Translating self-persuasion into an adolescent HPV vaccine promotion intervention for parents attending safety-net clinics
Translating self-persuasion into an adolescent HPV vaccine promotion intervention for parents attending safety-net clinics
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DOI：
10.1016/j.pec.2016.11.014
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发表时间：
2017-04-01
影响因子：
3.5
通讯作者：
Tiro, Jasmin A.
中科院分区：
文献类型：
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作者：
Baldwin, Austin S.;Denman, Deanna C.;Tiro, Jasmin A.
目的：自我说服是一种有效的行为改变策略，但尚未转化为低收入，受教育程度较低，没有保险的人群参加安全网诊所或促进人乳头瘤病毒（HPV）疫苗接种。我们开发了一种基于平板电脑的应用程序（英语和西班牙语），以诱导父母自我说服青少年接种HPV疫苗，并评估其在安全网人群中的可行性。方法：45名符合年龄条件的青少年家长采用自我说服方法。然后，在认知访谈中，工作人员收集包括父母决策阶段在内的自我说服任务的定量和定性反馈。结果：自我说服任务被评为容易完成和有帮助。我们确定了六个问题提示，被评为一致有用，不难回答，并从参与者那里产生了非冗余的回答。在33名未接种疫苗的青少年父母中，27名（81.8%）报告在完成自我说服任务后决定让他们的青少年接种疫苗。结论：自我说服的应用是可行的，并改变了家长的决策阶段。未来的研究现在可以测试基于片剂的应用对HPV疫苗接种的有效性。实践意义：自我说服的应用促进了语言化的原因HPV疫苗接种在低识字率，安全网设置。这种自我管理的应用程序比其他患者教育方法更容易纳入临床实践。2016爱思唯尔爱尔兰有限公司版权所有。
Objective: Self-persuasion is an effective behavior change strategy, but has not been translated for low-income, less educated, uninsured populations attending safety-net clinics or to promote human papillomavirus (HPV) vaccination. We developed a tablet-based application (in English and Spanish) to elicit parental self-persuasion for adolescent HPV vaccination and evaluated its feasibility in a safety-net population.Methods: Parents (N = 45) of age-eligible adolescents used the self-persuasion application. Then, during cognitive interviews, staff gathered quantitative and qualitative feedback on the self-persuasion tasks including parental decision stage.Results: The self-persuasion tasks were rated as easy to complete and helpful. We identified six question prompts rated as uniformly helpful, not difficult to answer, and generated non-redundant responses from participants. Among the 33 parents with unvaccinated adolescents, 27 (81.8%) reported deciding to get their adolescent vaccinated after completing the self-persuasion tasks.Conclusions: The self-persuasion application was feasible and resulted in a change in parents' decision stage. Future studies can now test the efficacy of the tablet-based application on HPV vaccination. Practice implications: The self-persuasion application facilitates verbalization of reasons for HPV vaccination in low literacy, safety-net settings. This self-administered application has the potential to be more easily incorporated into clinical practice than other patient education approaches. (C) 2016 Elsevier Ireland Ltd. All rights reserved.