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Eval Program Plann. 2021 Dec;89:102010. doi: 10.1016/j.evalprogplan.2021.102010. Epub 2021 Sep 16.

Using concept mapping to identify opportunities for HPV vaccination efforts: Perspectives from the Midwest and West Coast.

Evaluation and program planning

Natoshia Askelson, Grace Ryan, Annie-Laurie McRee, Paige E Farris, Jackilen Shannon, Jessica Hanson, DenYelle Baete Kenyon, Eliza Daly, Lejla Avdic

Affiliations

  1. Department of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Dr, Iowa City, IA 52245, USA.
  2. Department of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Dr, Iowa City, IA 52245, USA. Electronic address: [email protected].
  3. Division of General Pediatrics and Adolescent Health, University of Minnesota Medical School, 717 Delaware St SE, Minneapolis, MN 55414, USA.
  4. Oregon Health & Science University/ Portland State University School of Public Health, Oregon Health & Science University, 250 NW Franklin Ave., Ste. 302, Bend, 97702, USA.
  5. College of Education and Human Service Professions, University of Minnesota Duluth, 110 Sports & Health Center, 1216 Ordean Court, Duluth, MN 55812, USA.
  6. Sanford School of Medicine, School of Health Sciences, 414 E. Clark Street, Vermillion, SD 57069, USA.

PMID: 34555736 PMCID: PMC8557125 DOI: 10.1016/j.evalprogplan.2021.102010

Abstract

Human papillomavirus (HPV) infection significantly contributes to the burden of cancer in the United States, despite the existence of a highly effective vaccine. While numerous interventions to address vaccination uptake exist, vaccination rates remain low. We conducted a concept mapping exercise to solicit perspectives on barriers and facilitators to HPV vaccination from state-level stakeholders in five states in the Midwest and West Coast of the U.S. We identified 10 clusters of barriers and facilitators based on participants' statements. For rural areas specifically, clusters rated as most important included education and provider influence; those rated as most feasible were education and coordinated/consistent messaging. Our results suggest that a combination of important (but potentially more difficult to implement) strategies, combined with those rated as most feasible (but potentially less impactful) may be beneficial. Our findings highlight similarities across diverse states, suggesting that states can learn from each other and work together to improve HPV vaccination rates. Using concept mapping proved to be an efficient way to collect information from diverse, stakeholders in different locations, and is a methodology that could be used for program planning in areas beyond HPV vaccination.

Copyright © 2021 Elsevier Ltd. All rights reserved.

Keywords: Concept mapping; HPV vaccination; Program planning; Rural health

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