# Using psychometric and focus groups methods to assess patients' attitudes regarding the role of dental providers and vaccinations for COVID-19 and HPV

**Authors:** Tamara J. Cadet, Tyler M. Moore, Yueping Luo, Morgan Faist, Chelsea K. Brown, Jinbo Niu, Daphne Hicyilmaz, Katherine France

PMC · DOI: 10.3389/froh.2026.1740318 · Frontiers in Oral Health · 2026-02-20

## TL;DR

This study created a survey to understand how patients view dentists' roles in administering HPV and COVID-19 vaccines.

## Contribution

The paper introduces a validated survey combining psychometric and focus group methods to assess patient perceptions of dental providers in vaccination efforts.

## Key findings

- The survey was reduced from 22 to 16 questions based on psychometric and focus group feedback.
- Two themes emerged: appropriateness of dental providers in vaccination and knowledge gaps affecting vaccine intentions.
- The final survey assesses vaccination status, knowledge, and comfort with dental providers administering vaccines.

## Abstract

To develop a initial validated survey for assessment of patient perceptions around dental provider role in HPV and COVID-19 vaccination.

Using a parallel convergent mixed methods design, this study reports the initial validation of a survey through the integration of psychometric and focus group methods and presents findings of patient perceptions of dentist involvement in vaccine efforts through a focus group in Philadelphia, PA.

A previously tested pilot survey was modified based on the integrated results. The final survey was organized according to factor analysis and reflected the focus group recommendations. The changes reduced the survey by 25% from 22 to 16 questions. Two overarching themes to better understand perceptions of dentist involvement in vaccine efforts identified from the focus group were: 1. attitudes related to appropriateness and acceptability of dental providers educating and administering vaccinations; and 2. how lack of knowledge hindered intentions to seek vaccination from dental providers.

The combination of the psychometric and focus group analyses resulted in a final survey to assess patient's attitudes and acceptance of HPV and COVID-19 vaccination, including vaccination status, knowledge about the impacts of HPV and COVID-19, perceptions of dental care providers’ role, and comfort in having a dental provider administer HPV and COVID-19 vaccines.

This initial validity process of the survey from creates an opportunity to assess patient acceptance of dentist roles in vaccine efforts around HPV and COVID-19. Further validation of the final form is pending.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)

## Full-text entities

- **Genes:** CAT (catalase) [NCBI Gene 847]
- **Diseases:** genital and oral warts (MESH:D003218), head and neck cancers (MESH:D006258), oropharyngeal cancers (MESH:D009959), cancer (MESH:D009369), sexually transmitted infection (MESH:D012749), oral cancer (MESH:D009062), cervical, vaginal, penile, anal and (MESH:D002575), oropharyngeal squamous cell carcinomas (MESH:D000077195), HPV infection (MESH:D030361), death (MESH:D003643), HBM (MESH:D010024), COVID-Q5 (MESH:D000086382)
- **Species:** Crohivirus B (no rank) [taxon 2169854], Human papillomavirus (species) [taxon 10566], Homo sapiens (human, species) [taxon 9606], Coronaviridae (family) [taxon 11118]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12963340/full.md

## References

52 references — full list in the complete paper: https://tomesphere.com/paper/PMC12963340/full.md

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Source: https://tomesphere.com/paper/PMC12963340