Date of Award

Fall 12-16-2022

Document Type

DNP Project

Project Team Faculty Member

Laurie Hopper, DNP, APRN, FNP-C

Project Team Faculty Member

Annie Imboden, DNP, APRN, CPNP-PC


HPV, STD, adolescents, cervical cancer, Gardasil, HPV vaccine


Human papillomavirus virus (HPV) is a sexually transmitted disease that can negatively affect both males and females by leading to cervical, vaginal, vulvar, anal, penile, and oropharyngeal cancer. Vaccinating against HPV using the Gardasil vaccine is an effective method to prevent HPV, however, vaccination rates are still unacceptably low in adolescents ages 11 to 14. Pediatric providers should encourage and strongly recommend HPV vaccines to all adolescents. Addressing and easing parental hesitancy is a key component to improving vaccine acceptance. The setting for the project was a rural pediatric office in southern Illinois where HPV vaccination rates are lower than expected. Implementation included a one-minute video viewed by the patient and guardian, an educational handout highlighting HPV vaccine safety and efficacy, HPV poster in each exam room, and a follow-up conversation with the provider. Providers used the ANNOUNCE method and bundling technique to improve vaccine acceptance rates. Of the 44 participants, 20 received the vaccine (45%), 8 declined the vaccine (18%), and 16 plan to receive the vaccine at the health department due to insurance constraints (36%). The providers and support staff at the clinic will continue to use the educational tools in daily practice. A multifactorial parental education approach, as well as a strong recommendation from the provider, is most effective in increasing HPV vaccination compliance.

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