Comparative Effectiveness of Interactive, Health Literacy Promoting Text Messages on HPV Vaccine Completion In Minority Adolescents
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Columbia University
- Enrollment
- 956
- Locations
- 1
- Primary Endpoint
- Number of Participants Who Completed HPV Vaccine Series
Study Overview
Brief Summary
Emerging communication technologies, such as text messaging offer low-cost, scalable opportunities to improve health literacy and promote healthy behaviors, such as vaccination. While the investigators reported the success of text message vaccine reminders, effects were limited by their untailored approach. The trans-theoretical model of behavior change supports tailoring interventions to an individual's stage of decision-making. Human papillomavirus (HPV) is the most prevalent sexually transmitted virus in the U.S. and can lead to genital warts, and cervical, anal and penile cancer. The three-dose vaccine is 90-100% efficacious. Minorities are at greatest risk for such cancers but have low HPV vaccine completion rates. Limited health literacy regarding the vaccine can affect series completion. The investigators will compare the effects of enhancing text message vaccination reminders with interactive, vaccine health literacy-promoting information tailored to vaccine decision making-stage on HPV vaccine series completion. The effects of these messages represent a new paradigm in interactive health communications.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Parenting adult of adolescent age 11-17 years
- •Adolescent received 1st dose of HPV at a study site within the last 2 weeks.
- •Eligible parent's cell phone has text message capability
Exclusion Criteria
- •Language other than English or Spanish only
- •Parent already in the study
- •Intends to move away from the New York City area in <12 months
Arms & Interventions
Conventional Text Message
Conventional text message reminder
Intervention: Conventional text message reminder (Behavioral)
Enhanced reminders
Enhanced text message reminders
Intervention: Enhanced text message reminders (Behavioral)
Outcomes
Primary Outcomes
Number of Participants Who Completed HPV Vaccine Series
Time Frame: 12 months
receipt of 3 doses of HPV vaccine by 12 months after initiation
Secondary Outcomes
- Time Between 1st and 2nd Dose(12 months)
- Time Between 1st and 3rd Dose(12 months)
Investigators
Melissa Stockwell
Assistant Professor of Pediatrics and Population and Family Health
Columbia University