Design and efficacy of a multilingual, multicultural HPV vaccine education intervention

Abstract

Background The human papillomavirus (HPV) is the precursor and the single, most important risk factor for cervical cancer. It is also the most commonly sexually transmitted infection in the United States. An estimated 20 million persons are currently infected with the virus, with an estimated 6 million new infections occurring annually and 12,000 new cervical cancer cases and 4,000 cervical cancer deaths annually. The human papillomavirus (HPV) vaccine is thus an especially important preventive measure for racial/ethnic groups who bear an unequal burden of cervical cancer mortality. Purpose This study aimed to develop a culturally and linguistically appropriate intervention to educate and empower Latino and Korean Americans to make an informed HPV vaccination decision for their minor children. Methods A parent-focused HPV vaccine education DVD was developed through focus groups and cognitive interviews with Latino and Korean Americans parents of children ages 11-17. A randomized controlled efficacy trial was subsequently conducted with 708 Latino and Korean Americans parents to assess knowledge gains, decisional conflict, decision self-efficacy and informed decision-making resulting from viewing the intervention DVD. Results Differences between treatment and control groups for pre-post changes in knowledge, informed decision-making and decisional conflict were statistically significant among the parents exposed to the education intervention DVD. Conclusion The study demonstrated that a culturally and linguistically appropriate intervention DVD designed to educate parents about the risks and benefits of the HPV vaccine promoted informed decision-making regarding HPV vaccination among at-risk populations.

Implementation of HPV vaccination guidelines in a diverse population in Los Angeles: Results from an environmental scan of local HPV resources and needs

“…There is some evidence to support that such an approach could be effective. For example, one multilingual, multicultural HPV vaccine education intervention to empower Latino and Korean Americans showed improvements in HPV infection and vaccine knowledge, informed decision-making, and decisional conflict [15]. Educational materials should include visuals aids (e.g., pie charts, icon arrays) and be targeted at appropriate reading levels for youth and parents of varied educational levels.…”

Factors Associated with Human Papillomavirus Vaccination Among Diverse Adolescents in a Region with Low Human Papillomavirus Vaccination Rates

“… 21 Racial and ethnic minorities are at greater risk for lower awareness about the HPV vaccine, suggesting the need for educational interventions among diverse communities. 24 These efforts could take the form of educational media campaigns 17 , 25 , 26 or collaborations with clinicians. 27 The next most frequently reported barrier to vaccinating both sons and daughters was the cost of the vaccine, despite the availability of low-cost or free HPV vaccinations through the Vaccines for Children program.…”

A retrospective and prospective look at strategies to increase adolescent HPV vaccine uptake in the United States

“…A DVD-based intervention showed promise in helping Latino and Korean Americans make an informed HPV vaccination decision for their children. 78 A web-based program that was tested in adult college students, but not adolescents or their parents, resulted in significantly more positive attitudes in the website group at the end of the intervention. 79 Research efforts are expanding on this promising approach by evaluating web-based approaches to reach parents and adolescents with informative and engaging messages about HPV vaccination.…”