Immunize the vaccine rumors: Effects of inoculation messages and tone of voice on HPV vaccine compliance

2014 ◽  
Author(s):  
◽  
Eunhae Park
Keyword(s):  
Decision Making ◽  
Health Communication ◽  
Hpv Vaccine ◽  
Positive Attitude ◽  
Hpv Vaccination ◽  
Communication Strategy ◽  
Decision Making Process ◽  
Message Content ◽  
Human Voice ◽  
Tone Of Voice

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] The primary purpose of this study was to develop an effective health communication strategy to guide the decision-making process of parents regarding the HPV vaccine. People are currently surrounded by conflicting information (e.g., hearsay, misinformation, and conspiracy theories) through media, particularly online media. This misinformation can interrupt the decision-making process, making it no longer sufficient for health care practitioners to just issue facts and recommendations. Now, they also need to develop compliance. To do this, based on inoculation theory, this study posited that inoculation messages, as opposed to supportive messages, will work to enhance resistance to future attack messages about HPV vaccine issues. The resistance is assumed to increase positive outcomes of health communication, such as positive attitude and higher intention to vaccinate, and higher intention to share the content with other people. This study also attempts to explore how the tone of voice (human voice vs. organizational voice) interplays with the inoculation message in health communication online. The current study used a 2 (message content: inoculation vs. supportive) � 2 (tone of voice: human voice vs. organizational voice) mixed experimental design. The message content served as a between-subjects factor while the tone of voice served as a within-subjects factor. A total of 231 parents who have teenage children were recruited through Amazon Turk to participate in the study. According to the results, people who were exposed to inoculation messages were more likely to have a positive attitude toward HPV vaccination, a higher intention to vaccinate their children, and a higher intention to share the content with others. Unlike the main effects of the inoculation messages, the hypotheses about the tone of voice were not supported except intention to word of mouth. Overall, this study shed a light on vaccine communication, showing that providing people with warnings about possible counter-arguments they may encounter as well as refutations (i.e., inoculation message) can enhance resistance to misinformation about vaccines.

scholarly journals Understanding How Adolescents Think about the HPV Vaccine

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 693
Author(s):  
Robyn A. Pennella ◽  
Katherine A. Ayers ◽  
Heather M. Brandt
Keyword(s):  
Decision Making ◽  
Thematic Analysis ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
The United States ◽  
The Body ◽  
Decision Making Process ◽  
Vaccination Rates ◽  
Qualitative Thematic Analysis ◽  
Adolescent Attitudes

Despite educational efforts, Tennessee human papillomavirus (HPV) vaccination rates are 43%, among the lowest in the United States. This study examined how adolescents think about the HPV vaccine to identify patterns and misconceptions to enhance educational efforts. Adolescents (ages 11–12) (N = 168) responded to open-ended questions regarding their thinking about the HPV vaccine. Data were analyzed and interpreted using qualitative thematic analysis. Three domains of themes emerged from responses: (1) characteristics of HPV vaccination, (2) knowledge-related themes, and (3) beliefs-related themes. Prevention of HPV and cancer was the most referenced characteristic of HPV vaccination followed by HPV vaccine rates and HPV vaccine efficacy. Student inquiries were mostly centered on HPV vaccine composition, administration, duration and how the vaccine interacts with the body. Some responses indicated a desire for more information about HPV not specific to the HPV vaccine. Overall, adolescent attitudes were positive towards the HPV vaccine. This study highlights specific questions adolescents have about the vaccine that can be used to tailor future HPV educational efforts, empowering adolescents with the knowledge to be more active students in the decision-making process. In addition, the potential for adolescents to serve as community advocates for the vaccine should be considered for future interventions.

scholarly journals Social and cultural construction processes involved in HPV vaccine hesitancy among Chinese women: a qualitative study

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Judy Yuen-man Siu ◽  
Timothy K. F. Fung ◽  
Leo Ho-man Leung
Keyword(s):  
Decision Making ◽  
Hong Kong ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Influential Factors ◽  
Medical System ◽  
World Health ◽  
Vaccine Hesitancy ◽  
Decision Making Process ◽  
Hpv Vaccines

