Development and evaluation of an online continuing education course to increase healthcare provider self-efficacy to make strong HPV vaccine recommendations to East African immigrant families

SarahAnn M McFadden; Linda K Ko; Megha Shankar; Anisa Ibrahim; Debra Berliner; John Lin; Farah B Mohamed; Fanaye Amsalu; Ahmed A Ali; Sou Hyun Jang; Rachel L Winer

doi:10.1016/j.tvr.2021.200214

Development and evaluation of an online continuing education course to increase healthcare provider self-efficacy to make strong HPV vaccine recommendations to East African immigrant families

Tumour Virus Res. 2021 Jun:11:200214. doi: 10.1016/j.tvr.2021.200214. Epub 2021 Feb 27.

Authors

SarahAnn M McFadden¹, Linda K Ko², Megha Shankar³, Anisa Ibrahim⁴, Debra Berliner⁵, John Lin⁶, Farah B Mohamed⁷, Fanaye Amsalu⁸, Ahmed A Ali⁹, Sou Hyun Jang¹⁰, Rachel L Winer¹¹

Affiliations

¹ University of Washington School of Nursing, 1959 NE Pacific St, Box 357260, Seattle, WA, 98195, USA. Electronic address: sarahann.mcfadden@yale.edu.
² Division of Public Health Services, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, M3-B232, Seattle, WA, 98102, USA; Department of Health Services, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351621, Seattle, WA, 98195, USA. Electronic address: lko@fredhutch.org.
³ Department of Medicine, University of Washington, 1959 NE Pacific St, Box 356421, Seattle, WA, 98195, USA. Electronic address: meghashankarmd@gmail.com.
⁴ Department of Pediatrics, University of Washington, 1959 NE Pacific St, Box 356320, Seattle, WA, 98104, USA; Somali Health Board, 7050 32nd, AVE S, Seattle, WA, 98118, USA. Electronic address: anisai@uw.edu.
⁵ Public Health - Seattle & King County, Communicable Disease, Epidemiology, and Immunization Program, 401 5th(,) Ave., Seattle, WA, 98104, USA. Electronic address: dberliner@kingcounty.gov.
⁶ Department of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: indigo@uw.edu.
⁷ Somali Health Board, 7050 32nd, AVE S, Seattle, WA, 98118, USA; Department of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: mohamf2@uw.edu.
⁸ Department of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: fanamsalu@gmail.com.
⁹ Somali Health Board, 7050 32nd, AVE S, Seattle, WA, 98118, USA. Electronic address: ahmed.abdille@gmail.com.
¹⁰ Department of Sociology, Sungkyunkwan University, 25-2 Sungkyunkwan-ro, Jongno-gu, Seoul, 03063, South Korea. Electronic address: souhyunjang@skku.edu.
¹¹ Department of Epidemiology, University of Washington School of Public Health, 3980 15th, Ave NE, Box 351619, Seattle, WA, 98195, USA. Electronic address: rlw@uw.edu.

Abstract

Objective: To develop and evaluate an online continuing education (CE) course designed to improve healthcare provider self-efficacy to make strong adolescent HPV vaccine recommendations to East African immigrant families.

Methods: Focus groups with providers and East African immigrant mothers informed course development. Providers serving East African immigrant families were recruited to view the course and complete pre-/post-test and two-month follow-up surveys. Pre-/post differences were compared with paired t-tests.

Results: 202 providers completed the course and pre-/post-test; 158 (78%) completed two-month follow-up. Confidence to make strong HPV vaccine recommendations to East African families increased from 68% pre-test to 98% post-test. Confidence to address common parental concerns also increased: safety, 54% pre-test, 92% post-test; fertility, 55% pre-test, 90% post-test; child too young, 68% pre-test, 92% post-test; and pork gelatin in vaccine manufacturing, 38% pre-test, 90% post-test. Two-month follow-up scores remained high (97% for overall confidence, 94%-97% for addressing parental concerns). All pre-/post-test and pre-test/two-month follow-up comparisons were statistically significant (p < 0.05).

Conclusions: The online CE course focused on culturally appropriate strategies for making strong recommendations and addressing specific parental concerns was effective for increasing provider self-efficacy to recommend HPV vaccination to East African families. Similar courses could be tailored to other priority populations.

Keywords: Continuing education; East African; HPV vaccine; Immigrant families; Provider recommendation; Self-efficacy.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Adolescent
Child
Education, Continuing
Emigrants and Immigrants*
Female
Health Knowledge, Attitudes, Practice
Health Personnel
Humans
Papillomavirus Infections* / prevention & control
Papillomavirus Vaccines*
Self Efficacy
Vaccination

Substances

Papillomavirus Vaccines

Abstract

Publication types

MeSH terms

Substances

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