Development and Preliminary Evaluation of a Multilevel Intervention to Increase HPV Vaccine Confidence Among Parents of Youth in Rural KY
Overview
- Phase
- N/A
- Intervention
- Web Application
- Conditions
- HPV Vaccination
- Sponsor
- Anne E Ray
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Change in HPV Vaccine Hesitancy Scale score
- Status
- Not Yet Recruiting
- Last Updated
- 26 days ago
Overview
Brief Summary
The goal of this clinical trial is to evaluate the feasibility of intervention implementation in two clinics in rural KY, and its preliminary efficacy with regards to increasing vaccine confidence in a sample of vaccine hesitant parents.
Hypothesis: Parents will report increased vaccine confidence scores post-intervention.
Data from this study will provide preliminary data for a larger scale evaluation of the intervention.
Participants will be asked to complete surveys, view a web-based intervention and then visit with their child's healthcare provider.
Detailed Description
Participants will be asked to complete a brief screening assessment to establish their eligibility for participation. Eligible participants will be asked to complete a consent form and be directed to the pre-test survey. Upon completion of the survey, the participants will be directed to the tailored intervention content, including the Parents' Stories videos. This step will be completed prior to interaction with the provider. During the provider-patient visit, the provider will deliver the elaborated prompt portion of the intervention to participating mothers. Mothers will receive a link to the post-test survey two weeks following their appointment.
Investigators
Anne E Ray
Associate Professor
University of Kentucky
Eligibility Criteria
Inclusion Criteria
- •status as a mother or female guardian of an 11-17-year-old adolescent
- •status as a U.S. resident
- •self-reported ability to read English
- •self-reported HPV vaccine hesitant using established methodology
Exclusion Criteria
- Not provided
Arms & Interventions
Parents' Stories Web Application + Provider Elaborated Prompts
Participating parents will be asked to navigate a web application that consists of (a) brief, 90-second narrative videos that encourage parent-provider communication about the vaccine and (b) personalized feedback to parents that is tailored to provide educational content in response to their concerns and be motivational in nature. Providers will provide elaborated prompts related to the vaccine when meeting with parents tailored to their concerns.
Intervention: Web Application
Parents' Stories Web Application + Provider Elaborated Prompts
Participating parents will be asked to navigate a web application that consists of (a) brief, 90-second narrative videos that encourage parent-provider communication about the vaccine and (b) personalized feedback to parents that is tailored to provide educational content in response to their concerns and be motivational in nature. Providers will provide elaborated prompts related to the vaccine when meeting with parents tailored to their concerns.
Intervention: Provider Elaborated Prompts
Outcomes
Primary Outcomes
Change in HPV Vaccine Hesitancy Scale score
Time Frame: From pretest to posttest (up to two weeks)
9-item scale from Strongly Disagree (1) to Strongly Agree (5); scores range from 1-5, with higher scores indicating greater hesitancy
Change Human Papillomavirus Knowledge Questionnaire score
Time Frame: From pretest to posttest (up to two weeks)
13-item scale with True / False / I don't know response options; scores range from 0-13 with higher scores indicating greater vaccine knowledge
Change in intent to discuss HPV vaccine with provider
Time Frame: From pretest to posttest (up to two weeks)
Answers include Very likely; Somewhat likely; Not too likely; Not likely at all; Not sure / do not know
Change in HPV vaccine intent
Time Frame: From pretest to posttest (up to two weeks)
1 item adapted from NIS-TEEN survey. Answers include very likely; somewhat likely; not too likely; not likely at all; not sure / do not know
Change in self-reported HPV vaccination and related provider recommendations
Time Frame: from screening to posttest (up to two weeks)
4 items adapted from the NIS-TEEN survey.
Change in Reasons Not to Vaccinate score
Time Frame: Pretest only
16 items adapted from NIS-TEEN survey; higher score indicates more obstacles to vaccination