142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

297789
HPV Vaccine: What you need to know to make an informed decision

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 12:30 PM - 12:38 PM

Armando Valdez, PhD , HealthPoint Communications Institute, Mountain View, CA
Background. Korean Americans and Latinos are at high risk for cervical cancer, Primary prevention of cervical cancer can be achieved through use of the HPV vaccine, yet both of these groups have comparatively low HPV vaccination rates.

Significance.  A multilingual, multicultural intervention to help parents make an informed HPV vaccination decision for their children can promote primary prevention of cervical cancer among high-risk groups.

Objectives. This study developed culturally tailored, language appropriate DVDs to inform Korean-American and Latino parents’ HPV vaccination decisions.  The efficacy of the intervention DVDs was evaluated through a randomized controlled trial for the two respective groups.

Education Intervention. The intervention videos addressed a common core of content on cervical cancer, HPV and the HPV vaccine, but tailored to each cultural and language group by depicting culturally familiar contexts, characters and idioms to engage the viewers and enhance comprehension of the messages conveyed. 

Evaluation. A randomized, controlled trial with 748 parents examined whether a DVD produced in English, Spanish and Korean to educate parents about the risks and benefits of the HPV vaccine helped them make an informed vaccination decision. Intervention group parents received a language-appropriate DVD while control group parents received a CDC flyer on the subject.

Results. The majority of parents were non-English speakers: 96.4% for Korean Americans and 89.5% for Latinos. Knowledge gains regarding the HPV vaccine were significantly greater in both language groups compared to control group parents. Intervention group parents in both language groups reported significantly higher levels of informed decision-making regarding HPV vaccination compared to control group parents.

Conclusions. Study findings suggest that a culturally and linguistically appropriate education intervention designed for parents in communities at high risk for HPV infection can empower non-English speaking parents to make an informed HPV vaccination decision and thus reduce racial/ethnic health disparities.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences

Learning Objectives:
Describe the health literacy elements embedded in the video to enhance comprehension and learning. Discuss the use of motion graphics, animation, text and voice-over elements in the design of the video to engage the viewer/learner. Identify specific elements used in the video to engender cultural familiarity with context and character portrayals. Discuss the use of behavioral models in the video to clarify and reinforce key messages intended to empower viewers to make an informed vaccination decision.

Keyword(s): Protection of the public in relation to communicable diseases in, Implementation of health education strategies, interventions and

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of the study for which the video was produced. I also am the producer and writer of the video.
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.