The Efficacy of Digital Educational Interventions on Parental HPV Knowledge and Attitude, and Their Children's Vaccination Rates
- Conditions
- Health Services Research
- Interventions
- Behavioral: Video education about HPV and HPV vaccineBehavioral: Usual Information ServiceBehavioral: Electronic reminder messages
- Registration Number
- NCT06341738
- Lead Sponsor
- Kaohsiung Medical University
- Brief Summary
The goal of this clinical trial is to examine in the parental HPV knowledge and attitude, and their children's completion rates in Indonesia. The main question\[s\] it aims to answer are:
* Is the digital educational intervention in improving parent's HPV knowledge in the intervention group compared to the control group?
* Is the digital educational intervention in improving parent's attitude toward HPV vaccine in the intervention group compared to the control group?
* Is the digital educational intervention more effective in increasing children's HPV vaccine completion rates in the intervention group compared to the control group?
Participants in intervention group will:
* watch a 8 minutes video in front of class at once.
* after video education intervention, in 2 weeks, participants received 2 reminder messages before first and second vaccination event, respectively.
Participants in control group will:
• Receive usual announcement regarding vaccine by staff
- Detailed Description
Research process started after obtaining permission principal of the elementary school and primary health centre. Because the target population was parents of girls in the 5-6th level, permission was required from the elementary schools. Meanwhile, another permission must be obtained from the Primary Health Centre, they have authority to administer the HPV vaccine to children at the school.
All participants (parents) were recruited from 10 elementary schools. The schools were divided into 2 arm (e.g., Digital education group, Usual information service group) by cluster randomizing. The group allocation were concealed from the participants, elementary teachers and primary health centre. Participants were unaware of the existence of any other group than the one they received. According to sample size calculations, the number of adequate sample sizes in this study based on sample size calculation results at the completion rate. The dropout rate estimation of 10% according to a previous study by Reiter (2022), the total sample size increased to 269 + (10% x 269) = 296 participants.
The researchers got an approval from schools to invite parents to attend the school of event invitations. Each participant came to the school where their child attended. Parents attended the regular meeting on the appointed day. Frequently, event invitations have become a routine program in elementary school. It was a routine agenda to socialize interesting programs related to students and parents. In parallel with the above, the research team coordinated with the Primary Health Center as the administrator of the HPV vaccine in elementary schools. Thus, the research team determined the time to give the digital education intervention and the follow-up evaluation.
During the process, the researchers approached potential participants and explain to them the purpose of this study, participant rights, risks, and benefits. Then potential participants were asked to sign in the informed consent form with serial numbel. The outcome measurement questionnaires were distributed to the participants, either the intervention group or the control group.
At baseline, the eligible participants were asked to fill out the questionnaires. After complete, a 8 minutes video was played in front of class. Then, the participants took a post-test right after the intervention finish their meeting and in the control group as well. The post-test assessed HPV knowledge and attitudes toward the HPV vaccine. Prior vaccination events, the reminder messages were sent to parent's mobile phone. At this stage, the researcher observed the first dose of HPV vaccine uptake among female students during the HPV vaccine administration program at school. The researcher collected data by observing female students who received the first and second doses of HPV vaccine at the vaccination event, then confirmed the researcher's observations with the Primary Health Center record. All data was recapitulated and stored in excel format. Data was kept by the researcher to maintain confidentiality. All data analyses were performed using SPSS software from IBM Corp.
Statistical analyses, below:
1. Pearson Chi-Square test or Fisher's exact test was used to analyse the HPV vaccine completion rate between groups.
2. The T-test was used to analyse the HPV knowledge and attitude towards HPV vaccine between groups;
3. ANCOVA analysed the intervention efficacy on knowledge, attitude, and HPV vaccine completion rate between two groups.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 374
- Parents over 17 years old
- Parents Parents who have daughters of 5-6th level in elementary school
- Parents live with their children in one house
- Parents have a mobile phone with WhatsApp application capabilities
- Parents who have their daughters have been enrolled in School-Based Immunization Program database
- Parents able to communicate fluently in Bahasa Indonesia
- Parents agree to review their child's medical record of vaccination
- Parents have diagnosed with mental, visual, and hearing impairment/problems diagnosed by doctors
- Parents whose children have been HPV vaccinated
- Parents whose children are over 14 years old
- Children who have a history of allergies and/or side effects in previous vaccination programs
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description DIgital Education Group Electronic reminder messages The intervention group will receive information on HPV and the HPV vaccine from an 8-minute video in front of the class, two electronic reminder messages send to participant before the vaccination events DIgital Education Group Video education about HPV and HPV vaccine The intervention group will receive information on HPV and the HPV vaccine from an 8-minute video in front of the class, two electronic reminder messages send to participant before the vaccination events Usual Information Service Group Usual Information Service the control group will only receive the usual information service from staff
- Primary Outcome Measures
Name Time Method Human Papillomavirus Knowledge Scale (HPV-KS) measured at pre-test/baseline (before the 8-minutes video) and post-test (immediately after watching the 8-minutes video). consist of 33 items divided into 3 factors with binary respond format (true/false). the correct answer indicated "1" point. The sum of items is HPV knowledge level. High score indicated high knowledge about HPV
Attitude towards HPV vaccine scale by Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS) measured at pre-test/baseline (before the 8-minutes video) and post-test (immediately after watching the 8-minutes video). consist of 14 items divided into 3 factors with 4-Likert scale. A high mean score total attitude indicated a high positive attitudes
Vaccine completion rate The evaluation was conducted twice, at week 2 post video intervention or at first vaccination event and 6 months later at second vaccination event. Receipt of two doses is considered vaccine series completion according vaccine policy in Indonesia
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Elementary school
🇮🇩Ngawi, East Java, Indonesia