Translating self-persuasion into an adolescent HPV vaccine promotion intervention for parents attending safety-net clinics

Patient Education and Counseling
Available online 20 November 2016 In Press, Accepted Manuscript — Note to users
Translating self-persuasion into an adolescent HPV vaccine promotion intervention for parents attending safety-net clinics
Austin S. Baldwina, Deanna C. Denmana, Margarita Salaa, Emily G. Marksb, L. Aubree Shayc,
Sobha Fullerd, Donna Persaudd, Simon Craddock Leeb, Celette Sugg Skinnerb, Deborah J. Wiebee, Jasmin A. Tirob
Abstract
Objective
Self-persuasion is an effective behavior change strategy, but has not been translated for low-income, less educated, uninsured populations attending safety-net clinics or to promote human papillomavirus (HPV) vaccination. We developed a tablet-based application (in English and Spanish) to elicit parental self-persuasion for adolescent HPV vaccination and evaluated its feasibility in a safety-net population.
Methods
Parents (N = 45) of age-eligible adolescents used the self-persuasion application. Then, during cognitive interviews, staff gathered quantitative and qualitative feedback on the self-persuasion tasks including parental decision stage.
Results
The self-persuasion tasks were rated as easy to complete and helpful. We identified six question prompts rated as uniformly helpful, not difficult to answer, and generated non-redundant responses from participants. Among the 33 parents with unvaccinated adolescents, 27 (81.8%) reported deciding to get their adolescent vaccinated after completing the self-persuasion tasks.
Conclusions
The self-persuasion application was feasible and resulted in a change in parents’ decision stage. Future studies can now test the efficacy of the tablet-based application on HPV vaccination.
Practice implications
The self-persuasion application facilitates verbalization of reasons for HPV vaccination in low literacy, safety-net settings. This self-administered application has the potential to be more easily incorporated into clinical practice than other patient education approaches.