Journal article
Using intervention mapping to develop training for US dental providers to recommend the HPV vaccine
Evaluation and program planning, Vol.114, 102730
11/11/2025
DOI: 10.1016/j.evalprogplan.2025.102730
PMID: 41265297
Abstract
Introduction
Iowa has the highest incidence of oropharyngeal cancer (OPC) in the US, and human papillomavirus (HPV) is the most common cause of that disease. An HPV vaccine is approved for OPC prevention, but its uptake is low. We identified dental offices as novel settings in which the HPV vaccine can be recommended to patients, and we describe our use of the Intervention Mapping (IM) framework to develop an intervention that prepares dental providers to recommend the vaccine to parents of patients aged 9–17.
Methods
Our planning group used IM to engage in (1) needs assessment, which involved surveying dental hygienists (n = 470) and interviewing dental hygienists (n = 19) and dentists (n = 20); (2) method and (3) theory identification; and (4) intervention development, (5) implementation, and (6) evaluation, resulting in our “Educate, Recommend, Refer” intervention.
Results
The needs assessment showed dental providers were willing to learn more about the HPV vaccine but needed training to confidently recommend it. We chose training methods that increase self-efficacy, in accordance with behavior change theory. Multiple health behavior theories and frameworks also prompted our development of supporting materials, that encouraged participants to engage in vaccine promotion, as well as an evaluation plan.
Conclusion
IM guided our integration of theory, existing evidence, and stakeholder input to create an intervention that comprehensively addressed the needs of our target audience and overcame limitations of other similar interventions. Presenting intervention development in accordance with the IM framework also gives practitioners clear information for its replication or adoption.
Details
- Title: Subtitle
- Using intervention mapping to develop training for US dental providers to recommend the HPV vaccine
- Creators
- Jennifer Sukalski - University of Iowa, College of Dentistry and Dental Clinics, Department of Preventive and Community Dentistry, N336 Dental Science Building, 801 Newton Rd, Iowa City, IA, USA, 52242Grace Ryan - University of Massachusetts Chan Medical SchoolSusan C. McKernan - University of MinnesotaEmily A. Janio - University of Iowa, College of Public Health, Community and Behavioral Health Department, N412 CPHB, Iowa City, IA USA, 52242Rebecca Bucklin - University of IowaNatoshia Askelson - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Evaluation and program planning, Vol.114, 102730
- DOI
- 10.1016/j.evalprogplan.2025.102730
- PMID
- 41265297
- NLM abbreviation
- Eval Program Plann
- ISSN
- 0149-7189
- eISSN
- 1873-7870
- Publisher
- Elsevier Ltd
- Grant note
- Roy J. Carver Charitable Trust: 24-5779 National Cancer Institute Cancer Center Support Grant: P30 CA086862 University of Iowa: U48 DP006389
Roy J. Carver Charitable Trust 24-5779. National Cancer Institute Cancer Center Support Grant P30 CA086862. University of Iowa U48 DP006389.
- Language
- English
- Date published
- 11/11/2025
- Academic Unit
- Preventive and Community Dentistry; Center for Social Science Innovation; Injury Prevention Research Center; Community and Behavioral Health
- Record Identifier
- 9985033877902771
Metrics
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