Behavioral Interventions to Increase HPV Vaccination Acceptability Among Mothers of Young Girls
Behavioral Interventions to Increase HPV Vaccination Acceptability Among Mothers of Young Girls
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DOI：
10.1037/a0016942
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发表时间：
2010-01-01
影响因子：
4.2
通讯作者：
Zimet, Greg
中科院分区：
文献类型：
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作者：
Cox, Dena S.;Cox, Anthony D.;Zimet, Greg
目的：确定向西班牙裔、非裔美国人和白色社区的母亲提供人乳头瘤病毒（HPV）疫苗风险和益处信息的最有效方法，以增加母亲为女儿接种HPV疫苗的意愿。设计图：该研究采用3 × 2受试者间析因设计，涉及3种不同的风险呈现格式（图形HPV统计，非图形HPV统计或无统计对照）以及是否存在修辞问题（RQ）。数据收集自471名11-16岁女孩的母亲的全国样本。主要结果变量：主要结果变量是母亲打算为女儿接种HPV疫苗。次要结果包括母亲自我报告的信息理解和女儿对HPV感染的脆弱性，感染严重程度，疫苗有效性和免疫接种障碍的看法。结果与结论：结果表明，风险介绍格式和RQ对母亲接种女儿的意图有总体积极的影响。然而，这些干预措施单独使用似乎比联合使用更有效。这些干预措施都很简短，可以很容易地由卫生保健提供者以及在病人的健康沟通文献中实施。
Objective: To determine the most effective ways to present human papillomavirus (HPV) vaccine risk and benefit information to mothers in Hispanic, African American, and White communities, to increase mothers' intentions to vaccinate their daughters against HPV. Design: The study used a 3 X 2 between-subjects factorial design, involving 3 different risk presentation formats (graphical HPV statistics, nongraphical HPV statistics, or no-statistics control) and the presence or absence of rhetorical questions (RQ). Data were collected from a national sample of 471 mothers of girls ages 11-16. Main Outcome Variables: The primary outcome variable was mothers' intention to vaccinate their daughters against HPV. Secondary outcomes included mothers' self-reported message comprehension and perceptions of daughters' vulnerability to HPV infection, infection severity, vaccine efficacy, and obstacles to immunization. Results and Conclusion: Results showed that both risk presentation format and RQs had an overall positive effect on mothers' intention to vaccinate their daughters. However, the interventions appear to be more effective when used separately than when used in combination. Each of these interventions is brief and could easily be implemented by health care providers as well as in patient health communication literature.