A Multicultural, Multilingual HPV Vaccine Education DVD for Diverse Populations

描述（由申请人提供）：本研究的长期目标是开发和评估一个多文化、多语言的DVD，旨在提高HPV疫苗的健康素养，并促进9-17岁HPV感染高风险女孩和女孩的父母做出知情的HPV免疫决定：韩国人、越南人、菲律宾人、非洲裔美国人、拉丁美洲人和低收入白人。这项研究将集中于其中一个目标人群：拉丁美洲人。本研究的具体目的是：(1)确定9-17岁女孩父母的HPV疫苗素养水平、态度、观念和信息来源；(2)确定影响HPV疫苗信息的注意、理解、感知和评估的文化价值观、信仰和做法，旨在为免疫决策提供信息；(3)确定具体主题；以患者为中心的干预措施的信息要素和沟通策略，加强对疫苗的风险和益处及其对健康的影响的理解，从而充分为免疫决策提供信息；(4)评估DVD技术的可及性及其作为青春期前女孩和青春期女孩父母HPV疫苗教育干预媒介的可接受性；(5)开发DVD原型，以评估使用该媒介提供可理解的、文化上合格的HPV免疫健康素养信息的可行性。卫生与公众服务部消除种族和族裔保健差距的倡议呼吁注意在获得预防性保健资源方面的差距，主要是种族和族裔少数群体之间的差距。本研究旨在评估通过DVD技术开发多文化、多语言HPV教育干预的可行性，以响应国家癌症研究所癌症预防和控制部关于癌症预防中的互动媒体技术的计划，以促进创新媒体技术和/或通信方法在医疗和社区环境中用于癌症预防和控制应用的使用。该研究采用焦点小组和认知访谈来确定阻碍或促进知情的HPV免疫决策的认知和情感因素。它将使来自城市和农村的64名青春期前女孩的拉丁裔父母和64名13-17岁的拉丁裔青春期女孩参加12个焦点小组和32个个人访谈；一半的焦点小组和访谈将以西班牙语进行。焦点小组的数据收集工作将通过使用一份简短的问卷来加强，以获得与人乳头瘤病毒、子宫颈癌和人乳头瘤病毒疫苗有关的知识、态度、观念和先前行为的定性数据。

DESCRIPTION (provided by applicant): The long-term goal of this study is to develop and evaluate a multicultural, multilingual DVD designed to promote health literacy about the HPV vaccine and foster informed HPV immunization decisions among parents of girls and girls ages 9-17 at high risk for HPV infection: Koreans, Vietnamese, Filipinos, African Americans, Latinos and low-income whites. This study will focus on one of those target populations: Latinos. The specific aims of this study are to: (1) identify HPV vaccine literacy levels, attitudes, perceptions and information sources among parents of girls 9-17 old, (2) identify cultural values, beliefs, and practices that influence attention, comprehension, perception and evaluation of HPV vaccine information intended to inform an immunization decision, (3) identify specific themes, message elements and communication strategies for a patient-centered intervention that enhances comprehension of the risks and benefits of the vaccine and its health implications to adequately inform an immunization decision, (4) assess the accessibility of DVD technology and its acceptability as the medium for an HPV vaccine education intervention to parents of preadolescent girls and adolescent girls and (5) develop a prototype DVD to asses the feasibility using this medium to deliver comprehensible, culturally competent, health literacy information on HPV immunization. The HHS Initiative to Eliminate Racial and Ethnic Health Disparities calls attention to the gaps in access to preventive health resources, principally among racial and ethnic minorities. This study to assess the feasibility of developing a multicultural, multilingual HPV education intervention through DVD technology responds to the National Cancer Institute's program on Interactive Media Technologies in Cancer Prevention, Division of Cancer Prevention and Control to promote the use of innovative media technology and/or communication approaches in cancer prevention and control applications used in medical and community settings. The study employs focus groups and cognitive interviews to identify cognitive and affective factors that impede or promote an informed HPV immunization decision. It will accrue 64 Latina parents of preadolescent girls and 64 Latina adolescent girls ages 13-17 from urban and rural settings to participate in 12 focus groups and 32 individual interviews; half of the focus groups and interviews will be conducted in Spanish. Focus group data collection will be augment through the use of a short questionnaire to obtain qualitative data regarding knowledge, attitudes, perceptions and prior behaviors related to HPV, cervical cancer and the HPV vaccine. PUBLIC HEALTH RELEVANCE: This health literacy study addresses the need for multilingual, multicultural, HPV vaccine education materials to empower individuals at high risk for HPV infection to make an informed immunization decision, which offers a significant public health benefit.