Abstract Background HPV vaccine is a prophylactic vaccine to prevent HPV infections. Recommended by the World Health Organization, this vaccine is clinically proven to be one of the most effective preventive measures against the prevalence of cervical cancer and other HPV-associated cancers and chronic genital conditions. However, its uptake rate among women in Hong Kong is insignificant—only approximately 2.9% adolescent girls and 9.7% female university students received HPV vaccination in 2014. With the notion of Critical Medical Anthropology, we aimed to identify if different influential factors, ranging from individual, societal, and cultural, are involved in the decision-making process of whether to receive HPV vaccination. Methods We adopted a qualitative approach and conducted in-depth individual semistructured interviews with 40 women in Hong Kong between May and August 2017. Results We noted that the following factors intertwined to influence the decision-making process: perceptions of HPV and HPV vaccine; perceived worthiness of HPV vaccines, which was in turn influenced by vaccine cost, marriage plans, and experiences of sexual activities; history of experiencing gynecological conditions, stigma associated with HPV vaccination, acquisition of information on HPV vaccines, distrust on HPV vaccines, and absence of preventive care in the healthcare practice. Conclusions HPV vaccination is promoted in a manner that is “feminized” and “moralized” under the patriarchal value system, further imposing the burden of disease on women, and leading to health inequality of women in pursuing the vaccination as a preventive health behaviour as a result. We believe that this ultimately results in an incomplete understanding of HPV, consequently influencing the decision-making process. The “mixed-economy” medical system adopting capitalist logic also molds a weak doctor–patient relationship, leading to distrust in private practice medical system, which affects the accessibility of information regarding HPV vaccination for participants to make the decision.

scholarly journals “THOSE WHO LOVE, VACCINATE”: PARENTAL PERCEPTIONS OF HPV VACCINATION

2015 ◽  
Vol 25 (3) ◽  
pp. 341 ◽  
Author(s):  
Ellen Dias De Oliveira Chiang ◽  
Misha L. Baker ◽  
Daniella Figueroa-Downing ◽  
Maria Luiza Baggio ◽  
Luisa Villa ◽  
...  
Keyword(s):  
Decision Making ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Explanatory Power ◽  
Parental Knowledge ◽  
Specific Factors ◽  
Knowledge Levels ◽  
Parental Decisions ◽  
Context Specific ◽  
Vaccine Decision Making

Introduction: In March 2014, Brazil began its national HPV immunization campaign targeting girls ages 9-13. Objective: Describe determinants of parental decisions to vaccinate their daughters against HPV.Method: In this qualitative study, thirty semi-structured interviews were conducted at five health posts in São Paulo, Brazil. Interview questions explored parental opinions of disease prevention methods, vaccines in general, and the HPV vaccine. Interviews were analyzed using grounded theory. Results: Overall, parental knowledge about HPV and the vaccine was low, yet most eligible daughters had been vaccinated. Parents perceived the HPV vaccine to be normal, preventative, and protective. Parents viewed themselves as accountable for their children’s health, and saw the vaccine as a parenting tool for indirect control. Trust in healthcare professionals and an awareness of the dangers of “nowadays” (uncertainties regarding disease and sexual behavior) were also important in vaccine decision-making. These factors held more explanatory power for decisions to vaccinate than parental knowledge levels. This was the first study to qualitatively examine the perception of publically provided HPV vaccination among parents with eligible daughters in Brazil. The findings help interpret the greater than 90% coverage for the first HPV vaccine dose in Brazil. The results indicate that attempts to understand, maintain, or modify vaccination rates require the consideration of context specific factors, which influence both parent perspectives and vaccination decisions. Conclusion: HPV knowledge levels are not predictive of parental decisions to vaccinate daughters. Context specific factors from the sociocultural dimensions of parenting, sexuality, gender, and the healthcare system are more influential in vaccine decision-making.

scholarly journals Fathers’ participation in the HPV vaccination decision-making process doesn’t increase parents’ intention to make daughters get the vaccine

2020 ◽  
Vol 16 (7) ◽  
pp. 1653-1658 ◽  
Author(s):  
Tomomi Egawa-Takata ◽  
Ruriko Nakae ◽  
Mariko Shindo ◽  
Ai Miyoshi ◽  
Tsuyoshi Takiuchi ◽  
...  
Keyword(s):  
Decision Making ◽  
Hpv Vaccination ◽  
Decision Making Process ◽  
Vaccination Decision

scholarly journals Obstacles to Implementing the HPV Vaccine: Is it Worth Pursuing or Not?

