Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA.
The Institute for Child Health Policy, College of Medicine, University of Florida, Gainesville, FL, USA.
BMC Public Health. 2021 Jan 9;21(1):109. doi: 10.1186/s12889-020-10132-6.
We assessed the feasibility and acceptability of a sequential approach of parent-targeted HPV vaccine reminders and phone-based Motivation Interviewing (MI).
In 2016, we selected all 11- to 12-year-old boys and girls seen in one clinic whose vaccine records did not include the HPV vaccine (n=286). By gender, we individually randomized parents of adolescents to an interactive text message (74 girls and 45 boys), postcard reminder (46 boys and no girls because of previously demonstrated efficacy), or standard care group (75 girls and 46 boys). Reminders were sent with medical director permission and a HIPAA waiver. Two months after reminders, among the adolescents whose vaccine records still did not include the HPV vaccine, we selected a gender-stratified random sample of 20 parents for phone-based MI. We assessed the percentage of deliverable messages, the percentage of parents' responding to the interactive text message, parent acceptability of receiving a text message, and MI parent responsiveness and interviewer competence (MI Treatment Integrity Coding system).
Nearly all messages were deliverable (98% of postcards and 74% of text messages). Six of the 88 parents (7%) receiving text messages scheduled an appointment through our interactive system. The acceptability survey response rate was 37% (38/102). Respondents were favorable toward vaccine reminders for all parents (82%). Among 20 sampled parents, 17 were reached by phone of whom 7 completed MI, 4 had or were getting the HPV vaccine for their child, and 5 expressed disinterest. Across the 7 MI calls, the interviewer was rated 100% MI adherent and scored an average 4.19 rating for Global Spirit.
Without providing explicit consent to receive vaccine-related messages, parents nonetheless found postcards and interactive text messages acceptable. Centralizing MI to phone calls with trained staff was acceptable to parents and resulted in highly MI-adherent interviews.
我们评估了针对家长的 HPV 疫苗提醒和基于电话的动机访谈（MI）的序贯方法的可行性和可接受性。
2016 年，我们选择了在一个诊所中看到的所有 11 至 12 岁的男孩和女孩，其疫苗记录中不包括 HPV 疫苗（n=286）。根据性别，我们分别将青少年的家长随机分配到互动短信（74 名女孩和 45 名男孩）、明信片提醒（46 名男孩，没有女孩，因为之前已经证明了其效果）或标准护理组（75 名女孩和 46 名男孩）。提醒是在医疗主任许可和 HIPAA 豁免的情况下发送的。在提醒后两个月，对于疫苗记录仍未包括 HPV 疫苗的青少年，我们按性别分层随机选择了 20 名家长进行基于电话的 MI。我们评估了可交付消息的百分比、家长对互动短信的回复百分比、家长对接收短信的可接受性以及 MI 家长的响应性和访谈者的能力（MI 治疗完整性编码系统）。
几乎所有的消息都可以送达（明信片的送达率为 98%，短信的送达率为 74%）。收到短信的 88 位家长中的 6 位（7%）通过我们的互动系统预约了。接受度调查的回复率为 37%（38/102）。受访者对所有家长的疫苗提醒都持赞成态度（82%）。在 20 名抽样家长中，有 17 名家长通过电话联系上，其中 7 名家长完成了 MI，4 名家长为孩子接种了 HPV 疫苗，5 名家长表示不感兴趣。在 7 次 MI 通话中，访谈者的 MI 依从性被评为 100%，全球精神状态的平均评分为 4.19。
在没有明确同意接收疫苗相关信息的情况下，家长们仍然认为明信片和互动短信是可以接受的。将 MI 集中到有培训工作人员的电话上，家长们可以接受，并且产生了高度的 MI 依从性访谈。
Zotero 插件