Promoting Rural-Residing Parents’ Receptivity to HPV Vaccination: Targeting Messages and Mobile Clinic Implementation
Abstract
:1. Introduction
2. Methods
2.1. Recruitment
2.2. Procedures
2.3. Data Analysis
3. Results
3.1. Message Features That Promote Parents’ Receptivity to HPV Vaccination
3.1.1. Feature 1: Source Credibility
[On the postcard] the [clinic] logo, maybe either bigger or in the front, because … things go straight in the trash. But sometimes it’s just like a normal reaction of the brain when you see something on there that’s familiar. Then you’re like, “Oh! What is this?”(Parent of daughter, FG4P1)
3.1.2. Feature 2: Specific Information Coverage
It doesn’t [say] anywhere on the text or pamphlets about this being something that required more than one dose, or if it did, maybe I missed that part, where it’s like, “It could be two doses, or if you wait, there’s three doses involved.”(Parent of son, INT2)
[During the phone call] they should say, “We have a whole web site where you can go to learn more about this. Would you like me to text that link to you?” Just make it easy. I mean, we’re already super busy and overloaded as parents go.(Parent of son, INT1)
3.1.3. Feature 3: Personalized Features
The personal touch helps [on the postcard]. A lot of times you get flyers and kind of that junk mail stuff in there, so, having something where it’s coming from our pediatrician’s office or has my kid’s name on it or something like that, then it might make me pause and be like, “Oh, wait a minute! This is actually specifically meant for me.” It’s not just a random flyer.(Parent of son INT2)
3.2. Parents’ Messaging Modality Preferences
The phone call feels like you need to take action immediately and the postcard is too easy to not take any action because it would be thrown away or you set it down on the counter and then you don’t see it again. You don’t think about it. Whereas the text message, when you open your phone to go send a text, you’re still going to see. Oh, hey, there was that text message.(Parent of son, FG4P4)
3.2.1. Modality 1: Text Message
3.2.2. Modality 2: Postcard
3.2.3. Modality 3: Phone Call
3.3. Factors That Promote Parents’ Willingness to Have Their Child Receive HPV Vaccination at a Mobile Clinic
3.3.1. Factor 1: Prioritize Convenience and Feasibility in Implementation
I think if I were in a situation where it was difficult to get to my child’s health care provider, whether transportation wise or distance from them, that would probably be the number one reason for me to do a mobile clinic.(Parent of daughter, FG1P1)
There should be appointments where you don’t have to be sitting outside just waiting or anything like that because that could discourage the kids [who] might not want to hang out and things like that. Have appointments and where you can get people in and out with no problems.(Parent of daughter, FG5P3)
3.3.2. Factor 2: Promote Trustworthiness in Implementation
I don’t mean to be complicated on the mobiles. … It’s just my lack of experience. They always feel a little too non-personal because it’s just business, you know what I mean? So, it feels a little less personal. … I guess it would be less personal just because it wouldn’t be people that we know or a place we’ve ever been. So, there’s just not that familiarity where it feels safe and comfortable in that sense because it does feel more kind of like a weird transaction.(Parent of son, INT1)
That would be the biggest thing for me would be if my healthcare provider said, “This is coming to your area. I know these people. I trust them. I recommend that you get your vaccine there.” That would probably be, I would say, the first and biggest reason that I would do something like that.(Parent of daughter, FG1P1)