2019 ◽  
Vol 4 (4) ◽  
pp. 165-169
Author(s):  
Mastura Mohd Sopian ◽  
Sharifah Azdiana Tuan Din ◽  
Hasmah Hussin
Keyword(s):  
Lung Cancer ◽  
Cervical Cancer ◽  
Decision Making ◽  
Literature Review ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Vaccination Program ◽  
Extensive Literature ◽  
Younger Women ◽  
Vaccination Acceptance

Cervical cancer, along with breast, colorectal, and lung cancer, has become increasingly problematic in Malaysia. The prevalence of cervical cancer in Malaysia is projected to rise in younger women, and Malaysia views this prediction with concern and awareness of the need to take action to prevent the illness among those who are currently healthy. Providing free HPV vaccination is a way to lower the risk of developing cervical cancer among women in Malaysia. However, while Malaysia has been able to provide this vaccination at minimal or no cost, changes in socio-economic circumstances have stretched the demand. This review aims to highlight the probability of HPV vaccination acceptance and the reasons for it. An extensive literature review of acceptance, knowledge, attitude, practice, and decision making about HPV vaccination was performed to describe issues related to vaccination. The evidence presented herein can help identify ways to improve the HPV vaccination program in Malaysia.

Acceptance of the HPV vaccine and suggested strategies to promote vaccine uptake: a qualitative study with a multi-ethnic sample of Latina mothers (Preprint)

2020 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado Vazquez ◽  
Emily Restrepo ◽  
Yessica M. Guzman ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Decision Making ◽  
Cancer Prevention ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Vaccine Uptake ◽  
Latino Parents ◽  
Latina Mothers ◽  
Direct Benefits ◽  
Latino Adolescent

BACKGROUND Parents play a critical decision-making role in vaccinating their age-eligible adolescent children against HPV. Despite evidence indicating that Latino adolescents have higher HPV vaccination rates than non-Hispanic whites, uptake of the HPV vaccine remains lower than the 80% goal set by the Healthy People 2020. Moreover, studies suggest that Latino adolescent males have lower rates of HPV vaccination than Latina adolescent females. OBJECTIVE Given the importance of the HPV vaccination as a cancer prevention strategy and the unique decision-making role parents play in vaccinating their children, this study was designed to explore Latina mothers’: (1) acceptance of the HPV vaccine, and (2) suggested strategies to promote vaccine uptake among Latino parents and their adolescent children. METHODS A descriptive qualitative research employing individual semi-structured interviews. Data were analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. RESULTS Twenty-two, majority foreign-born (91%; n = 20) Latina mothers of adolescent girls (~ 60%; n = 23) and boys (~ 40%; n = 15) aged between 11 and 19 years (mean age of adolescents: 15.3 years) participated in the study. Results revealed mothers’ high acceptance of the HPV vaccine for their daughters and their positive beliefs about the direct benefits of the vaccine to protect their daughters’ health by preventing STI and future cervical cancer risk. Such positive beliefs influenced mothers’ high uptake and initiation of the vaccine for their daughters. In contrast, study findings revealed mothers’ low acceptance and uptake of the vaccine for their sons. Our findings showed that the majority of mothers did not perceiving HPV infection as a major risk to their sons’ health, and therefore, did not perceive direct health benefits of the HPV vaccine for their sons as they did for their daughters (i.e., prevention of cervical cancer). CONCLUSIONS Findings identified the need for increased efforts to raise awareness and knowledge among Latino parents of the direct benefits of the vaccine for their sons and the cancer prevention benefits of the vaccine for HPV-associated cancers that affect not only females but also males. Finally, findings underscore the need for improved healthcare providers' communication and recommendation of the HPV vaccine for Latino adolescent males. Future research should intervene upon findings identified in this study in order to address barriers that remain and affect Latino parents’ acceptance and uptake of the HPV vaccine for their children, and in particular, for their sons. CLINICALTRIAL n/a

