Hashtag HPV: Engaging parents through social media to increase HPV vaccination

Hashtag HPV：通过社交媒体吸引家长增加 HPV 疫苗接种

• 批准号: 10469884
• 负责人: Philip M Massey
• 金额: $ 41.27万
• 依托单位: UNIVERSITY OF ARKANSAS AT FAYETTEVILLE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-15 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10469884
• 关键词: Address; Adolescent; Age; Appointment; Cancer Control; Cancer Etiology; Caregivers; Child; Child Rearing; Communication; Communications Media; Communities; Data; Decision Making; Development; Empathy; Enrollment; Evaluation; Exposure to; Feeling; Focus Groups; Future; Goals; Health; Health Professional; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papillomavirus; Intention; Intervention; Knowledge; Life; Malignant Neoplasms; Measures; Media Intervention; Metadata; Methodology; Modeling; Parents; Participant; Patient Self-Report; Phase; Population; Prevention; Prevention strategy; Process; Public Health; Randomized Controlled Trials; Reporting; Research; Resistance; Science; Series; Source; Testing; Time; Transportation; Twitter; United States; Use Effectiveness; Vaccinated; Vaccination; Vaccine Research; Vaccines; base; cancer prevention; community engagement; comparison group; efficacy evaluation; falls; group intervention; innovation; intervention effect; longitudinal analysis; novel; online intervention; programs; recruit; skills; social media; surveillance data; theories; therapy design; tool; trend; vaccine acceptance; vaccine access; vaccine efficacy; vaccine safety; virtual

PROJECT SUMMARY/ABSTRACT Approximately 80 million people in the United States – or about one in four – are infected with human papillomavirus (HPV). HPV can cause cancer and there are vaccines that protect against cancer-related strains. Evidence supporting vaccine efficacy and safety is robust, and vaccine availability is widespread; however coverage rates continue to fall short of the national goal of 80% (48.6% in 2017). Understanding the barriers to vaccine acceptance, particularly related to parent resistance and their informational needs, is key to strengthening vaccine uptake among adolescents. Communicating evidence to parents and engaging them through narrative strategies may address some of the barriers during the decision-making process. Parents use social media as an important parenting tool and useful source for health information. In 2015, 75% of all parents used social media, and of these 1 in 4 used Twitter – equating to millions of parent users. We know that using social media data for surveillance has had early impact in public health. However, what is not known is the effectiveness of using large-scale social media data to inform a targeted social media intervention to support HPV vaccine uptake. This study will advance the growing field by evaluating the efficacy of an innovative narrative-focused intervention designed to communicate evidence and information about the HPV vaccine for parents who use social media as a health information source. The approach is informed by narrative engagement theory that posits narratives strengthen knowledge and promote engagement through storytelling by tapping into feelings of empathy, identification, and transportation. We will evaluate the efficacy of our Twitter-based pilot intervention in a randomized controlled trial that will enroll 600 parents/caregivers of children ages 9-14, whose child(ren) has not started the vaccine series. Our central hypothesis is that exposure to narrative-focused exemplar messages will lead to greater intention to vaccinate, and subsequently increased rates of vaccination in the intervention group compared to parents in the comparison group, who receive non-narrative HPV vaccine information (i.e., existing HPV vaccine information developed for Twitter). We will use a Twitter-based Community Advisory Board, virtual focus groups, and existing Twitter messages developed by the HPV Roundtable to inform narrative-focused message development. The proposed study will address three specific aims: 1) Develop narrative-focused scientific exemplars for HPV vaccine communication utilizing existing online messages and community engagement on Twitter; 2) Quantify differences in engagement, intention to vaccinate, and self-reported vaccination between parents exposed to the narrative-focused scientific exemplars and parents exposed to non-narrative scientific messages; 3) Collect and analyze longitudinal participant metadata to measure Twitter activity during the study period. This study will impact the field of cancer prevention generally and HPV vaccination specifically by establishing the efficacy of narrative-focused health messaging campaign on social media, using a Twitter-based parent-engagement strategy.

项目总结/摘要 在美国，大约有8000万人----或大约四分之一----感染了人类免疫缺陷病毒。 乳头瘤病毒（HPV）。HPV可导致癌症，并且有疫苗可以预防癌症相关菌株。 支持疫苗有效性和安全性的证据是强有力的，疫苗的可用性是广泛的;然而， 覆盖率继续低于80%的国家目标（2017年为48.6%）。了解障碍， 疫苗接受度，特别是与亲本抗性及其信息需求相关的疫苗接受度， 加强青少年的疫苗接种。向父母传达证据并让他们参与 通过叙述性策略，可以解决决策过程中的一些障碍。父母用 社交媒体是重要的育儿工具和有用的健康信息来源。2015年，75%的父母 使用社交媒体，其中四分之一使用Twitter -相当于数百万父母用户。我们知道使用 用于监测的社交媒体数据已对公共卫生产生了早期影响。然而，不知道的是， 使用大规模社交媒体数据为有针对性的社交媒体干预提供信息的有效性， HPV疫苗接种。这项研究将通过评估一种创新药物的疗效来推动这一不断发展的领域。 以叙述为中心的干预措施，旨在交流有关HPV疫苗的证据和信息， 父母使用社交媒体作为健康信息来源。该方法是由叙事参与告知 假设叙事的理论通过讲故事来加强知识并促进参与， 同情、认同和运输的感觉。我们将评估我们基于Twitter的试点的有效性， 在一项随机对照试验中进行干预，该试验将招募600名9-14岁儿童的父母/照顾者， 儿童（ren）尚未开始接种疫苗系列。我们的中心假设是， 示范信息将导致更大的接种意愿，并随后提高接种率 与对照组中接受非叙述性HPV疫苗的父母相比， 信息（即，为Twitter开发的现有HPV疫苗信息）。我们将使用基于Twitter的 社区咨询委员会、虚拟焦点小组和HPV开发的现有Twitter消息 圆桌会议，以告知叙事为重点的信息发展。拟议的研究将解决三个具体问题 目的：1）利用现有的在线资源，为HPV疫苗传播开发以叙述为重点的科学范例 Twitter上的信息和社区参与; 2）量化参与，接种疫苗的意图， 和自我报告的疫苗接种之间的父母暴露于叙事为重点的科学范例和父母 接触非叙述性科学信息; 3）收集和分析纵向参与者元数据， 在研究期间测量Twitter活动。这项研究将影响癌症预防领域的普遍 和HPV疫苗接种，特别是通过建立以叙事为重点的健康信息宣传活动的功效 在社交媒体上，使用基于Twitter的父母参与策略。