Understanding the Factors Influencing Health Care Provider Recommendations about Adolescent Vaccines: A Proposed Framework

• Type of Material: Article
• Authors: Mallory K Ellingson, Yale University; Robert Bednarczyk, Emory University; Sean T O'Leary, Univ Colorado; Jason L Schwartz, Yale University; Eugene D Shapiro, Yale University; Linda M Niccolai, Yale University
• Language: English
• Date: 2022-02-22
• Publisher: SPRINGER/PLENUM PUBLISHERS
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022
• Final Published Version (URL): http://dx.doi.org/10.1007/s10865-022-00296-4
• Title of Journal or Parent Work: JOURNAL OF BEHAVIORAL MEDICINE
• Grant/Funding Information: This publication was made possible by CTSA Grant Number TL1 TR001864 (MKE) and CTSA Grant Number KL2 TR001862 (EDS) from the National Center for Advancing Translational Science (NCATS), a component of the National Institutes of Health (NIH). RAB is supported by NIH Grant R37 CA234119. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIH.
• Keywords: PERCEIVED BARRIERS; Provider recommendations; HUMAN-PAPILLOMAVIRUS VACCINATION; Psychology, Clinical; IMMUNIZATION PRACTICES; Health care providers; ADVISORY-COMMITTEE; Vaccines; Social Sciences; COVERAGE; HPV VACCINATION; COMMUNICATION; UNITED-STATES; Psychology; PHYSICIANS
• Research Categories: Health Sciences, Health Care Management; Health Sciences, Epidemiology

Abstract

Health care provider recommendations are among the most important factors influencing parents’ decisions to vaccinate their adolescents. However, delivery of high-quality health care provider recommendations for vaccination is not universal. There is wide variation in the strength, timeliness and consistency of the delivery of recommendations for all adolescent vaccines. The factors that influence health care providers’ recommendations are multi-level and can be conceptualized in much the same way as vaccine acceptance among parents. Health care providers are influenced by their own attitudes and beliefs about a vaccine and also by the patient they are treating and by the community in which they practice as well as state and national level vaccine policy. We propose a multi-level framework for understanding the factors that influence health care providers’ recommendations at the individual, interpersonal and community level to both develop and adapt interventions to improve providers’ recommendations.