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基于实施研究的综合框架,为年轻人开发理论上有依据的人乳头瘤病毒疫苗接种教育材料。

A Consolidated Framework for Implementation Research-based process to develop theoretically-informed human papillomavirus vaccination educational materials for young adults.

机构信息

Morsani College of Medicine, University of South Florida, Tampa, FL, USA.

Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.

出版信息

Patient Educ Couns. 2024 Jun;123:108200. doi: 10.1016/j.pec.2024.108200. Epub 2024 Feb 12.

Abstract

OBJECTIVE

To develop theory-informed human papillomavirus (HPV) vaccine education materials that appeal to 18-26-year-olds.

METHODS

First, draft materials informed by Theory of Planned Behavior (TPB) and Health Belief Model (HBM) were developed. Next, an initial set of Consolidated Framework for Implementation Research (CFIR)-guided interviews were conducted with 18-26-year-old participants to receive feedback about content, format, appeal, implementation facilitators and barriers, and potential delivery modalities. Then, interviews were transcribed, coded, and analyzed using thematic analysis. Next, materials were modified based upon feedback. Finally, another set of interviews was conducted.

RESULTS

Most participants (n = 15) were female (93%), White (60%), and non-Hispanic (93%). All (100%) had heard of HPV and the HPV vaccine, and 80% reported having received the vaccine. Participant feedback on materials included emphasizing vaccine benefits and efficacy, rewording to enhance comprehension, and adding images represent diversity beyond race/ethnicity and sexual orientation. Suggested delivery methods included social media, print materials, and posters.

CONCLUSION

Qualitative interviews with young adults suggest that HPV education materials targeted to 18-26-year-olds should include health behavior theory-aligned messaging, inclusive imagery, and be disseminated through multiple modalities.

PRACTICE IMPLICATIONS

Providers should consider utilizing theory-based education materials that are relevant and appealing to young adults.

摘要

目的

开发基于理论的人乳头瘤病毒 (HPV) 疫苗教育材料,以吸引 18-26 岁的人群。

方法

首先,根据计划行为理论 (TPB) 和健康信念模型 (HBM) 开发了草案材料。其次,与 18-26 岁的参与者进行了一组初步的整合实施研究框架 (CFIR) 指导访谈,以获取有关内容、格式、吸引力、实施促进因素和障碍以及潜在传递方式的反馈。然后,对访谈进行转录、编码和主题分析。接下来,根据反馈修改材料。最后,进行了另一组访谈。

结果

大多数参与者(n=15)为女性(93%)、白人(60%)和非西班牙裔(93%)。所有人(100%)都听说过人乳头瘤病毒和 HPV 疫苗,80%的人报告已经接种了疫苗。参与者对材料的反馈包括强调疫苗的益处和效力、重新措辞以提高理解能力,以及添加代表种族/族裔和性取向以外多样性的图像。建议的传递方法包括社交媒体、印刷材料和海报。

结论

与年轻人的定性访谈表明,针对 18-26 岁人群的 HPV 教育材料应包括与健康行为理论一致的信息、包容性的图像,并通过多种方式传播。

实践意义

提供者应考虑使用与年轻人相关且有吸引力的基于理论的教育材料。

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