Human Papillomavirus Vaccine Uptake After a Tailored, Online Educational Intervention for Female University Students: A Randomized Controlled Trial

Bennett, Alaina T.; Patel, Divya; Carlos, Ruth C.; Zochowski, Melissa K.; Pennewell, Sarah M.; Alice, Mapina M.; Dalton, Vanessa K.

doi:10.1089/jwh.2015.5251

Cited by 55 publications

(75 citation statements)

References 23 publications

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“…However, the present findings revealed that those effects wore off during the 4 months following intervention. Our results are consistent with those of a previous study showing that risk perception, intention to be vaccinated, and HPV vaccine uptake did not differ significantly between baseline and 3 months following intervention among female university students in the United States [10].…”

Section: Discussionsupporting

confidence: 92%

“…The long-term effects of messages should be investigated because HPV vaccination expects multiple injections given over a series of weeks: in Japan, the second dose is given 1 month after and the third dose is given 6 months after the first dose. One previous study examined the impact of an individually tailored intervention on knowledge, risk perception, intention to be vaccinated, and uptake regarding HPV vaccine, among unvaccinated female university students over 3 months following the intervention [10]. However, no studies have examined the long-term effects of intervention among parents of adolescent daughters.…”

Section: Introductionmentioning

confidence: 99%

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Examining Long-Term Effects of Human Papillomavirus Vaccine Recommendation Messages: A 4-months Follow-up Survey of a Randomized Controlled Study in Japan

Okuhara

Ishikawa

Ueno

et al. 2020

Preprint

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Background: We previously conducted a randomized controlled study to examine persuasive messages recommending HPV vaccination to mothers with daughters in September 2017 in Japan. Our previous study showed that the three types of intervention message used (statistical information only, a patient’s narrative in addition to statistical information, and a mother’s narrative in addition to statistical information) all significantly improved mothers’ intention to have their daughter(s) receive the HPV vaccine, in comparison with mothers who received no messaging. The present study is a follow-up survey to assess the long-term effect of the intervention in our previous study. Methods: Four months after the initial study, in January 2018, participants in the previous study were contacted and queried about their current intention to have their daughter(s) receive the HPV vaccine. Statistical analysis was conducted using the paired t -test and analysis of variance. Results: A total of 978 mothers participated in the current survey. Vaccination intention 4 months after intervention had decreased to a level that did not differ significantly from the level prior to intervention in all three intervention conditions. The amount of change in vaccination intention 4 months after intervention did not differ significantly among the three intervention groups ( p =0.871). Conclusions: A single exposure to messaging was insufficient to produce a persistent intervention effect; repeated exposure to messaging coupled with other interventions may be important.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Examining Long-Term Effects of Human Papillomavirus Vaccine Recommendation Messages: A 4-months Follow-up Survey of a Randomized Controlled Study in Japan

Okuhara

Ishikawa

Ueno

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…While these two studies were successful in increasing interest in vaccination and willingness to vaccinate, other attempts have been less successful. An online intervention called “MeFirst” incorporated college students’ baseline knowledge of HPV in order to design a tailored educational intervention; however, 3 months after the intervention, those randomized to the tailored education were no more likely to have initiated the vaccine series than those who had just read the CDC information face-sheet ( 54 ). Of note, few studies evaluate actual vaccination uptake outcomes, and most rely on changes in reported intention to vaccinate as a surrogate, which may over-estimate the impact of education on vaccination rates.…”

Section: Interventions To Improve Delivery Of the Hpv Vaccinementioning

confidence: 99%

Preventing Cervical Cancer in the United States: Barriers and Resolutions for HPV Vaccination

Beavis

Levinson

2016

Front. Oncol.

