Culturally-Appropriate Social Marketing Intervention to Increase HPV Vaccination
Pamela Hull2016
visibility
…
description
1 page
link
1 file
HPV vaccination is recommended for all children ages 11-12, with catch up for females to age 26 and males to age 21, for prevention of HPV-associated cancers, which disproportionately affect African Americans. However, uptake of HPV vaccine has lagged far behind that of other adolescent vaccines recommended for the same ages (meningococcal and Tdap), and completion was lower among African Americans than whites until 2013. The purpose of this study was to pilot test a culturally-appropriate social marketing intervention targeting parents of African American pre-adolescents to increase initiation and completion of the 3-dose HPV vaccine series, using a community-engaged approach. A Community Advisory Board (CAB) and Teen and Parent Committee participated in the development of the intervention. While the messages were developed to be culturally-appropriate for African American parents based on formative research, the CAB wanted to ensure that the intervention was designed to be appropr...
Related papers
HPV vaccine use among African American girls: Qualitative formative research using a participatory social marketing approach
Gynecologic Oncology, 2014
Skeptical mothers need in-depth information about vaccine safety and age recommendations to accept the vaccine.
Black mother's intention to vaccinate daughters against HPV: A mixed methods approach to identify opportunities for targeted communication
Gynecologic Oncology, 2018
Objective.-The cervical cancer disparity continues to exist and has widened between Black and non-Hispanic White women. Human Papillomavirus (HPV) vaccines could potentially reduce this disparity, yet remain under-used among Black female adolescents. We investigated psychosocial and cultural factors associated with Black mothers' intentions to vaccinate their daughters against HPV, and explored views toward a HPV vaccine mandate. Methods.-In this quantitative dominant, mixed methods study, cross sectional surveys (n = 237) and follow-up semi-structured interviews (n = 9) were conducted with Black mothers of daughters. A 2-step logistic regression determined factors associated with Black mothers' intention. Thematic content analysis determined emerging themes. Results.-Perceived susceptibility (p = .044), perceived barriers (p < .001), and subjective norms (p = .001) were significant predictors of maternal HPV vaccination intentions. Follow-up interviews provided insight into factors influencing mothers' intentions. Mothers with low intentions did not perceive their daughter to be currently sexually active or in near future, thus, not
African American Parents' HPV Vaccination Intent and Concerns
Journal of Health Care for The Poor and Underserved, 2012
This study describes attitudes and social and environmental factors that affect African American parents’ intent to vaccinate their daughters against human papillomavirus (HPV). Thirty African American parents of daughters aged nine to 17 years and no history of HPV infection completed semi-structured interviews. Interviews addressed factors that influenced intent to vaccinate, perception of community norms related to vaccination, vaccination scenarios
African American parents' attitudes toward HPV vaccination
Ethnicity & disease, 2011
This study sought to determine knowledge about human papillomaviruses (HPV), vaccination acceptability and intent to vaccinate, and describe the individual characteristics, and sociocultural attitudes that affect African American parents' intent to vaccinate their daughters. Two hundred African Americans completed self-administered surveys that assessed factors that may influence HPV vaccination behavior, HPV and cervical cancer knowledge and risk perception, cultural attitudes, and preferences for location and timing of vaccination. Eligibility criteria included men and women who had a daughter aged 9 to 17 years, whether the daughter had or had not been told that she had an HPV infection. Approximately two-thirds of the African American parents surveyed were aware of HPV and HPV vaccination. Responders were likely to be female, younger, employed, and to have social resources. They were also knowledgeable about HPV, but knowledge did not necessarily lead to vaccination. Among p...
Increasing information-seeking about human papillomavirus vaccination through community partnerships in African American and Hispanic communities
Family & community health
This study tested the feasibility of promoting 1-800-4-CANCER through partnerships with organizations serving African American and Hispanic communities. Small-media and client reminders about human papillomavirus vaccination were made available through local agents to 28 community organizations. Organizations ordered 79 932 resources and distributed them to young women and parents of girls-;African Americans in St Louis, Missouri, and Hispanics in the Lower Rio Grande Valley of Texas. Pre- to postintervention calls to 1-800-4-CANCER increased 38% in these communities, while declining 15% in comparison communities of Kansas City, Missouri, and El Paso, Texas (F = 8.6, P = .004) and 1.4% in the United States as a whole.
