Parent-son-provider Decision-making About HPV Vaccination

This protocol will involve individual semi-structured qualitative interviews with 30
parent-son dyads and 20 pediatric health care providers. Parent-son pairs will be recruited
from IUMG primary care adolescent health clinics. Recruitment will occur and consent/assent
for participation obtained during the visit with the health care provider, with the
physician out of the room. Interviews with parents and sons will take place after the health
care appointment and after HPV vaccine acceptance/refusal. Parents and sons will be
administered a brief questionnaire that will cover socio-demographic and other background
information. The parent-son interviews will be separate, simultaneous one-on-one
ethnographic interviews (30-60 min) that focus on the decision making process regarding HPV
vaccination (yes/no). Each interview will consist of 8-10 open-ended questions, serving as
an elicitation device. Sample questions include: (1) Tell me what you understand about the
HPV vaccine? (2) Tell me what happened when you were in the examination room and your doctor
asked you and your parent/son about getting the vaccine? (3) Was the decision made quickly,
or did you have a conversation about it first? (4) Who had the most influence on the
decision, you or your parent/son? (5) Why did you decide to get (or not to get) the vaccine?
The interviewer will ask participants to elaborate on the meaning and contexts of their
responses, and look for organization in what the participant is saying, developing and
testing hypotheses during the interview. Each interview will be conducted by a trained,
gender-matched research assistant.

Health care providers will be interviewed at a different time, and the interviews (25-30
min) will focus on HPV vaccine related attitudes, supply, costs, communication and perceived
benefits associated with vaccinating adolescent males, rather than care to specific
patients. Sample questions include: (1) How do you inform patients about the HPV vaccine?
(2) What is the specific wording that you use when you offer HPV vaccine? Be very specific.
Don't leave out any detail.