The effect of an educational intervention to increase human papillomavirus vaccination confidence and acceptability

ABSTRACT

STELLA NGOZI DIKE

THE EFFECT OF AN EDUCATIONAL INTERVENTION TO INCREASE HUMAN PAPILLOMAVIRUS VACCINATION CONFIDENCE AND ACCEPTABILITY May 2022

Despite the burden of Human Papilloma Virus (HPV) related cancers such as cervical cancers, and the effectiveness of the HPV vaccine, African American women are 10 percent less likely to have received the HPV vaccine than white women (CDC, 2018). The vaccination rate for Non-Hispanic Blacks was 38% compared to 44.7% for non-Hispanic white in 2015. An extensive review of literature on African American mothers’ perception of HPV vaccination of their daughters identified only four randomized control trials indicating a gap in the literature on randomized controlled trials in this high-risk population. This study aims to examine the effect of an educational intervention to increase Human Papillomavirus (HPV) vaccination confidence, positive attitudes, and beliefs among Non-Hispanic Black mothers of children 9-17 years old. Participants were recruited using social media (Twitter, Facebook, and LinkedIn). A two-group randomized controlled trial was conducted. The intervention group received two HPV vaccination education that was one week apart while the control group received two healthy nutritional education one week apart. Data were collected immediately after the second intervention and four weeks post-intervention. The analysis of data was performed using two-way repeated measure ANOVA. The report indicated that participants in the experimental group reported higher HPV vaccination positive attitude and belief (p=.002) and vaccination confidence (p=.049) than the control group. The result indicated that the experimental group reported a higher positive attitude and belief score in HPV vaccination than the control group immediately post-intervention and at 4 weeks post-intervention. The experimental group reported a higher Vaccine Confidence score than the control group at 4 weeks post-intervention than immediately after the intervention. Indicating the effectiveness of HPV vaccination education on mothers’ confidence over time. Nurses can play a significant role in improving vaccination confidence and attitude among black mothers through well-designed cancer prevention education.