Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston MA, USA.
Gynecol Oncol. 2010 Aug 1;118(2):103-7. doi: 10.1016/j.ygyno.2010.04.010. Epub 2010 May 10.
To determine, through a pilot study, whether use of a video-based educational tool can influence overall human papillomavirus (HPV) vaccine acceptability, views on vaccine mandates, school vaccination, and acceptable age for vaccination.
Written surveys addressing HPV knowledge and vaccine acceptability were administered to study participants from January to March 2007. An initial 32-question survey was completed, followed by an 8-minute educational video, and a post-video assessment.
Out of 256 subjects, 73.0% watched the video and completed all surveys. Eighty percent of the subjects had heard of HPV, while 65.0% knew, prior to viewing the video, that the vaccine was available. Individual vaccine acceptability increased from 66.7% to 78.0% after the video (p=.0014). Prior to the video, 54.8% of subjects supported mandatory HPV vaccination, with 51.1% supporting school vaccination, and 66.7% accepting vaccination if it were free. After the video, these percentages increased to 72.6% (p<.0001), 65.1% (p<.0001) and 86.6% (p<.0001) respectively. Initially, 56.5% of subjects would vaccinate their child at 15 years of age or younger. After the video, 94.1% approved of vaccination from age 9 (p<.0001). Secondary analysis revealed Hispanics, African Americans, and lower income families were more likely to accept HPV vaccination after the video. A perception that vaccination promotes sex, and whether or not participants talk to their children about sex, did not affect acceptability.
Using an educational video significantly increased overall HPV vaccine acceptability and acceptance in younger age groups. This may be an effective means of increasing awareness and acceptability of HPV vaccination.
通过一项试点研究,确定使用基于视频的教育工具是否会影响人乳头瘤病毒(HPV)疫苗的整体可接受性、对疫苗强制接种的看法、学校疫苗接种以及可接受的接种年龄。
从 2007 年 1 月至 3 月,我们向研究参与者发放了书面调查问卷,以调查 HPV 知识和疫苗可接受性。参与者首先完成了一个 32 个问题的初始调查,然后观看了 8 分钟的教育视频,最后在观看视频后进行了评估。
在 256 名受试者中,有 73.0%观看了视频并完成了所有调查。80.0%的受试者听说过人乳头瘤病毒,而 65.0%在观看视频之前就知道疫苗已经上市。在观看视频后,个体疫苗可接受性从 66.7%增加到 78.0%(p=.0014)。在观看视频之前,54.8%的受试者支持 HPV 疫苗强制接种,51.1%支持学校接种,66.7%接受免费接种。观看视频后,这些百分比分别增加到 72.6%(p<.0001)、65.1%(p<.0001)和 86.6%(p<.0001)。最初,56.5%的受试者会在孩子 15 岁或以下时为其接种疫苗。观看视频后,94.1%的人赞成从 9 岁开始接种疫苗(p<.0001)。二次分析显示,西班牙裔、非裔美国人和低收入家庭在观看视频后更有可能接受 HPV 疫苗接种。接种疫苗促进性行为的看法,以及参与者是否与孩子谈论性行为,都不会影响疫苗的可接受性。
使用教育视频显著提高了 HPV 疫苗的整体可接受性,也提高了年轻人对 HPV 疫苗的接受程度。这可能是提高 HPV 疫苗接种意识和接受度的有效手段。