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Human papillomavirus (HPV) vaccination rates for preadolescent and adolescent girls in the United States are far behind those of other developed nations. These rates differ substantially by region and state, socioeconomic status, and insurance status. In parents and young women, a lack of awareness and a misperception of the risk of this vaccine drive low vaccination rates. In physicians, lack of comfort with discussion of sexuality and the perception that the vaccine should be delayed to a later age contribute to low vaccination rates. Patient- and physician-targeted educational campaigns, systems-based interventions, and school-based vaccine clinics offer a variety of ways to address the barriers to HPV vaccination. A diverse and culturally appropriate approach to promoting vaccine uptake has the potential to significantly improve vaccination rates in order to reach the Healthy People 2020 goal of over 80% vaccination in adolescent girls. This article reviews the disparities in HPV vaccination rates in girls in the United States, the influences of patients’, physicians’, and parents’ attitudes on vaccine uptake, and the proposed interventions that may help the United States reach its goal for vaccine coverage.

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“…To date, only few tailored interventions to encourage HPV vaccination have been tested [ 10 - 13 ]. Three of these showed positive results.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Web-Based Tailored Intervention With Virtual Assistants Promoting the Acceptability of HPV Vaccination Among Mothers of Invited Girls: Randomized Controlled Trial

Pot¹,

Paulussen²,

Ruiter³

et al. 2017

J Med Internet Res

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BackgroundIn 2010, the human papillomavirus (HPV) vaccination was introduced in the Dutch National Immunization Program for 12-year-old girls, aiming to reduce the incidence of cervical cancer in women. HPV vaccination uptake turned out to be lower than expected: 61% versus 70%, respectively. Mothers were shown to play the most important role in the immunization decision about this vaccination. They had also expressed their need for interactive personal information about the HPV vaccination over and above the existing universal general information. To improve the effectiveness of the existing education about the HPV vaccination, we systematically developed a Web-based tailored intervention with virtual assistants providing mothers of girls to be invited with tailored feedback on their decision making about the HPV vaccination.ObjectiveThe aim of this study was to evaluate the effectiveness of the Web-based tailored intervention for promoting HPV vaccination acceptance by means of a randomized controlled trial (RCT).MethodsMothers were recruited via the Dutch vaccination register (Praeventis) (n=36,000) and three Web-based panels (n=2483). Those who gave informed consent (N=8062) were randomly assigned to the control (n=4067) or intervention condition (n=3995). HPV vaccination uptake, as registered by Praeventis once the HPV vaccination round was completed, was used as the primary outcome. Secondary outcomes were differential scores across conditions between baseline (before the provided access to the new tailored intervention) and follow-up (just before the first vaccination) regarding the mothers’ degree of informed decision making (IDM), decisional conflict, and critical determinants of HPV vaccination uptake among which are intention, attitude, risk perception, and outcome beliefs.ResultsIntention-to-treat analysis (N=8062) showed a significant positive effect of the intervention on IDM, decisional conflict, and nearly all determinants of HPV vaccination uptake (P<.001). No effect was found on uptake (P=.60). This may be attributed to the overall high uptake rates in both conditions. Mothers evaluated the intervention as highly positive, including the website as well as the virtual assistants that were used to deliver the tailored feedback.ConclusionsThis computer-tailored intervention has the potential to improve HPV vaccination acceptability and IDM and to decrease decisional conflict among mothers of invited girls. Implications for future research are discussed.Trial RegistrationTrialregister.nl NTR4935; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4935 (Archived by WebCite at http://www.webcitation.org/6srT7l9EM)

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Human Papillomavirus Vaccine Uptake After a Tailored, Online Educational Intervention for Female University Students: A Randomized Controlled Trial

Abstract: We found that an individually tailored, online educational tool had similar effects as a nontailored factsheet on HPV-related knowledge, intention to HPV undergo vaccination, and HPV vaccine uptake among previously unvaccinated female university students.

Cited by 55 publications

References 23 publications

Examining Long-Term Effects of Human Papillomavirus Vaccine Recommendation Messages: A 4-months Follow-up Survey of a Randomized Controlled Study in Japan

Examining Long-Term Effects of Human Papillomavirus Vaccine Recommendation Messages: A 4-months Follow-up Survey of a Randomized Controlled Study in Japan

Preventing Cervical Cancer in the United States: Barriers and Resolutions for HPV Vaccination

Effectiveness of a Web-Based Tailored Intervention With Virtual Assistants Promoting the Acceptability of HPV Vaccination Among Mothers of Invited Girls: Randomized Controlled Trial

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