Increasing HPV Vaccination Rates of Patients Nine and Ten-Years-Old at Pediatric Clinic Using Pre-Visit Phone Calls and Motivational Interviewing
Date of Doctor of Nursing Practice Project Completion
2026
Faculty Advisor
Dr. Linda Cole
Abstract
Purpose:
This quality improvement project aimed to increase the initiation rates of human papillomavirus (HPV) vaccination of nine- and ten-year-olds at the pediatric clinic by making pre-visit calls and using motivational interviewing (MI).
Background:
In 2022, the HPV vaccination rate for adolescents at this pediatric clinic was 93%, surpassing the Healthy People 2030 goal of 80%. In this same clinic, however, the 2022 HPV vaccination rates among children aged 9 and 10 years old were significantly lower at 32 %. This project aimed to increase the HPV rate by 3% after intervention at the pediatric clinic.
Methodology:
Staff completed online motivational interviewing (MI) training. Parents of nine- and ten-year-olds received pre-visit calls to advise of the visit and the opportunity for HPV vaccination. MI was utilized to focus parents on the goal of HPV vaccination. PDSA cycles were conducted monthly. Changes in MI were made based on feedback. Vaccination rates were calculated by comparing the number of those vaccinated with the number of those eligible for vaccination.
Results:
In 2024, vaccination initiation rates had dropped to 27.69 % pre-intervention and 53.84 % post-intervention. Results revealed a 26.15 % increase in HPV vaccination initiation rates.
Implications:
The results of this quality improvement project demonstrated a significant increase in HPV vaccination initiation rates and suggest that pre-visit phone calls and MI may improve these rates. This improves the health outcomes for individual children and contributes to broader public health goals of reducing the cancer burden.
Key words: Adolescent, Primary Care Provider, Papillomavirus Vaccines, HPV Vaccine
Keywords
Adolescent, Primary Care Provider, Papillomavirus Vaccines, HPV Vaccine
Recommended Citation
Ilianna R. Kuntz, "Increasing HPV Vaccination Rates of Patients Nine and Ten-Years-Old at Pediatric Clinic Using Pre-Visit Phone Calls and Motivational Interviewing" (2026). Doctor of Nursing Practice Final Project Abstract. 83.
https://digitalcommons.library.tmc.edu/dnp_abstract/83