Parents Experience with an mHealth Intervention to Influence HPV Vaccination Decision-Making: Mixed Methods Feasibility Study (Preprint)

2021 ◽  
Author(s):  
Elisabeth R.B. Becker ◽  
Ross Shegog ◽  
Lara S. Savas ◽  
Erica L. Frost ◽  
Sharon P. Coan ◽  
...  
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Hpv Vaccine ◽  
Rating Scales ◽  
Controlled Trial ◽  
Hpv Vaccination ◽  
Future Research ◽  
Mhealth Intervention ◽  
Pediatric Clinic ◽  
Vaccination Decision

BACKGROUND HPV-attributed cancers are preventable, yet HPV vaccination rates severely lag other adolescent vaccinations. HPVcancerFree is an mHealth intervention developed to influence parental HPV vaccination decision making by raising awareness of HPV, reducing HPV vaccination barriers and enabling HPV vaccination scheduling and reminders through a smartphone. Evaluating the feasibility and user experience of mHealth interventions are vital components in assessing their quality and success. OBJECTIVE We aimed to evaluate the feasibility of HPVcancerFree using mixed methods data collected from log files, survey measures and qualitative feedback METHODS Study data was evaluated from parents in a large U.S. pediatric clinic network using HPVcancerFree in the intervention arm of a group randomized controlled trial. Log data captured HPVcancerFree retention and use. Post intervention rating scales and items, including the uMARS survey (reflecting engagement, functionality, aesthetics and information), assessed HPVcancerFree utility, usefulness, understandability, appeal, credibility, perceived impact and overall quality. Open-ended responses assessed patient recommendations for HPVcancerFree enhancement. RESULTS The 98 parent participants were mainly female (96%), 41±5.67 years of age, college educated (56%), white, non-Hispanic (56%) and had private health insurance for their children (77%). Parents used HPVcancerFree 197 times with average visit duration approximating 3.5 minutes. The uMARS app quality score was positively skewed (4.2/5). Mean ratings were highest for information (4.46±0.53) and lowest on engagement (3.74±0.69). Forty-seven percent of parents rated HPVcancerFree as helpful in HPV vaccination decision making and 17% attributed HPV vaccine initiation to HPVcancerFree. Parents reported that HPVcancerFree increased their awareness (89%), knowledge (89%) and HPV vaccination intentions (68%). Most parents rated the four HPVcancerFree components as useful (74-94%). Parents agreed that HPVcancerFree was clear (91%), accurate (91%), and more helpful than other HPV vaccine information they had received (94%), and that they would recommend it to others (85%). Parents suggested increasing awareness about the app, incorporating a tailored reminder system and creating opportunities to engage with adolescents about HPV and sexual health as enhancements for future iterations. CONCLUSIONS HPVcancerFree is a feasible mHealth intervention to support regular pediatric clinic HPV vaccine education. HPVCF was well received by parents. Future research is indicated to determine its efficacy to persuade parents to vaccinate and best promotional strategies to motivate parents to use HPVcancerFree.

scholarly journals Understanding the Health Behavior Decision-Making Process with Situational Theory of Problem Solving in Online Health Communities: The Effects of Health Beliefs, Message Credibility, and Communication Behaviors on Health Behavioral Intention

2021 ◽  
Vol 18 (9) ◽  
pp. 4488
Author(s):  
Xiaoting Xu ◽  
Honglei Li ◽  
Shan Shan
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Hpv Vaccination ◽  
Decision Making Process ◽  
Information Selection ◽  
Online Health Communities ◽  
Health Decision Making ◽  
Health Decision ◽  
Situational Theory ◽  
Health Communities

