How Health Care Providers Can Use Digital Health Technologies to Inform Human Papillomavirus (HPV) Decision Making and Promote the HPV Vaccine Uptake Among Adolescents and Young Adults

Introduction: To identify factors influencing human papillomavirus (HPV) vaccination up taking decision making among vaccinated and nonvaccinated Hispanic college women. Participants: Hispanic young women between the ages of 18 and 24 years ( N = 49). In total, 26 had not received the HPV vaccine, and 23 had started/completed the vaccine series. Method: Participants registered for the study via a psychology research pool at a large public university in the southeast United States after institutional review board approval. After completing a demographic information and HPV knowledge Web-based survey, participants were individually interviewed. Results: Differences in HPV vaccine knowledge emerged between vaccinated and nonvaccinated women. Fear of side effects, perceptions of risk, and sources of encouragement influenced willingness to be vaccinated against HPV. Health care providers played a central role in addressing concerns and promoting vaccination. Conclusions: Health care providers must address and integrate unique decision-making processes influencing Hispanic young adult women’s perceptions of HPV vaccination.

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An Integrative Review of the Influences on Decision-Making of Young People About Human Papillomavirus Vaccine

The Journal of School Nursing ◽

10.1177/1059840518805816 ◽

2018 ◽

Vol 35 (1) ◽

pp. 39-50

Author(s):

Helen Sisson ◽

Yvonne Wilkinson

Keyword(s):

Decision Making ◽

Human Papillomavirus ◽

Parental Involvement ◽

Health Care Providers ◽

Hpv Vaccine ◽

Hpv Infection ◽

School Nurses ◽

Human Papillomavirus Vaccine ◽

Care Providers ◽

To Receive

The human papillomavirus (HPV) vaccine is a key intervention in the prevention of HPV infection and associated cancers. This review emphasizes the importance of understanding what influences decision-making about this vaccine. Guided by the work of Whittemore and Knafl, and Pluye and Hong, we identified 25 studies, from which four prominent themes emerged: fear and risk, pain, parental involvement, and involvement of others. Fear of cervical cancer was a strong motivation to receive the vaccine, and the extent of parental involvement also had an impact on decision-making. Recommendations to receive the vaccine by health-care providers were also an important influence. School nurses are fundamental to the promotion and delivery of the HPV vaccine and should stress the significant role that it plays in the prevention of cancer. Additionally, school nurses should ensure that discussions about HPV infection and vaccine include parents where appropriate and should distinctly recommend vaccination to those eligible.

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The Uptake of Human Papillomavirus (HPV) Vaccine Among Adolescent Females in the United States

The Journal of School Nursing ◽

10.1177/1059840511415861 ◽

2011 ◽

Vol 27 (6) ◽

pp. 434-446 ◽

Cited By ~ 59

Author(s):

Jacqueline A. Bartlett ◽

Jane Anthony Peterson

Keyword(s):

Human Papillomavirus ◽

Hpv Vaccine ◽

Primary Care Providers ◽

The United States ◽

Adolescent Females ◽

Vaccine Uptake ◽

Completion Rates ◽

Care Providers ◽

Perceptions And Attitudes ◽

Hpv Vaccine Uptake

A comprehensive review of literature was conducted to identify the barriers and facilitators, from the parents'/guardians' and primary care providers' (PCPs) perspective, that are associated with the uptake of Human Papillomavirus (HPV) vaccine among adolescent females. Findings from 14 peer-reviewed articles indicate that 37% of adolescent females, 9 to 17 years of age, initiated the HPV vaccine, compared to the national average of 13- to 15-years-olds, which is 50%. The overall uptake and completion rates of the vaccine were low across all racial and ethnic groups. Barriers included parents'/guardians' knowledge, perceptions, and attitudes toward the HPV disease and the vaccine, along with the convenience in receiving the vaccine. Six studies reported that HPV vaccine initiation was highly likely if the parents/guardians had received a doctor’s recommendation. Learning what interventions school nurses currently utilize could positively affect the HPV vaccine uptake and completion rates by other nursing disciplines realizing this ongoing effort.

