The present study, guided by preproduction formative research principles, employed in-depth interviews and a brief survey with pediatric healthcare providers (N=15) to investigate the consistency between behavioral intention to strongly recommend the HPV vaccine, and implementation of the actual behavior. Specifically, the Integrative Model of Behavioral Prediction (IMBP) was used as a framework to examine the impact of skills and environmental constraints on that behavioral intention-behavioral performance relationship. Results suggest providers intend to strongly recommend the HPV vaccine at a high level, but actually recommend the vaccine with a slightly lesser frequency. A thematic analysis of interview transcripts yielded a list of skills (e.g., tact, cultural competence) and environmental constraints (e.g., a lack of policy or school entry requirement, limited time designated for each patient) that contribute to that consistency gap. Additionally, healthcare providers indicated several preferences on training design (e.g., Continuing Medical Education course, delivered by medical and communication professionals) that could be used to inform future message construction. Suggestions for overcoming the environmental constraints reported by providers are presented, and implications for incorporating the emergent skills and preferences into training as a novel strategy for improving provider communication about the HPV vaccine outlined.
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Master of Arts (M.A.)
College of Sciences
Communication; Interpersonal Communications
Length of Campus-only Access
Masters Thesis (Open Access)
Landis, Erica, "Provider Recommendation of HPV Vaccination: Bridging the Intention-Behavior Gap" (2016). Electronic Theses and Dissertations, 2004-2019. 4881.