257778 Is the investment of developing a smartphone application based intervention promoting HPV vaccine uptake and completion among young adult, African American women worthwhile? Feasibility assessments of an internet community compared to an emergency department based population

Tuesday, October 30, 2012 : 1:10 PM - 1:30 PM

Mandy J. Hill, DrPH, MPH , Emergency Medicine, University of Texas Health, Medical School, Houston, TX
Misha Granado, MPH, MS , Emergency Medicine, University of Texas-Health Science Center, Houston, TX
Jasmine Opusunju, MSEd , Health Promotion and Behavioral Sciences, University of Texas Health, School of Public Health, Houston, TX
Objectives: To compare perceived feasibility of a smartphone based intervention (SBI) at improving human papillomavirus (HPV) vaccine uptake among young adult, African American (AA) women; To discover the variance in social acceptability of an HPV vaccine uptake driven smartphone application among two distinct populations matched on age and race/ethnicity. Methods: A survey based, cross sectional study was implemented among 41 young adult, AA women aged 18-26 years from two settings: the internet (n=21) and patients seeking non-emergent care in an emergency department (n=19). Results: The frequency analysis of the internet and ED population are as follows, respectively: age majority was 20-21 years (42.9%) vs. 24-26 years (47.4%), age at sexual debut – 18 years (28.6%) vs. 16 years (31.6%), existing health insurance coverage – private (57.1%) vs. Medicaid (47.4%), no source of income – 9.5% vs. 26.3%, some college education 66.7% vs. 52.6%, previously had a sexually transmitted infection (STI) – 19.0% vs. 15.8%, lacked a consistent sexual partner – 47.6% vs. 21.1%, used no form of contraception – 33.3% vs. 21.1%, reported two sexual partners – 14.3% vs. 31.6%, comfort with smartphone use - 38.1% vs. 52.6%, belief that HPV was transmitted via skin to skin contact in the genital area - 57.1% vs. 15.8%, reported receipt of the HPV vaccine - 14.3% vs. 21.1%, belief that a SBI would be effective at improving HPV vaccine uptake– 61.9% vs. 57.9%, and confirmed willingness to participate in a SBI – 66.7% vs. 47.4%. Conclusion: Study findings suggest a SBI would be embraced by the targeted population. Notable differences were variance in age, sexual debut, lack of income, contraception use, or a consistent sexual partner, comfort with smartphone use, and willingness to participate in a SBI. Although SBI potentially enhances social desirability, success is more likely among internet based communities.

Learning Areas:
Communication and informatics
Planning of health education strategies, interventions, and programs
Program planning
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1.) To assess the cost-benefit a smartphone based intervention has in behavioral research, specifically regarding the prevention of sexually communicable diseases, in 2012. 2.) To discuss the feasibility of a smartphone based application for prevention use among young adult, minority women. 3) To demonstrate the usefulness of subject recruitment in an emergency department setting as compared to an internet based setting.

Keywords: Prevention, Community Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The information presented is my intellectual property and I am the principal investigator of the research presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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