| Title: |
P-1. Impacts of a Quality Improvement Initiative to Build Confidence in Human Papillomavirus (HPV) Vaccination Among American Indian Communities |
| Authors: |
Humiston, Sharon G; Molloy, Leah; Simone, Laura; Napolitan, Chris; Carter, Jeffrey D; Meza Jimenez, Jenniffer A; Anderson Chadha, Chelsie; Douglas, Bonnie |
| Source: |
Open Forum Infectious Diseases ; volume 12, issue Supplement_1 ; ISSN 2328-8957 |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2025 |
| Description: |
Background HPV vaccination is highly effective to prevent HPV-associated cancers, but uptake among adolescents and young adults remains suboptimal. This program aimed to identify barriers and support HPV vaccine confidence in American Indian communities in partnership with a Rural Tribal Clinic in Nevada and an urban Federally Qualified Health Center (FQHC) in North Dakota. Methods Clinics led 3 live education sessions virtually or in-person from 3/23 to 8/23, which were attended by 91 patients and family members (patients) and 10 healthcare professionals (HCPs). Surveys were administered before, immediately after, and 3 months after each session. Results At baseline, 70% of HCPs reported facing hesitancy from patients about the HPV vaccine, with top challenges including patient refusal to discuss vaccination (43%) and sexual stigma around HPV (29%). When asked to identify their patients’ top reason for not getting the HPV vaccine, HCPs reported low perception of self-risk (40%). Conversely, patients reported their top concerns were long-term (39%) and short-term (32%) side effects. When asked what they thought would increase patient interest in vaccination, HCPs identified a strong recommendation from their doctor (60%) while patients prioritized learning more about HPV and associated cancers (57%). Patient HPV vaccine knowledge and confidence improved after sessions. More patients recognized that the HPV vaccine can prevent certain cancers (92% vs 60%, p < .001) and agreed the vaccine is safe (95% vs 64%, p < .001) after sessions than before. Awareness of vaccine access also improved: more patients recognized that vaccines are available free of charge after sessions than before (95% vs 66%, p < .001). Most patients (90%) reported being likely to share what they learned with family and friends, and 100% of providers were likely to lead another session. At 3-month follow-up, HCPs had helped a total of 75 patients get the HPV vaccine. Conclusion This initiative highlights the ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/ofid/ofae631.212 |
| Availability: |
https://doi.org/10.1093/ofid/ofae631.212; https://academic.oup.com/ofid/article-pdf/12/Supplement_1/ofae631.212/61675144/ofae631.212.pdf |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.87B25DF |
| Database: |
BASE |