Date of Award


Degree Type

Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Mackenzie Shireman


Human Papillomavirus (HPV) is the leading cause of cervical cancer worldwide and the most common sexually transmitted disease, yet hesitancy towards the HPV vaccine remains high and uptake of the HPV vaccine remains remarkably low (CDC, 2021b). The purpose of this evidence-based practice (EBP) project was to determine if the implementation of a multimodal intervention including a motivational interview, strong provider recommendation, and educational materials will decrease HPV vaccine hesitancy and consequentially increase uptake of the vaccine. Eleven young adult women ages 18-26 from a rural outpatient Obstetrics and Gynecology (OBGYN) clinic in Indiana participated in this project. After agreeing to participate, each woman filled out a vaccine hesitancy scale (VHS) and a demographic form prior to the intervention. The intervention was then carried out and consisted of a motivational interview with a provider regarding the HPV vaccine, as well as a strong recommendation to get vaccinated and educational materials about HPV to take home. Following the intervention, each woman was offered the HPV vaccine. Vaccine hesitancy was measured using their pre-intervention vaccine hesitancy scores and their vaccination status post-intervention. Data on HPV vaccination rates at the clinic were collected in the time period before, during, and after the intervention. Data regarding vaccine hesitancy were analyzed using a Fisher’s exact test and it was found that individuals in the post-intervention period were 10% more likely to get the HPV vaccine, however there was not a statistically significant decrease in vaccine hesitancy post-intervention. Overall, the HPV vaccination rate at the clinic increased from the time period before the project to the time period during the project and after the project.

Creative Commons License

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

R. Cartales DNP Poster.pdf (104 kB)