Adolescent-Parent Dyad Descriptions of the Decision to Start the HPV Vaccine Series.

Abstract:

STUDY OBJECTIVE:To examine how adolescent-parent dyads describe decision-making regarding initiation of the human papillomavirus (HPV) vaccine series, specifically who they viewed as making the final decision. DESIGN:Semistructured interviews with adolescent-parent dyads were audio-recorded and transcribed. Responses to the question: "How did you make a decision about whether or not to receive the HPV vaccine series?" were content-coded for each individual member of the dyad. SETTING:Adolescent medicine clinics of 2 large urban medical centers and through snowball sampling. PARTICIPANTS:Adolescents 14-17 years of age and a parent (N = 262). Qualitative analyses were conducted for those who agreed that they were offered and started the HPV vaccine series (n = 109). INTERVENTIONS:None. MAIN OUTCOME MEASURES:Descriptions of the decision-making included 1 person (adolescent or parent) making the decision or joint decision-making by the adolescent and parent together. RESULTS:More than half of the dyads did not agree on who made the decision to start the vaccine. Most adolescents and parents described a similar account about when they were offered the HPV vaccine, although the interpretation of the event in terms of the decision-maker might have differed. More than half of adolescents and parents individually mentioned the health care provider in their description of the HPV vaccine decision-making process even though they were not queried about the role of the provider. CONCLUSION:Understanding the range of descriptions of these dyads is helpful to guide interventions to promote vaccine uptake in a manner that balances provider expertise, adolescent autonomy, and parental involvement.

authors

Chang J,Ipp LS,de Roche AM,Catallozzi M,Breitkopf CR,Rosenthal SL

doi

10.1016/j.jpag.2017.10.003

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

28-32

issue

1

eissn

1083-3188

issn

1873-4332

pii

S1083-3188(17)30477-1

journal_volume

31

pub_type

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