Date on Paper


Document Type

Doctoral Paper

Degree Name




Committee Chair

Galloway, Lynette

Committee Member

Hall, Lynne

Author's Keywords

HPV; HPV vaccine; pediatrics; vaccine protocol; education for providers


Purpose: The purpose of this project was to increase HPV vaccination initiation rates in a primary care setting. This was accomplished through evidence-based provider and parental education using presumptive language and distribution of a customized toolkit. Design: The project protocol was designed using a theoretical approach about chosen health behaviors from the Health Belief Model. Outcomes included initiation rates, efficacy of a toolkit intervention, efficacy of a recall system, and provider satisfaction. Methods: A two-sided Fisher’s Exact Test was performed. Primary outcome results indicated a non-significant increase in vaccination rates. Of the 24 patients who received the toolkit, 25% chose to vaccinate while 75% never returned (p = .159). Of those who chose to vaccinate, all had previously declined. Overall, the recall system was ineffective for recruiting patients to return for vaccination. Providers were highly satisfied with the protocol and felt it was both feasible and sustainable. A major barrier was the simultaneous intervention implementation timeline and novel coronavirus pandemic. Findings: This project demonstrated that while an intervention protocol for all patients did not yield a significant increase in vaccinations, there was an impact on patients who previously declined the vaccine. Providers expressed increased confidence and satisfaction with their communication and education skills regarding HPV and the vaccine. Conclusions: While there were cases where patients who received the intervention chose to vaccinate, the results were not statistically significant. Providers expressed satisfaction with an education protocol emphasizing the use of a customized toolkit and presumptive language. There is substantial room for further investigation and quality improvement projects in the future.

Included in

Nursing Commons