Abstract
Background: The human papillomavirus (HPV) is the precursor and the single, most important risk factor for cervical cancer. It is also the most com- monly 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 cer- vical 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 vacci- nation decision for their minor children. Methods: A parent-focused HPV vaccine education DVD was developed through focus groups and cog- nitive interviews with Latino and Korean American parents of children ages 11-17. A randomized con- trolled 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 result- ing 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 cultu- rally 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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 106-118 |
| Number of pages | 13 |
| Journal | Journal of Communication in Healthcare |
| Volume | 8 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jul 1 2015 |
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Keywords
- Ethnic groups
- Hispanic Americans
- Korean Americans
- Papillomavirus vaccine
- Parents
- United States
- Uterine cervical Neoplasms
- Vaccination
ASJC Scopus subject areas
- Communication
- Health Information Management
Cite this
Design and efficacy of a multilingual, multicultural HPV vaccine education intervention. / Valdez, Armando; Stewart, Susan L; Tanjasari, Sora Park; Levy, Vivian; Garza, Alvaro.
In: Journal of Communication in Healthcare, Vol. 8, No. 2, 01.07.2015, p. 106-118.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Design and efficacy of a multilingual, multicultural HPV vaccine education intervention
AU - Valdez, Armando
AU - Stewart, Susan L
AU - Tanjasari, Sora Park
AU - Levy, Vivian
AU - Garza, Alvaro
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Background: The human papillomavirus (HPV) is the precursor and the single, most important risk factor for cervical cancer. It is also the most com- monly 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 cer- vical 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 vacci- nation decision for their minor children. Methods: A parent-focused HPV vaccine education DVD was developed through focus groups and cog- nitive interviews with Latino and Korean American parents of children ages 11-17. A randomized con- trolled 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 result- ing 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 cultu- rally 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.
AB - Background: The human papillomavirus (HPV) is the precursor and the single, most important risk factor for cervical cancer. It is also the most com- monly 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 cer- vical 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 vacci- nation decision for their minor children. Methods: A parent-focused HPV vaccine education DVD was developed through focus groups and cog- nitive interviews with Latino and Korean American parents of children ages 11-17. A randomized con- trolled 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 result- ing 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 cultu- rally 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.
KW - Ethnic groups
KW - Hispanic Americans
KW - Korean Americans
KW - Papillomavirus vaccine
KW - Parents
KW - United States
KW - Uterine cervical Neoplasms
KW - Vaccination
UR - http://www.scopus.com/inward/record.url?scp=84949567048&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949567048&partnerID=8YFLogxK
U2 - 10.1179/1753807615Y.0000000015
DO - 10.1179/1753807615Y.0000000015
M3 - Article
AN - SCOPUS:84949567048
VL - 8
SP - 106
EP - 118
JO - Journal of Communication in Healthcare
JF - Journal of Communication in Healthcare
SN - 1753-8068
IS - 2
ER -