Table 1 Sample Questions from Provider Interview Guide

HPV vaccine guidelines in the practice

• Can you describe to me the procedures for administering required vaccines [e.g., Tetanus, Diphtheria, Pertussis (Tdap) and Meningococcal (MCV4)) to preteens (11–12 year olds) and teens (13–18 year olds)] in your practice?

▪ Follow-up probe: Examples of procedures include ordering and administering vaccines, recall/reminder systems to bring patients in for vaccines, standing orders to improve vaccination, quality improvement procedures to track and increase vaccination rates.

• How do these procedures compare to the procedures used for the HPV vaccination which is recommended but not required?

▪ Follow-up probe: For instance, Tdap and MCV4 are required for school entry but HPV isn’t; does this influence how vaccines are ordered or stocked in your practice?

• What do you know about the HPV vaccine guidelines/recommendations from the Advisory Committee on Immunization Practices or ACIP?

• Do you think the process of administering the HPV vaccine to patients in practices in your area is difficult or easy?

▪ Follow-up probe: What factors make it easy (use the following probes^* if needed: financial, legal, behavior change, concerns relative to cancer) to adopt the HPV vaccine guidelines in practices in your area?

▪ Follow-up probe: What factors make it difficult (use the following probes^* if needed: financial, legal, behavior change, concerns relative to cancer) to adopt the HPV vaccine guidelines in practices in your area?