Adegboyega Adebola, Wiggins Amanda, Wuni Abubakari, Ickes Melinda
College of Nursing, University of Kentucky, Lexington, KY, United States.
Department of Kinesiology and Health Promotion, College of Education, University of Kentucky, Lexington, KY, United States.
JMIR Form Res. 2025 Apr 2;9:e69609. doi: 10.2196/69609.
Despite the availability of prophylactic human papillomavirus (HPV) vaccines, uptake remains suboptimal among young Black adults. Social media is a platform for the dissemination of health information and can be used to promote HPV vaccination among young Black adults.
This study aimed to assess the impact of a Facebook-based intervention (#HPVVaxTalks), which consisted of 40 posts over 8 weeks in improving cognitive outcomes, reducing vaccine hesitancy, and increasing vaccine intention, and uptake among young Black adults aged 18-26 years.
A pilot 1-group pre- and poststudy was conducted among 43 young Black adults who engaged in an 8-week Facebook intervention (#HPVVaxTalks). #HPVVaxTalks was developed in collaboration with a youth community advisory committee. Participants were actively recruited by research staff from community settings using flyers, and flyers were posted in public places in communities. Eligible participants were screened for eligibility and consented prior to study participation. Participants completed baseline surveys and were added to a Facebook page created for the study to receive intervention posts. Participants completed pre- and postdata on HPV knowledge, HPV vaccine knowledge, vaccine hesitancy, and vaccine uptake via REDCap (Research Electronic Data Capture) surveys distributed by email. Participants' satisfaction with the intervention was collected via individual interviews. Data were analyzed using 2-tailed paired t tests and repeated measures analysis.
Overall, 32 of the 43 (74%) participants completed the follow-up survey, and of the 23 participants who reported not having ever received the vaccine at baseline, 7 (30%) reported receiving the vaccine at follow-up. Participants demonstrated significant improvements in HPV knowledge and receiving the vaccine at follow-up. Participants demonstrated significant improvements in HPV knowledge (pre: mean 7.3, SD 4.2 and post: mean 11.1, SD 4.3; P=.004) and HPV vaccine knowledge (pre: mean 2.8, SD 2.5 and post: mean 4.7, SD 2.2; P=.003) and reduction in vaccine hesitancy (pre: mean 28.3, SD 4.2 and post: mean 29.9, SD 3.6; P=.007) after the intervention. However, there were no significant changes in other outcomes. Feedback from open-ended questions and qualitative interviews highlighted participants' satisfaction with the intervention and its role in increasing HPV and HPV vaccine awareness.
The findings from this study underscore the potential of social media platforms for health promotion among underrepresented populations and the importance of advocating for culturally appropriate interventions to improve HPV vaccination rates and reduce disparities.
尽管有预防性人乳头瘤病毒（HPV）疫苗，但年轻黑人成年人中的接种率仍不理想。社交媒体是传播健康信息的平台，可用于促进年轻黑人成年人接种HPV疫苗。
本研究旨在评估基于Facebook的干预措施（#HPVVaxTalks）的影响，该措施在8周内发布了40篇帖子，以改善认知结果、减少疫苗犹豫并提高疫苗接种意愿及18至26岁年轻黑人成年人的接种率。
对43名参与为期8周Facebook干预（#HPVVaxTalks）的年轻黑人成年人进行了一项单组前后对照的试点研究。#HPVVaxTalks是与一个青年社区咨询委员会合作开发的。研究人员通过传单从社区环境中积极招募参与者，传单张贴在社区的公共场所。符合条件的参与者在参与研究前进行资格筛选并获得同意。参与者完成基线调查，并被添加到为该研究创建的Facebook页面以接收干预帖子。参与者通过电子邮件分发的REDCap（研究电子数据采集）调查完成关于HPV知识、HPV疫苗知识、疫苗犹豫和疫苗接种情况的前后数据收集。通过个人访谈收集参与者对干预措施的满意度。使用双尾配对t检验和重复测量分析对数据进行分析。
总体而言，43名参与者中有32名（74%）完成了随访调查，在基线时报告从未接种过疫苗的23名参与者中，有7名（30%）在随访时报告接种了疫苗。参与者在随访时HPV知识和疫苗接种方面有显著改善。干预后，参与者的HPV知识（干预前：均值7.3，标准差4.2；干预后：均值11.1，标准差4.3；P = 0.004）、HPV疫苗知识（干预前：均值2.8，标准差2.5；干预后：均值4.7，标准差2.2；P = 0.003）有显著改善，疫苗犹豫有所减少（干预前：均值28.3，标准差4.2；干预后：均值29.9，标准差3.6；P = 0.007）。然而，其他结果没有显著变化。开放式问题和定性访谈的反馈突出了参与者对干预措施的满意度及其在提高HPV和HPV疫苗认知方面所起的作用。
本研究结果强调了社交媒体平台在弱势群体中促进健康的潜力，以及倡导采用文化上合适的干预措施以提高HPV疫苗接种率和减少差异的重要性。