Evaluating a County-Sponsored Social Marketing Campaign to Increase Mothers' Initiation of HPV Vaccine for their Pre-teen Daughters in a Primarily Rural Area
Social marketing quarterly, 2011
Routine vaccination against human papillomavirus (HPV), the main cause of cervical cancer, is recommended for 11-12 year old girls, yet vaccine uptake is low. This study evaluates a social marketing campaign initiated by 13 North Carolina counties to raise awareness among parents and reduce barriers to accessing the vaccine in a primarily rural area. The 3-month campaign targeted mothers of girls ages 11-12 and healthcare practices serving pre-teen girls in four counties. Principles of social marketing were: product (recommended vaccine against HPV), price (cost, perception of safety and efficacy, and access), promotion (posters, brochures, website, news releases, doctor's recommendation), and place (doctors' offices, retail outlets). We analyzed (1) website traffic, hotline calls, and media placement; (2) cross-sectional surveys of mothers and providers; and (3) HPV immunization rates in intervention versus non-intervention counties. Of respondent mothers (n=225), 82% hea...
Decision-Making about the HPV Vaccine among Ethnically Diverse Parents: Implications for Health Communications
Journal of oncology, 2012
To describe parents' knowledge, attitudes, and decision-making with regard to obtaining the HPV vaccine for their daughters. White, Black, and Hispanic parents of daughters who were age eligible to receive the HPV vaccine (9-17 years) were recruited from community settings to participate in focus groups. Parents were asked about knowledge and awareness of HPV, decision-making about HPV vaccine, as well as preferred and actual sources of HPV information. Seven focus groups (n = 64 participants) were conducted. Groups were segmented by gender (women = 72%) and race/ethnicity (Black = 59%; White = 23%; Hispanic = 19%). Prevalent themes included: insufficient information to make informed decisions; varied preferences for involvement in decision-making; concerns about vaccine safety; mistrust of medical providers and pharmaceutical companies; and mismatch between actual and preferred sources of information. Improving communication between providers and caregivers and helping parents ...
Meharry/Vanderbilt/TSU
Cancer Partnership
Working Together to Eliminate Cancer Disparities
“Bug your doc – Get 3 shots!”: A culturally-appropriate social marketing
intervention to increase HPV vaccination
Pamela C. Hull,
PhD1,
1Vanderbilt
3
DHSc ,
PhD2,
Elizabeth Williams,
Juan Canedo,
Caree McAfee, MA1,
1
Dineo Khabele, MD , Maureen Sanderson, PhD3
Ingram Cancer Center, 2Tennessee State University, 3Meharry Medical College
Purpose
Social Marketing Intervention Materials
Methods
• We used a two-group, delayed crossover
design to pilot test the intervention materials
with groups of parents in a workshop format,
compared to a workshop on an unrelated topic.
This study tested the efficacy of a culturallyappropriate social marketing intervention targeting
parents of pre-adolescents aimed to increase HPV
vaccine uptake, using a community-engaged
approach.
Website and Video
Background
• HPV vaccination is recommended for all children
ages 11-12, with catch up through age 26, for
prevention of six HPV-associated cancers.
• HPV vaccine uptake has lagged behind that of
other adolescent vaccines (meningococcal and
Tdap).
• Few interventions have tested the effect of patient
education materials on HPV vaccine uptake.
Intervention
• The intervention was developed using a
participatory social marketing process based on
audience (formative) research and input from the
Community Advisory Board, Teen and Parent
Committee, and a Hispanic Community Center.
• The messages were initially developed to be
culturally-appropriate for African Americans and
for use with families of diverse backgrounds.
Then the materials were translated and tested for
appropriateness with Hispanic parents.
• The goal of the “Bug Your Doc - Get 3 Shots!”
social marketing intervention was to encourage
parents to ask their child’s doctor for all three
pre-teen vaccines, including HPV vaccine, when
they update their immunization record for 7th
grade entry.
• This strategy aimed to “normalize” the HPV
vaccine as a routine vaccination for both boys
and girls, rather than treating HPV vaccine as
different.
• The messages focused on parents’ desire to
protect their children from harm (i.e., serious
illnesses).
Spanish & English Informational Flyer
(front and back)
Refrigerator Magnet
• Participants were recruited through communitybased organizations and university email
listservs, and were able to attend the two
different workshops at the same location.
• Parents completed a questionnaire at baseline,
immediately after the workshop, and 2-4
months after baseline (before cross-over).
