Koskan Alexis, Venetis Maria K, Kim Sunny W
College of Health Solutions, Arizona State University, Phoenix, AZ, USA.
School of Communication and Information, Rutgers University, New Brunswick, NJ, USA.
J Cancer Educ. 2025 Jan 9. doi: 10.1007/s13187-024-02563-1.
College men are among those least likely to be vaccinated against the human papillomavirus (HPV). Viewing digital stories from other college men who were vaccinated against HPV as young adults may help influence them to seek the vaccine. Guided by the Theory of Planned Behavior, this research reports on the creation and pilot testing of digital stories to increase college men's intentions to vaccinate against HPV. We recruited college men vaccinated against HPV as young adults to participate in an online workshop to create a digital story about their HPV vaccine decision. To examine the persuasiveness of the digital stories, we then asked college-aged men who either had never been vaccinated against HPV or did not know their HPV vaccine status to complete a pretest, view the digital stories, respond to questions related to identification and emotional engagement with the stories, and complete a posttest. We used descriptive statistics to assess participants' identification and emotional engagement with the stories and paired-sample t-tests to evaluate changes in theoretical constructs from pre- to post-intervention. Results illustrated that exposure to the stories significantly influenced the participants' positive attitudes about the HPV vaccine (Mpretest = 3.41; Mposttest = 3.57, p < .02), subjective norms (Mpretest = 2.82; Mposttest = 3.33, p < .001), self-efficacy to vaccinate (Mpretest = 3.20; Mposttest = 3.39, p < .01), and intention to vaccinate against HPV within the next year (Mpretest = 2.64; Mposttest = 3.10, p < .001). Future research should assess the effectiveness of this intervention on HPV vaccine uptake.
大学男生是最不可能接种人乳头瘤病毒（HPV）疫苗的群体之一。观看其他大学男生在年轻时接种HPV疫苗的数字故事，可能有助于促使他们寻求接种该疫苗。本研究以计划行为理论为指导，报告了为提高大学男生接种HPV疫苗意愿而创作的数字故事及其初步测试情况。我们招募了在年轻时接种过HPV疫苗的大学男生参加一个在线工作坊，创作一个关于他们HPV疫苗接种决定的数字故事。为了检验这些数字故事的说服力，我们随后让从未接种过HPV疫苗或不知道自己HPV疫苗接种状况的大学适龄男性完成一项预测试，观看这些数字故事，回答与对故事的认同和情感投入相关的问题，然后完成一项后测试。我们使用描述性统计来评估参与者对故事的认同和情感投入，并使用配对样本t检验来评估干预前后理论构念的变化。结果表明，接触这些故事显著影响了参与者对HPV疫苗的积极态度（预测试均值=3.41；后测试均值=3.57，p<0.02）、主观规范（预测试均值=2.82；后测试均值=3.33，p<0.001）、接种自我效能感（预测试均值=3.20；后测试均值=3.39，p<0.01）以及在未来一年内接种HPV疫苗的意愿（预测试均值=2.64；后测试均值=3.10，p<0.001）。未来的研究应评估这种干预措施对HPV疫苗接种率的有效性。
