_i6kFUnjLCEOIVH6jpA1R6tneYRrK2yX7g8OHAITEd_OpWqo9Rzn98_392cXXIvt1j19tpjr7ptxN4CBY7UAcfY4D6vskYyWGj7rohh42S40Ylt1f7F3TvdLdC9C--6h1x</recordid><startdate>20221118</startdate><enddate>20221118</enddate><creator>Olusanya, Olufunto A</creator><creator>White, Brianna</creator><creator>Malik, Fauzia</creator><creator>Hester, Kyra A</creator><creator>Davis, Robert L</creator><creator>Bednarczyk, Robert A</creator><creator>Shaban-Nejad, Arash</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-6983-2882</orcidid><orcidid>https://orcid.org/0000-0001-7576-5874</orcidid></search><sort><creationdate>20221118</creationdate><title>Healthcare professionals' perceptions and recommendations regarding adolescent vaccinations in Georgia and Tennessee during the COVID-19 pandemic: A qualitative research</title><author>Olusanya, Olufunto A ; White, Brianna ; Malik, Fauzia ; Hester, Kyra A ; Davis, Robert L ; Bednarczyk, Robert A ; Shaban-Nejad, Arash</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-2d81a942dedebe0020a386db9be6937f2fee0897e89d6c6527c5a076c752e3323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Beliefs, opinions and attitudes</topic><topic>Biology and Life Sciences</topic><topic>Brochures</topic><topic>Churches</topic><topic>Continuing education</topic><topic>Control</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olusanya, Olufunto A</au><au>White, Brianna</au><au>Malik, Fauzia</au><au>Hester, Kyra A</au><au>Davis, Robert L</au><au>Bednarczyk, Robert A</au><au>Shaban-Nejad, Arash</au><au>Fischer, Florian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare professionals' perceptions and recommendations regarding adolescent vaccinations in Georgia and Tennessee during the COVID-19 pandemic: A qualitative research</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-11-18</date><risdate>2022</risdate><volume>17</volume><issue>11</issue><spage>e0277748</spage><epage>e0277748</epage><pages>e0277748-e0277748</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Despite its benefits, HPV vaccine uptake has been historically lower than other recommended adolescent vaccines in the United States (US). While hesitancy and misinformation have threatened vaccinations for many years, the adverse impacts from COVID-19 pandemic on preventive services have been far-reaching.
To explore the perceptions and experiences of adolescent healthcare providers regarding routine vaccination services during the COVID-19 pandemic.
Between December 2020 and May 2021, in-depth qualitative interviews were conducted via Zoom video conferencing among a purposively selected, diverse group of adolescent healthcare providers (n = 16) within 5 healthcare practices in the US southeastern states of Georgia and Tennessee. Audio recordings were transcribed verbatim and analyzed using a rapid qualitative analysis framework. Our analysis was guided by the grounded theory and inductive approach.
Participants reported that patient-provider communications; effective use of presumptive languaging; provider's continuing education/training; periodic reminders/recall messages; provider's personal conviction on vaccine safety/efficacy; early initiation of HPV vaccination series at 9 years; community partnerships with community health navigators/vaccine champions/vaccine advocates; use of standardized forms/prewritten scripts/standard operating protocols for patient-provider interactions; and vaccine promotion through social media, brochures/posters/pamphlets as well as outreaches to schools and churches served as facilitators to adolescent HPV vaccine uptake. Preventive adolescent services were adversely impacted by the COVID-19 pandemic at all practices. Participants highlighted an initial decrease in patients due to the pandemic, while some practices avoided the distribution of vaccine informational materials due to sanitary concerns.
As part of a larger study, we provided contextual information to refine an intervention package currently being developed to improve adolescent preventive care provision in healthcare practices. Our results could inform the implementation of comprehensive intervention strategies that improve HPV vaccination rates. Additionally, lessons learned (e.g. optimizing patient- provider interactions) could be adopted to expand COVID-19 vaccine acceptance on a sizable scale.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36399477</pmid><doi>10.1371/journal.pone.0277748</doi><tpages>e0277748</tpages><orcidid>https://orcid.org/0000-0001-6983-2882</orcidid><orcidid>https://orcid.org/0000-0001-7576-5874</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2737708741 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; PMC; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library |
| subjects | Adolescent Adolescents Beliefs, opinions and attitudes Biology and Life Sciences Brochures Churches Continuing education Control Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 Vaccines Demographic aspects Epidemics Georgia - epidemiology Health care Health Knowledge, Attitudes, Practice Health Personnel Health promotion Human papillomavirus Humans Immunization Medical personnel Medicine and Health Sciences Methods Navigators Pandemics Pandemics - prevention & control Papillomavirus Infections - prevention & control Papillomavirus Vaccines - therapeutic use Patients People and Places Qualitative analysis Qualitative Research Schools Teenagers Tennessee - epidemiology United States Vaccination Vaccines Videoconferencing |
| title | Healthcare professionals' perceptions and recommendations regarding adolescent vaccinations in Georgia and Tennessee during the COVID-19 pandemic: A qualitative research |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T06%3A53%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Healthcare%20professionals'%20perceptions%20and%20recommendations%20regarding%20adolescent%20vaccinations%20in%20Georgia%20and%20Tennessee%20during%20the%20COVID-19%20pandemic:%20A%20qualitative%20research&rft.jtitle=PloS%20one&rft.au=Olusanya,%20Olufunto%20A&rft.date=2022-11-18&rft.volume=17&rft.issue=11&rft.spage=e0277748&rft.epage=e0277748&rft.pages=e0277748-e0277748&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0277748&rft_dat=%3Cgale_plos_%3EA727008681%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2737708741&rft_id=info:pmid/36399477&rft_galeid=A727008681&rft_doaj_id=oai_doaj_org_article_09692739651c495ea4a4258110118ed8&rfr_iscdi=true |