Effects of a Narrative HPV Vaccination Intervention Aimed at Reaching College Women: A Randomized Controlled Trial
Effects of a Narrative HPV Vaccination Intervention Aimed at Reaching College Women: A Randomized Controlled Trial
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DOI：
10.1007/s11121-011-0254-1
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发表时间：
2012-04-01
影响因子：
3.5
通讯作者：
Hopfer, Suellen
中科院分区：
文献类型：
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作者：
Hopfer, Suellen
这项纵向研究报告了一种叙事干预措施的发展和评估，旨在增加大学女生中的人乳头瘤病毒（HPV）疫苗接种。预防HPV是公共卫生的优先事项，因为它的普遍性和与宫颈癌的关系，宫颈癌是全球妇女癌症死亡的第二大原因。试点工作利用以文化为中心的叙事理论指导干预内容的发展。例证理论导致的假设比较通信来源的叙述性消息（同行唯一的，医学专家唯一的，或两种来源类型的组合）在四臂随机对照试验（N = 404; 18-26奥尔兹）。与对照组相比，联合同行专家叙事干预几乎使疫苗接种增加了一倍（22%对12%）。支持增加HPV疫苗接种的实用目标和关于信息来源的理论预测。正如预测的那样，包括同行和医学专家来源在促进大学女性HPV疫苗接种方面起着关键作用。此外，干预措施通过提高疫苗自我效能和意图来增加HPV疫苗接种。设计有效的HPV疫苗信息的理论和实践意义进行了讨论。
This longitudinal study reports on the development and evaluation of a narrative intervention aimed at increasing human papillomavirus (HPV) vaccination among college women. The prevention of HPV is a public health priority due to its pervasiveness and relationship to cervical cancer, the second leading cause of cancer deaths among women worldwide. Pilot work utilizing culture-centric narrative theory guided development of the intervention content. Exemplification theory led to hypotheses comparing communication sources of the narrative messages (peer only, medical expert only, or a combination of the two source types) in a four-arm randomized controlled trial (N = 404; 18-26 year olds). The combined peer-expert narrative intervention nearly doubled vaccination compared to controls (22% vs. 12%). The pragmatic goal of increasing HPV vaccination and the theoretical predictions about message source were supported. As predicted, the inclusion of peer and medical expert sources plays a critical role in promoting HPV vaccination among college women. Furthermore, the intervention increased HPV vaccination by increasing vaccine self-efficacy and intent. Theoretical and practical implications for designing effective HPV vaccine messages are discussed.