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Healthcare 2017, 5(4), 86; doi:10.3390/healthcare5040086

Multimodal Counseling Interventions: Effect on Human Papilloma Virus Vaccination Acceptance

1
Obstetrics and Gynecology Locum Tenens, Salinas, CA 93902, USA
2
College of Graduate Health Studies, A. T. Still University, Mesa, AZ 85206, USA
3
Department of Interdisciplinary Sciences, A. T. Still University, Mesa, AZ 85026, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 10 October 2017 / Revised: 27 October 2017 / Accepted: 29 October 2017 / Published: 6 November 2017
View Full-Text   |   Download PDF [1340 KB, uploaded 6 November 2017]   |  

Abstract

Human papilloma virus (HPV) vaccine was developed to reduce HPV-attributable cancers, external genital warts (EGW), and recurrent respiratory papillomatosis. Adolescent HPV vaccination series completion rates are less than 40% in the United States of America, but up to 80% in Australia and the United Kingdom. Population-based herd immunity requires 80% or greater vaccination series completion rates. Pro-vaccination counseling facilitates increased vaccination rates. Multimodal counseling interventions may increase HPV vaccination series non-completers’ HPV-attributable disease knowledge and HPV-attributable disease prophylaxis (vaccination) acceptance over a brief 14-sentence counseling intervention. An online, 4-group, randomized controlled trial, with 260 or more participants per group, found that parents were more likely to accept HPV vaccination offers for their children than were childless young adults for themselves (68.2% and 52.9%). A combined audiovisual and patient health education handout (PHEH) intervention raised knowledge of HPV vaccination purpose, p = 0.02, and HPV vaccination acceptance for seven items, p < 0.001 to p = 0.023. The audiovisual intervention increased HPV vaccination acceptance for five items, p < 0.001 to p = 0.006. That HPV causes EGW, and that HPV vaccination prevents HPV-attributable diseases were better conveyed by the combined audiovisual and PHEH than the control 14-sentence counseling intervention alone. View Full-Text
Keywords: cervical cancer; counseling; human papilloma virus (HPV); HPV counseling; HPV-attributable diseases; HPV knowledge; HPV prophylaxis; HPV vaccination; HPV vaccination acceptance cervical cancer; counseling; human papilloma virus (HPV); HPV counseling; HPV-attributable diseases; HPV knowledge; HPV prophylaxis; HPV vaccination; HPV vaccination acceptance
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Nwanodi, O.; Salisbury, H.; Bay, C. Multimodal Counseling Interventions: Effect on Human Papilloma Virus Vaccination Acceptance. Healthcare 2017, 5, 86.

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