Design and efficacy of a multilingual, multicultural HPV vaccine education intervention. (July 2015)

• Record Type: Journal Article
• Authors: Valdez, Armando; Stewart, Susan L.; Tanjasari, Sora Park; Levy, Vivian; Garza, Alvaro
• Is Part Of: Journal of communication in healthcare. Volume 8:Number 2(2015)
• Page Start: 106
• Page End: 118
• Publication Date: 2015-07
• Subjects: Ethnic groups -- Hispanic Americans -- Korean Americans -- Papillomavirus vaccine -- Parents -- United States -- Uterine cervical neoplasms -- Vaccination; Communication in medicine -- Periodicals; Communication -- Periodicals; Health promotion -- Periodicals; 610.696
• DOI: 10.1179/1753807615Y.0000000015
• Languages: English
• ISSNs: 1753-8068

Abstract

Abstract : Background: The human papillomavirus (HPV) is the precursor and the single, most important risk factor for cervical cancer. It is also the most commonly sexually transmitted infection in the United States. An estimated 20 million persons are currently infected with the virus, with an estimated 6 million new infections occurring annually and 12 000 new cervical cancer cases and 4 000 cervical cancer deaths annually. The HPV vaccine is thus an especially important preventive measure for racial/ethnic groups who bear an unequal burden of cervical cancer mortality. Purpose: This study aimed to develop a culturally and linguistically appropriate intervention to educate and empower Latino and Korean American parents to make an informed HPV vaccination decision for their minor children. Methods: A parent-focused HPV vaccine education DVD was developed through focus groups and cognitive interviews with Latino and Korean American parents of children ages 11–17. A randomized controlled efficacy trial was subsequently conducted with 708 Latino and Korean American parents to assess knowledge gains, decisional conflict, decision self-efficacy, and informed decision-making resulting from viewing the intervention DVD. Results: Differences between treatment and control groups for pre-post changes in knowledge, informed decision-making, and decisional conflict were statistically significant among the parents exposed to the education intervention DVD. Conclusion: The study demonstrated that a culturally and linguistically appropriate intervention DVD designed to educate parents about the risks and benefits of the HPV vaccine promoted informed decision-making regarding HPV vaccination among at-risk populations.