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. 2015;8(2):106-118.
doi: 10.1179/1753807615Y.0000000015. Epub 2015 Jul 8.

Design and efficacy of a multilingual, multicultural HPV vaccine education intervention

Armando Valdez  1 , Susan L Stewart  2 , Sora Park Tanjasiri  3 , Vivian Levy  4 , Alvaro Garza  5
Affiliations

Design and efficacy of a multilingual, multicultural HPV vaccine education intervention

Armando Valdez et al. J Commun Healthc. 2015.

Abstract

Background: The human papillomavirus (HPV) is the precursor and the single, most important risk factor for cervical cancer. It is also the most commonly 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 human papillomavirus (HPV) vaccine is thus an especially important preventive measure for racial/ethnic groups who bear an unequal burden of cervical cancer mortality.

Purpose: This study aimed to develop a culturally and linguistically appropriate intervention to educate and empower Latino and Korean Americans to make an informed HPV vaccination decision for their minor children.

Methods: A parent-focused HPV vaccine education DVD was developed through focus groups and cognitive interviews with Latino and Korean Americans parents of children ages 11-17. A randomized controlled efficacy trial was subsequently conducted with 708 Latino and Korean Americans parents to assess knowledge gains, decisional conflict, decision self-efficacy and informed decision-making resulting 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 culturally 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.

Keywords: Ethnic Groups: Hispanic Americans; Korean Americans; Papillomavirus vaccine; Parents; United States; Uterine Cervical Neoplasms; Vaccination.

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Figure 1
Intervention Design
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Decisional Conflict Subscales
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Decisional Conflict Subscales
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