Alqethami Areej, Alhalal Eman
College of Nursing, King Saud University, Riyadh, Saudi Arabia; Ministry of Health, Taif, Saudi Arabia.
Community and Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Patient Educ Couns. 2025 Jun;135:108731. doi: 10.1016/j.pec.2025.108731. Epub 2025 Mar 3.
The current study aimed to examine the effectiveness of a web-based educational intervention based on the theory of planned behaviour (TPB) in enhancing mothers' knowledge of human papillomavirus (HPV) and its vaccine, attitudes towards the HPV vaccine, subjective norms, perceived behavioural control, and intention to vaccinate their daughters against HPV.
A randomised controlled trial was conducted. The sample comprised 214 mothers of adolescents from 10 intermediate schools in Saudi Arabia. After collecting baseline data, the participants were randomly assigned to control and intervention groups. The TPB-based intervention was delivered online to the intervention group, and post-test data were collected from both groups. A mixed-effects model of covariance was used to test the effect of the intervention.
There were no significant differences between the two groups at baseline. One month after delivery, the intervention was found to have a significant effect on mothers' knowledge (F (1, 211.15) = 72.40, p < .001), attitudes (F (1, 211.11) = 110.57, p < .001), subjective norms (F (1, 211) = 34.55, p < .001), perceived control behaviour (F (1, 211.12) = 144.01, p < .001), and intention to vaccinate their daughters against HPV (F (1, 211.05) = 113.64, p < .001).
The study showed that the web-based intervention based on the TPB was effective in increasing mothers' knowledge, attitude, subjective norms, perceived control behaviour, and intention to vaccinate their daughters after 1 month.
The findings underscore the significance of popularising and implementing such interventions to boost HPV vaccine coverage among adolescents.
本研究旨在检验基于计划行为理论（TPB）的网络教育干预措施在增强母亲对人乳头瘤病毒（HPV）及其疫苗的了解、对HPV疫苗的态度、主观规范、感知行为控制以及为女儿接种HPV疫苗的意愿方面的有效性。
进行了一项随机对照试验。样本包括来自沙特阿拉伯10所初中的214名青少年母亲。在收集基线数据后，将参与者随机分为对照组和干预组。基于TPB的干预措施在线提供给干预组，并从两组收集测试后数据。使用协方差混合效应模型来检验干预效果。
两组在基线时无显著差异。干预实施一个月后，发现该干预对母亲的知识（F（1, 211.15） = 72.40，p <.001）、态度（F（1, 211.11） = 110.57，p <.001）、主观规范（F（1, 211） = 34.55，p <.001）、感知控制行为（F（1, 211.12） = 144.01，p <.001）以及为女儿接种HPV疫苗的意愿（F（1, 211.05） = 113.64，p <.001）有显著影响。
研究表明，基于TPB的网络干预措施在1个月后能有效提高母亲的知识、态度、主观规范、感知控制行为以及为女儿接种疫苗的意愿。
研究结果强调了推广和实施此类干预措施以提高青少年HPV疫苗接种覆盖率的重要性。
