Table 2.
Competing strategies physicians use to motivate HPV vaccination.
| Strategies corresponding to personal, lower-level construal (n) | Strategies corresponding to general, higher-level construal (n) | |
|---|---|---|
| Prevention benefits | Specific (181) | General (262) |
| “It will protect your child from getting a virus that causes cervical cancer (in girls) and genital warts and anal cancer (in boys).” | “[HPV vaccine] reduces the risk of CANCER!” | |
| Timing | Physiological (20) | Behavioral (58) |
| “[Their] immune system works best at this age and that is why we recommend [HPV vaccine] now …” | “It is important to get the vaccine before it is needed, so that's why I recommend it at the 11–12 year visit.” | |
| Sexual activity | Patients' (14) | Future partners' (14) |
| “Kids usually don't share their thoughts on sex or their level of curiosity, which can lead to action. Don't want to judge, but … best to be safe.” | “While [your] child may never have sex with anyone but their spouse on their wedding night, their spouse may have had a one-time occurrence in the past (college) and put [your] child at risk.” | |
| Endorsement | Personal (27) | Organizational (47) |
| “I think, as a physician, [HPV vaccination] is important.” | “It is recommended by the AAP and the CDC as part of routine vaccination.” | |
| Vaccine comparisons | Novel (31) | Similar (16) |
| “I described the vaccine as an amazing breakthrough.” | “Similar to other vaccines, the goal is to protect [the] child in the future.” | |
| Experience | Personal (34) | Professional (5) |
| “My own children, both my daughters and son, have gotten HPV vaccine. It confirms how important and safe I feel the vaccine is.” | “I have seen this infection repeatedly …. [HPV vaccine] will help protect them.” |