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Patient connectivity with healthcare professionals and health insurer using digital health technologies during the COVID-19 pandemic: a German cross-sectional study

BMC Medical Informatics and Decision Making ◽

10.1186/s12911-021-01605-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Niels Hannemann ◽

Nina-Alexandra Götz ◽

Lisa Schmidt ◽

Ursula Hübner ◽

Birgit Babitsch

Keyword(s):

Health Care ◽

Health Insurance ◽

Health Care Providers ◽

Data Transmission ◽

Digital Health ◽

Health Insurance Company ◽

Insurance Company ◽

Care Providers ◽

Cross Sectional ◽

Health Technologies

Abstract Background Digital health technologies enable patients to make a personal contribution to the improvement of their health by enabling them to manage their health. In order to exploit the potential of digital health technologies, Internet-based networking between patients and health care providers is required. However, this networking and access to digital health technologies are less prevalent in sociodemographically deprived cohorts. The paper explores how the use of digital health technologies, which connect patients with health care providers and health insurers has changed during the COVID-19 pandemic. Methods The data from a German-based cross-sectional online study conducted between April 29 and May 8, 2020, were used for this purpose. A total of 1.570 participants were included in the study. Accordingly, the influence of sociodemographic determinants, subjective perceptions, and personal competencies will affect the use of online booking of medical appointments and medications, video consultations with providers, and the data transmission to health insurers via an app. Results The highest level of education (OR 1.806) and the presence of a chronic illness (OR 1.706) particularly increased the likelihood of using online booking. With regard to data transmission via an app to a health insurance company, the strongest increase in the probability of use was shown by belonging to the highest subjective social status (OR 1.757) and generation Y (OR 2.303). Furthermore, the results show that the higher the subjectively perceived restriction of the subjects' life situation was due to the COVID-19 pandemic, the higher the relative probability of using online booking (OR 1.103) as well as data transmission via an app to a health insurance company (OR 1.113). In addition, higher digital literacy contributes to the use of online booking (OR 1.033) and data transmission via an app to the health insurer (OR 1.034). Conclusions Socially determined differences can be identified for the likelihood of using digital technologies in health care, which persist even under restrictive conditions during the COVID-19 pandemic. Thus, the results indicate a digital divide with regard to the technologies investigated in this study.

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Human papillomavirus and health decision-making: Perceptions and accountability in college

Health Education Journal ◽

10.1177/0017896919862309 ◽

2019 ◽

Vol 79 (1) ◽

pp. 46-57

Author(s):

Verna DeLauer ◽

Andrea McGill-O’Rourke ◽

Carissa Gordon ◽

Natalie Hamilton ◽

Ryan Desruisseaux ◽

...

Keyword(s):

Health Care ◽

Decision Making ◽

Young Adults ◽

Human Papillomavirus ◽

Hpv Vaccine ◽

Preventive Health Care ◽

Care Providers ◽

Health Decision Making ◽

Self Reliance ◽

Health Decision

Objective: To identify knowledge and beliefs about the human papillomavirus (HPV) among students in a residential academic institution, including perceptions of safety of the HPV vaccine, perceptions of cancer correlation with HPV, and independence/interdependence in health decision-making. Design: A qualitative study was used. Setting: Participants were recruited from a small private US university. Methods: In-depth, semi-structured interviews. Results: Study findings highlight the need for improved communication about sex and general preventive health care between young adults, their parents and health providers, including the campus health services centre. Findings point to the importance of appropriate health care messaging at the time of the HPV vaccine (if given in adolescence) throughout college. While mothers played a crucial part in helping young adults make sense of health and health care decisions, self-reliance and self-protection were strong drivers of decision-making. Conclusion: As college students progress from dependent child to independent adult, they shift from reliance on others, especially mothers, for health guidance to an emerging self-reliance and self-protective stance. Central to this experience is navigating health decisions by using information from one’s childhood and integrating new knowledge as one emerges into adulthood. College health care providers and related disciplinary faculty have the opportunity to support students during this transition.

