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- Title
Brief Client-Centered Motivational and Behavioral Intervention to Promote HPV Vaccination in a Hard-to-Reach Population.
- Authors
Joseph, Natalie Pierre; Bernstein, Judith; Pelton, Steve; Belizaire, Myrdell; Goff, Ginette; Horanieh, Nour; Freund, Karen M.
- Abstract
Objective. To evaluate the impact of a client-centered behavioral intervention (Brief Negotiated Interviewing) on mothers’ human papillomavirus (HPV) vaccine knowledge and vaccination initiation for their adolescent daughters. Methods. We randomized mothers to intervention (n = 100) and control (n = 100) groups, and followed them over 12 months. Electronic medical records were reviewed to determine vaccination status. The primary outcome was receipt of the first vaccine. The secondary outcome was HPV vaccine knowledge among mothers. Results. Brief Negotiated Interviewing intervention mothers demonstrated increased knowledge about HPV (pre/post mean score of 5 to 10 out of a possible 11; P < .001) and significantly higher mean knowledge scores (10 vs 6, P < .001) than control mothers. However, initiation and completion rates of the vaccine were not significantly different between groups. Conclusions. Increasing HPV vaccine knowledge did not translate into increased vaccine uptake or completion of vaccination series. Future intervention must explore vaccine reminders to increase HPV vaccination rates.
- Subjects
HAITI; UNITED States; CHI-squared test; COUNSELING; FISHER exact test; HEALTH promotion; IMMUNIZATION; MINORITIES; MOTHERS; RESEARCH funding; STATISTICAL sampling; SCALE analysis (Psychology); T-test (Statistics); HUMAN papillomavirus vaccines; PILOT projects; SOCIOECONOMIC factors; RANDOMIZED controlled trials; MOTIVATIONAL interviewing; HEALTH literacy; DATA analysis software; MANN Whitney U Test
- Publication
Clinical Pediatrics, 2016, Vol 55, Issue 9, p851
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/0009922815616244