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: 9805274
• 负责人: Philip M Massey
• 金额: $ 53.21万
• 依托单位: DREXEL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-08 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9805274
• 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; comparison group; falls; group intervention; innovation; intervention effect; longitudinal analysis; novel; programs; recruit; skills; social media; surveillance data; theories; therapy design; tool; trend; uptake; 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.

项目概要/摘要 美国大约有 8000 万人（约四分之一）感染了人类病毒 乳头瘤病毒（HPV）。 HPV 可引起癌症，并且有疫苗可以预防与癌症相关的病毒株。 支持疫苗功效和安全性的证据是充分的，并且疫苗的可用性广泛；然而 覆盖率仍低于 80% 的国家目标（2017 年为 48.6%）。了解障碍 疫苗接受度，特别是与父母的抵抗力及其信息需求相关的疫苗接受度，是疫苗接受度的关键。 加强青少年对疫苗的接种。向家长传达证据并让他们参与 通过叙事策略可以解决决策过程中的一些障碍。家长使用 社交媒体作为重要的育儿工具和健康信息的有用来源。 2015年，75%的家长 使用社交媒体，其中四分之一使用 Twitter，相当于数百万家长用户。我们知道使用 用于监测的社交媒体数据对公共卫生产生了早期影响。然而，不为人知的是 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以支持的有效性 HPV 疫苗的接种。这项研究将通过评估创新的功效来推动这一不断发展的领域 以叙述为中心的干预措施，旨在传达有关 HPV 疫苗的证据和信息 使用社交媒体作为健康信息来源的父母。该方法以叙事参与为基础 假设叙事的理论通过利用讲故事来强化知识并促进参与 同理心、认同感和交通感。我们将评估基于 Twitter 的试点的有效性 一项随机对照试验的干预措施，将招募 600 名 9-14 岁儿童的父母/照顾者，他们的 儿童尚未开始接种系列疫苗。我们的中心假设是接触以叙事为中心的 示范信息将导致更大的疫苗接种意愿，​​从而提高疫苗接种率 干预组与对照组中接受非叙述性 HPV 疫苗的父母进行比较 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、虚拟焦点小组以及 HPV 开发的现有 Twitter 消息 圆桌会议，为以叙事为中心的信息发展提供信息。拟议的研究将解决三个具体问题 目标：1) 利用现有的在线技术，开发以叙述为中心的 HPV 疫苗传播科学范例 Twitter 上的消息和社区参与； 2) 量化参与度、疫苗接种意愿、 以及接触以叙述为中心的科学范例的父母和父母之间自我报告的疫苗接种情况 接触非叙述性的科学信息； 3）收集和分析纵向参与者元数据 测量研究期间的 Twitter 活动。这项研究将对癌症预防领域产生普遍影响 和 HPV 疫苗接种，特别是通过确定以叙述为中心的健康信息宣传活动的有效性 在社交媒体上，使用基于 Twitter 的家长参与策略。