Table 1: Sample Characteristics by Study Arm
Variable
Intervention
Control
N=33
N=22
N (%) or Mean (SD) N (%) or Mean (SD)
Gender of Child
Male
Female
Child’s Age (years)
Parent Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
Other
Follow-up Time (weeks)
14 (42.4%)
19 (57.6%)
11.5 (0.84)
8 (24.2%)
10 (30.3%)
14 (42.4%)
1 (3.0%)
11.8 (2.17)
100%
Primary Outcome
Hypothesis 1: At follow-up, the
proportion of children having initiated the
HPV vaccine will be higher for the
Intervention Arm compared to Control
Arm.
12 (54.5%)
10 (45.5%)
11.1 (0.72)
7 (33.3%)
7 (33.3%)
5 (23.8%)
2 (9.5%)
10.5 (3.07)
95.5%
No
80%
Results
P-value
• We recruited a convenience sample of parents
of 5th and 6th grade children, of whom 71 had
not yet initiated the HPV vaccine.
0.378
0.071
• Follow up data were collected from 55 of these
parents 2-4 months later (27% White, 32%
Black, 35% Hispanic).
0.448
• Hypothesis 1: Based on parent reports, at
follow up, more children in the Intervention Arm
had initiated HPV vaccine (33.3% vs 4.5%,
RR=7.33, p<.05).
0.058
Yes
66.7%
60%
33.3%
40%
20%
4.5%
0%
Control
Intervention
RR = 7.33 (CI = 1.02 – 52.84)
• Hypothesis 2: At the end of the workshop,
more parents in the Intervention Arm planned to
talk to their pediatrician about the HPV vaccine
(90.3% vs 60.0%, RR=1.50, p<.05).
• Workshop evaluation feedback from parents
indicated that the parents liked the materials
and found the information to be useful.
Figure 1: HPV Vaccine Initiation by Follow-up
100%
Secondary Outcome
Hypothesis 2: Immediately after
Workshop 1, parents in the Intervention
Arm will be more likely to report that they
plan to talk with their child’s doctor about
HPV vaccine compared to Control Arm.
No
Yes
90.3%
80%
60.0%
60%
40%
20%
40.0%
9.7%
0%
Control
Intervention
RR = 1.50 (CI = 1.03 – 2.19)
Figure 2: Plans to Talk to Doctor Post-Workshop
Conclusion
These intervention materials could be used in a
variety of contexts, such as primary care, schools,
community organizations, and social media to
improve parent acceptability of the HPV vaccine
within the adolescent vaccine platform and increase
vaccination.
Research supported by National Institutes of Health, grant numbers:
U54CA163072, U54CA163066, U54CA163069, 3P30CA068485-18S3,
UL1 RR024975, and UL1 TR000445. Contact: [email protected]
Related papers
Evolution of ancient Egyptian funeral architecture from the Badari culture to the end of Old Kingdom, Radovi Zavoda za hrvatsku povijest Filozofskog fakulteta Sveučilišta u Zagrebu, 38, Zagreb 2006: 13-28.
electronic form only:: NE
Development Instruments as Tools for Conflict Transformations
Reconciliation, Conflict Transformation, and Peace Studies, 2024
Nyttig om ledelse ved kriser
Tidsskrift for Den Norske Laegeforening, 2008
Les monedes ibèriques i romanes del jaciment de Mas Castell (Porqueres)
El territori de Besalú abans del comtat. Quaderns de les Assemblees d’Estudis, Núm. 2. , 2017
Working with the tensions of transdisciplinary research: A review and agenda for the future of knowledge co-production in the Anthropocene
Global sustainability, 2024
Rediscovering Shanghai modern: Chinese cosmopolitanism and the urban art scene, 1912-1948
Urban History, 2022
Synergistic evaluation of glucose oxidase and lipase enzymes on rheological properties of barberry flour formulated with relative replacement of corn flour
Food Science and Technology
Women’s Perspectives Related to Occupational Performance Following Participation in Substance Use Recovery Programs
Occupational Therapy in Mental Health, 2017
İslam Hukukunda Çocukluk ve Çocuk Evliliği
Cumhuriyet Üniversitesi İlahiyat Fakültesi Dergisi, 2018
The Impact of Foreign Direct Investment (FDI) on Women’s Entrepreneurship
Journal of Small Business Strategy, 2015
Fenomena Ghozali Everyday Di Twitter Dan Non Fungible Token
DIGICOM : Jurnal Komunikasi dan Media
The Use of Natural Materials for Construction Projects – Social Aspects of Sustainable Building: Case Studies from Australia and Europe
IOP conference series, 2019