3.3.3. Factor 3: Provide Detailed Information in Promotion
I like the message because they have the date that we’re supposed to do the vaccination. And they got the time, they got the address, phone number, they got most of it, the whole information that we need to make an appointment.(Parent of son, FG1P3)
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Relationship to Child | |
Biological/Adoptive parent | 25 (89.3%) |
Aunt or Uncle | 3 (10.7%) |
Marital Status | |
Never Married | 7 (25%) |
Married | 15 (53.6%) |
Divorced/Separated/Widowed | 6 (21.4%) |
Gender | |
Female | 26 (92.8%) |
Male | 1 (3.6%) |
Unknown | 1 (3.6%) |
Race/Ethnicity | |
Non-Hispanic White | 13 (46.4%) |
Non-Hispanic Black | 8 (28.6%) |
Hispanic or Latino Origin | 5 (17.8%) |
Black or African American w/Unspecified Hispanic or Latino Origin | 2 (7.2%) |
Level of Education | |
Graduate degrees (PhD, EdD, MD, DDS, DVM, JD, MBA, MA) | 5 (17.8%) |
Bachelor’s Degree | 6 (21.4%) |
Associate’s degree | 4 (14.3%) |
Some college credit or trade school | 4 (14.3%) |
High school graduate/GED | 8 (28.6%) |
9–12th grade, no diploma | 1 (3.6%) |
Number of 9- to 17-year-olds | |
1 Child | 14 (50%) |
2 Children | 6 (21.4%) |
3 Children | 5 (17.9%) |
5 Children | 3 (10.7%) |
Age of Youngest 9- to 12-year-old | |
9-year-old | 10 (35.8%) |
10-year-old | 7 (25%) |
11-year-old | 5 (17.8%) |
12-year-old | 6 (21.4%) |
Gender of Youngest 9- to 12-year-old | |
Female | 15 (53.6%) |
Male | 13 (46.4%) |
Number of Well Visits in Past 12 Months | |
0 visits | 4 (14.3%) |
1 visit | 15 (53.6%) |
2 or more visits | 9 (32.1%) |
Delayed Vaccine of Youngest 9- to 12-year-old Child Due to Reasons Other than Illness or Allergy | |
Yes | 8 (28.6%) |
No | 19 (67.8%) |
Did not answer | 1 (3.6%) |
Decided Not to Have Youngest 9- to 12-year-old Child Get a Vaccine for Reasons Other Than Illness or Allergy | |
Yes | 7 (25%) |
No | 20 (71.4%) |
Don’t know | 1 (3.6%) |
Likelihood of Youngest 9- to 12-year-old Child Receiving the HPV Shots in the Next 12 Months | |
Very likely | 3 (10.7%) |
Somewhat likely | 10 (35.7%) |
Not too likely | 3 (10.7%) |
Not likely at all | 8 (28.6%) |
Not sure/Don’t know | 4 (14.3%) |
Youngest 9- to 12-year-old Child Received the Following Vaccines | |
MenACWY and Tdap | 6 (21.4%) |
Tdap only | 11 (39.3%) |
I don’t know | 10 (35.7%) |
Did not answer | 1 (3.6%) |
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Share and Cite
Fisher, C.L.; Mullis, M.D.; McFarlane, A.; Hansen, M.D.; Vilaro, M.J.; Bylund, C.L.; Wiggins, L.; Corbitt, H.; Staras, S.A.S. Promoting Rural-Residing Parents’ Receptivity to HPV Vaccination: Targeting Messages and Mobile Clinic Implementation. Vaccines 2024, 12, 712. https://doi.org/10.3390/vaccines12070712
Fisher CL, Mullis MD, McFarlane A, Hansen MD, Vilaro MJ, Bylund CL, Wiggins L, Corbitt H, Staras SAS. Promoting Rural-Residing Parents’ Receptivity to HPV Vaccination: Targeting Messages and Mobile Clinic Implementation. Vaccines. 2024; 12(7):712. https://doi.org/10.3390/vaccines12070712
Chicago/Turabian StyleFisher, Carla L., M. Devyn Mullis, Antionette McFarlane, Marta D. Hansen, Melissa J. Vilaro, Carma L. Bylund, Lori Wiggins, Halie Corbitt, and Stephanie A. S. Staras. 2024. "Promoting Rural-Residing Parents’ Receptivity to HPV Vaccination: Targeting Messages and Mobile Clinic Implementation" Vaccines 12, no. 7: 712. https://doi.org/10.3390/vaccines12070712
APA StyleFisher, C. L., Mullis, M. D., McFarlane, A., Hansen, M. D., Vilaro, M. J., Bylund, C. L., Wiggins, L., Corbitt, H., & Staras, S. A. S. (2024). Promoting Rural-Residing Parents’ Receptivity to HPV Vaccination: Targeting Messages and Mobile Clinic Implementation. Vaccines, 12(7), 712. https://doi.org/10.3390/vaccines12070712