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Increasing human papillomavirus vaccine acceptability by tailoring messages to young adult women's perceived barriers.

Abstract：

BACKGROUND:Human papillomavirus (HPV) vaccination is a safe and effective primary prevention strategy for cervical cancer. Despite the need for effective HPV vaccination interventions, relatively few have been tested. Moreover, existing interventions have tended to use a one-size-fits-all educational approach. We investigated whether tailoring intervention materials to young adult women's perceived barriers to HPV vaccination-a known psychosocial predictor of vaccine uptake-would increase women's intentions to receive the HPV vaccine. METHODS:Young adult women (N = 94; aged 18-26 years) who had not been vaccinated against HPV were randomly assigned to read either a nontailored message about HPV vaccination or a message that was individually tailored to participants' perceived barriers to HPV vaccine uptake (e.g., safety concerns, cost, and not sexually active). Participants' intentions to receive the HPV vaccine in the next year were assessed before and after delivery of the intervention and served as the primary outcome variable. RESULTS:The most commonly selected barrier and primary reason for not getting vaccinated was concern about vaccine adverse effects (endorsed by 55%). Knowledge about HPV vaccination increased after exposure to the intervention but did not differ by experimental condition. Although HPV vaccination intentions increased from pretest to posttest in both conditions, participants in the tailored condition reported greater increases in intentions than did participants in the nontailored condition (F1,90 = 4.02, P = 0.048, partial η = 0.043). CONCLUSIONS:Findings suggest that tailoring intervention materials to women's individual barriers is a potentially promising strategy for increasing HPV vaccination among young adult women.

journal_name

Sex Transm Dis

journal_title

Sexually transmitted diseases

authors

Gerend MA,Shepherd MA,Lustria ML

doi

10.1097/OLQ.0b013e318283c8a8

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

401-5

issue

eissn

0148-5717

issn

1537-4521

pii

00007435-201305000-00011

journal_volume

pub_type

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Increasing human papillomavirus vaccine acceptability by tailoring messages to young adult women's perceived barriers.