Messaging preferences among Florida caregivers participating in focus groups who had not yet accepted the HPV vaccine for their 11- to 12-year-old child.

Messaging preferences among Florida caregivers participating in focus groups who had not yet accepted the HPV vaccine for their 11- to 12-year-old child.
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DOI:
10.1186/s12889-022-14852-9
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发表时间:
2022-12-22
期刊:
影响因子:
4.5
通讯作者:
--
中科院分区:
医学2区
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在美国,人乳头瘤病毒(HPV)疫苗接种率仍然很低。总统癌症小组建议,关于HPV疫苗接种的有效信息集中在疫苗的安全性,有效性,预防癌症的能力以及11至12岁的建议。我们的目标是制定关于HPV疫苗的信息,包括总统癌症小组的建议,并为青少年的照顾者所接受。从2020年8月到10月,我们与居住在佛罗里达的照顾者进行了一个小时的Zoom视频会议焦点小组,他们有一个11到12岁的孩子,并且没有让他们的孩子接种HPV疫苗。焦点小组主持人要求护理人员对临床医生的三个视频做出反应(即,MD、DO、APRN、PA)建议和三条短信提醒。专题分析采用了持续比较法,由一名具有定性分析专长的作者领导。另外两位作者验证了研究结果。护理人员(六组中n = 25)主要是非西班牙裔白色(84%)和受过教育(64%至少有副学士学位)。大约三分之一的照顾者推迟(44%)或决定不给孩子接种疫苗(36%)。护理人员描述了六种首选的信息方法:承认护理人员的自主权,平衡的利益和风险,值得信赖的来源,增加预约安排的可行性,决策点之前的信息,以及首选的个性化信息。护理人员表示希望获得引言中提到的随访剂量。HPV疫苗信息,无论是由临床医生还是通过短信传递,如果他们将HPV疫苗接种作为护理人员的决定,并包括来自可信来源的信息,以帮助护理人员做出明智的选择,那么护理人员将更容易接受。
In the United States, human papillomavirus (HPV) vaccination rates remain low. The President’s Cancer Panel suggests that effective messaging about the HPV vaccination focus on the vaccine’s safety, efficacy, ability to prevent cancer, and recommendation at ages 11- to 12-years. We aimed to develop messages about HPV vaccine that include the President Cancer Panel’s suggestions and were acceptable to caregivers of adolescents. From August to October 2020, we conducted one-hour, Zoom videoconference focus groups with caregivers who lived in Florida, had an 11- to 12-year-old child, and had not had any of their children receive the HPV vaccine. Focus group moderators asked caregivers to react to three videos of clinician (i.e., MD, DO, APRN, PA) recommendations and three text message reminders. Thematic analysis was conducted using the constant comparative method and led by one author with qualitative analysis expertise. Two additional authors validated findings. Caregivers (n = 25 in six groups) were primarily non-Hispanic white (84%) and educated (64% had at least an Associate’s degree). Approximately a third of caregivers had delayed (44%) or decided against a vaccine for their child (36%). Caregivers described six preferred message approaches: recognize caregivers’ autonomy, balanced benefits and risks, trustworthy sources, increased feasibility of appointment scheduling, information prior to decision point, and preferred personalized information. Caregivers expressed a desire to have the follow-up doses mentioned in the introduction. HPV vaccine messages, whether delivered by a clinician or via text message, will be more acceptable to caregivers if they approach HPV vaccination as the caregivers’ decision, and include information from trusted sources to help caregivers make an informed choice.
DOI: 10.1177/1529100618760521
发表时间: 2017-12-01
影响因子: 25.4
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DOI: 10.1186/1471-2431-12-154
发表时间: 2012-09-21
期刊: BMC pediatrics
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发表时间: 2017-02-07
期刊: PLOS ONE
影响因子: 3.7
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DOI: 10.1016/j.vaccine.2016.01.023
发表时间: 2016-02-24
期刊: VACCINE
影响因子: 5.5
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