关键词: Brief Negotiated Interview/motivational intervention HPV vaccination Haitian mothers adolescent girls hard-to-reach populations minority and low income pilot trial

Mesh : Adolescent Adult African Americans / statistics & numerical data Behavior Therapy / methods Female Haiti / ethnology Health Knowledge, Attitudes, Practice Health Promotion / methods Humans Mothers Motivational Interviewing / methods Nuclear Family Papillomavirus Infections / prevention & control Papillomavirus Vaccines / therapeutic use Pilot Projects

来  源:   DOI:10.1177/0009922815616244   PDF(Sci-hub)

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.
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