Online health communities (OHCs) offer users the opportunity to share and seek health information through these platforms, which in turn influence users’ health decisions. Understanding what factors influence people’s health decision-making process is essential for not only the design of the OHC, but also for commercial health business who are promoting their products to patients. Previous studies explored the health decision-making process from many factors, but lacked a comprehensive model with a theoretical model. The aim of this paper is to propose a research model from the situational theory of problem solving in relation to forecasting health behaviors in OHCs. An online questionnaire was developed to collect data from 321 members of online health communities (HPV Tieba and HPV vaccina Tieba) who have not received an HPV vaccination. The partial least squares structural equation modeling (PLS-SEM) method was employed for the data analysis. Findings showed that information selection and acquisition is able to forecast HPV vaccination intentions, perceived seriousness and perceived susceptibility can directly impact HPV vaccination intention and have an indirect impact by information selection and acquisition, and perceived message credibility indirectly affected HPV vaccination intention via information selection. The current paper supports health motivations analysis in OHCs, with potential to assist users’ health-related decision-making.

scholarly journals PENGARUH KOMUNIKASI DOKTER TERHADAP KESEMBUHAN PASIEN RAWAT JALAN

2019 ◽  
Vol 8 (1) ◽  
pp. 12
Author(s):  
Gunawan Saleh ◽  
Muhammad David Hendra
Keyword(s):  
Decision Making ◽  
Health Communication ◽  
Patient Care ◽  
Medical Service ◽  
Decision Making Process ◽  
Medical Problems ◽  
Care Treatment ◽  
Medical Disputes ◽  
Patient Health ◽  
Awareness Change

A well constructed communications between doctorand patient is one of the keys to successful doctorsin providing medical service efforts. Unsuccessfuldoctor medical problems if communicated well willnot give rise to a dispute, but rather a medicalsuccess achieved whatsoever if it is notcommunicated, and patients feel not satisfied canalso give rise to disputes or medical disputes. In the profession of medicine communicationbetween doctors and patients is the mostimportant component and is important in giving thewaiter points towards the patient. The effectivenessof communication between doctor and patient willcreate success in the process of patient care,treatment given aims to improve the health statusof the patient. Health communication include the utilization ofservices of communication to convey messages andinfluence the decision making process related tohealth management and enhancement efforts byindividuals and community. In addition, it alsoincludes health communication activitiesdisseminate information about health to thecommunity in order to be achieved conduct healthyliving, creating awareness, change attitudes andmotivate individuals to adopt the recommendedhealthy behaviors become the main purpose of health communication.

scholarly journals Awareness and knowledge of human papilloma virus (HPV) vaccine in prevention of cervical cancer among medical students

2018 ◽  
Vol 7 (12) ◽  
pp. 5026
Author(s):  
Radhika M. ◽  
Sadiqunissa Sadiqunissa ◽  
Mehfooza Ahmed
Keyword(s):  
Cervical Cancer ◽  
Medical Students ◽  
Hpv Vaccine ◽  
Positive Attitude ◽  
Hpv Vaccination ◽  
Hpv Infection ◽  
Screening Methods ◽  
Cancer Cervix ◽  
Cross Sectional ◽  
Infection Risk Factors

Background: Cervical cancer is the most common malignancy amongst women in India. Identification and prevention of the pre-cancerous lesions helps to reduce the incidence of Carcinoma of cervix. The main aim of the study is to know the awareness and knowledge of HPV vaccine in prevention of cervical cancer among medical students.Methods: The study included 97 medical students (final year) studying in Yenepoya Medical College, Mangalore. It is a cross-sectional questionnaire-based study.Results: The results of awareness and knowledge about the HPV vaccine are interpreted in percentage. In this study, 76% of study subjects were aware that cancer cervix is preventable, 80% of the study subjects were aware about the association between the causation of cancer cervix by HPV. Majority of the study subjects about 72% ware about the vaccines for HPV but, awareness about the cost and efficacy of the vaccine was low only about 30% and 10% respectively. However, importantly students had a positive attitude to educate people regarding HPV vaccination and also to clear myths and misconceptions.Conclusions: Medical students should be educated regarding HPV infection, risk factors for causation of cervical cancer, screening methods which are available, HPV vaccines available in India and also about the efficacy and to motivate the society to have a positive attitude towards HPV vaccination by clearing the misconceptions regarding its information.

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