HPV Vaccination Champions: Evaluating a Technology-Mediated Intervention for Parents.
HPV Vaccination Champions: Evaluating a Technology-Mediated Intervention for Parents.
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DOI：
10.3389/fdgth.2021.636161
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发表时间：
2021
影响因子：
--
通讯作者：
Ford ME
中科院分区：
文献类型：
--
作者：
Sundstrom B;Cartmell KB;White AA;Russo N;Well H;Pierce JY;Brandt HM;Roberts JR;Ford ME
人乳头瘤病毒（HPV）疫苗可预防男性和女性的6种HPV相关癌症。然而，美国青少年的HPV疫苗接种率落后于其他发达国家，揭示了一个重大的公共卫生问题。这项可行性研究测试了一个合作的在线学习环境，以培养HPV疫苗接种冠军。一项为期3个月的培训计划招募了父母作为支持者和社交媒体影响者，以确定克服HPV疫苗接种障碍的解决方案。一个混合方法的研究设计包括一个预测试调查，三个在线异步焦点小组，一个后测试调查，以及在6个月的纵向随访调查。参与者包括22名自认为是女性（95.4%）和白色（90.9%）的父母。总体而言，在测试前和测试后，HPV和HPV疫苗接种知识存在统计学显著差异（p = 0.0042）。这种技术介导的干预增加了父母的信心，并激励他们在社交网络中与他人面对面和在线更自由地谈论HPV疫苗接种。参与者确定了关于HPV疫苗接种的普遍错误信息，并学习了如何有效地制作信息，以解决与安全性和副作用，性别，风险理解和性活动有关的问题。客观的措施和定性的开放式评估表明，高干预参与度和治疗满意度。所有参与者（100%）表示他们喜欢参与干预。这项可行性研究的有效性表明，社交媒体是一个适当的平台，使父母能够通过简单且可亲自和在线分享的HPV疫苗接种信息来对抗疫苗犹豫和错误信息。
Human papillomavirus (HPV) vaccination prevents 6 HPV-related cancers in men and women. Yet, rates of HPV vaccination among adolescents in the United States lag behind other developed nations, revealing a significant public health issue. This feasibility study tested a collaborative online learning environment to cultivate HPV vaccination champions. A 3-month training program recruited parents to serve as proponents and social media influencers to identify solutions to overcome barriers to HPV vaccination. A mixed methods study design included a pretest survey, three online asynchronous focus groups, a posttest survey, as well as a longitudinal follow-up survey at 6 months. Participants included 22 parents who self-identified as female (95.4%) and white (90.9%). Overall, there was a statistically significant difference in knowledge of HPV and HPV vaccination between pretest and posttest (p = 0.0042). This technology-mediated intervention increased parents' confidence and motivated them to speak more freely about HPV vaccination in-person and online with others in their social networks. Participants identified prevalent misinformation about HPV vaccination and learned how to effectively craft messages to address concerns related to safety and side effects, gender, understanding of risk, and sexual activity. Objective measures and qualitative open-ended assessment showed high intervention engagement and treatment satisfaction. All participants (100%) indicated that they enjoyed participating in the intervention. The effectiveness of this feasibility study suggests that social media is an appropriate platform to empower parents to counter vaccine hesitancy and misinformation through HPV vaccination information that is simple and shareable in-person and online.
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