"1-2-3 Pap" Intervention Improves HPV Vaccine Series Completion Among Appalachian Women

Abstract

Completion of the Human Papillomavirus (HPV) vaccine series is a national priority. This study not only identified correlates of intent to complete the vaccine series and actual series completion, but also tested the efficacy of a DVD intervention to promote series completion. Women's beliefs that all three doses reduced cancer risk predicted intent and completion. Intention predicted completion, as did the belief that having a friend accompany the woman would promote completion. Beyond these effects, women assigned to the intervention were 2.44 times more likely than women in the control group to complete the series. Thus, in controlled analyses, a theory-grounded DVD intervention successfully promoted HPV series completion in a community setting. This method of intervention has high translational potential.

A Randomized Intervention of Reminder Letter for Human Papillomavirus Vaccine Series Completion

“…However, it can be difficult to assess the impact of selection bias in these nonrandomized studies as those who choose to enroll in the study intervention may be inherently different from those who declined participation. In a randomized study in a variety of community health care settings, an educational DVD intervention was found effective (2.44 times more likely) in increasing series completion among a group of women who also received follow-up telephone reminders [20]. This study, however, did not directly evaluate the effect of telephone reminders.…”

Organizational Variation in Implementation of an Evidence-Based Human Papillomavirus Intervention

“…The efficacy trial for the original intervention linked exposure to the video with an increased likelihood of vaccine series completion among the target audience of young women in Eastern Kentucky. 13 Based on the positive results of the efficacy trial, RCPC researchers partnered with the Kentucky Public Health Practice-Based Research Network (KPHReN) to analyze implementation of the video in public health practice toward the goal of broadening the reach of the intervention to the rest of the state. Because the study of implementation processes can be facilitated by the use of existing research networks and direct engagement of stakeholders, 14 Public Health Practice-Based Research Networks (PBRNs) are optimal collaborators for implementation research in public health contexts.…”

Educational interventions to increase HPV vaccination acceptance: A systematic review

“…Participants’ ages, specified in all but one of these studies, ranged from 12 to 16 years overall. The other half of the studies either partially [37] or exclusively recruited participants from colleges [33,36,38,39]. The age range of these participants ranged from 18 to 26 years in the two studies in which age criteria were specified [37,39].…”