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Digital Health for Patients With Multiple Myeloma: An Unmet Need

JCO Clinical Cancer Informatics ◽

10.1200/cci.20.00145 ◽

2021 ◽

pp. 1096-1105

Author(s):

Sundar Jagannath ◽

Joseph Mikhael ◽

Omar Nadeem ◽

Noopur Raje

Keyword(s):

Health Care ◽

Multiple Myeloma ◽

Health Care Providers ◽

Randomized Clinical Trials ◽

Digital Health ◽

Unmet Need ◽

Care Providers ◽

Patient Journey ◽

Health Technologies ◽

Patient Reported

Multiple myeloma (MM) is associated with the highest symptom burden and lowest health-related quality of life (HRQoL) among patients with hematologic malignancies. HRQoL in MM is heterogeneous, varying over the course of disease, with the highest burden at diagnosis and relapse. Patients with MM are increasingly being treated with oral maintenance medications at home. As a result, longitudinal monitoring of medication adherence and patient-reported outcomes, including HRQoL, could inform on disease status, therapeutic tolerability, and satisfaction with care. Digital health technologies, including telemedicine, mobile health, and wearable devices, are poised to become an integral part of modern health care, in part due to the surge in telemedicine necessitated by the COVID-19 pandemic. Although the literature has many reports on the use of digital health technologies in other types of cancers, fewer studies report on their application to MM. In the current narrative review, we survey the applications of digital health for MM. Although there is evidence that some are associated with improved health outcomes, challenges exist that must be met to ensure more widespread adoption. These include the need for increased awareness by patients and health care providers, lack of access by the typical older patient with MM, absence of randomized clinical trials, and low integration with current workflows such as electronic health records. Following our summary of technologies that could benefit patients with MM, we end by describing our vision for how they can be integrated into each phase of the patient journey.

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873-P: "I Had Nobody to Represent Me"—How Patient Perceptions of Diabetes Health Care Providers' Age, Gender, and Ethnicity Impact Shared Decision-Making

Diabetes ◽

10.2337/db19-873-p ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 873-P

Author(s):

TEHMINA AHMAD ◽

SHRIYA HARI ◽

DEVIN E. CLEARY ◽

C. YU

Keyword(s):

Health Care ◽

Decision Making ◽

Shared Decision Making ◽

Health Care Providers ◽

Patient Perceptions ◽

Shared Decision ◽

Care Providers

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Improving Communications With Patients and Families in Geriatric Care. The How, When, and What

Journal of Patient Experience ◽

10.1177/23743735211034047 ◽

2021 ◽

Vol 8 ◽

pp. 237437352110340

Author(s):

Shirley Chien-Chieh Huang ◽

Alden Morgan ◽

Vanessa Peck ◽

Lara Khoury

Keyword(s):

Health Care ◽

Decision Making ◽

Family Caregivers ◽

Health Care Providers ◽

Tertiary Care ◽

Care Providers ◽

Telephone Interviews ◽

Written Information ◽

Geriatric Unit ◽

Patient Health

There has been little published literature examining the unique communication challenges older adults pose for health care providers. Using an explanatory mixed-methods design, this study explored patients’ and their family/caregivers’ experiences communicating with health care providers on a Canadian tertiary care, inpatient Geriatric unit between March and September 2018. In part 1, the modified patient–health care provider communication scale was used and responses scored using a 5-point scale. In part 2, one-on-one telephone interviews were conducted and responses transcribed, coded, and thematically analyzed. Thirteen patients and 7 family/caregivers completed part 1. Both groups scored items pertaining to adequacy of information sharing and involvement in decision-making in the lowest 25th percentile. Two patients and 4 family/caregivers participated in telephone interviews in part 2. Interview transcript analysis resulted in key themes that fit into the “How, When, and What” framework outlining the aspects of communication most important to the participants. Patients and family/caregivers identified strategic use of written information and predischarge family meetings as potentially valuable tools to improve communication and shared decision-making.

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Plain Language Summary: Opioid Prescribing for Analgesia After Common Otolaryngology Operations

Otolaryngology ◽

10.1177/0194599821996313 ◽

2021 ◽

Vol 164 (4) ◽

pp. 704-711

Author(s):

Samantha Anne ◽

Sandra A. Finestone ◽

Allison Paisley ◽

Taskin M. Monjur

Keyword(s):

Health Care ◽

Decision Making ◽

Clinical Practice ◽

Pain Management ◽

Health Care Providers ◽

Clinical Practice Guideline ◽

Shared Decision ◽

Care Providers ◽

Plain Language ◽

Opioid Prescribing

This plain language summary explains pain management and careful use of opioids after common otolaryngology operations. The summary applies to patients of any age who need treatment for pain within 30 days after having a common otolaryngologic operation (having to do with the ear, nose, or throat). It is based on the 2021 “Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations.” This guideline uses available research to best advise health care providers, and it includes recommendations that are explained in this summary. Recommendations may not apply to every patient but can be used to facilitate shared decision making between patients and their health care providers.

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