Human Papilloma Viruses (HPV) Vaccine Adherence Community Clinic Study

N/ACompletedNCT01908517

East Carolina University522 enrolled

Overview

There has been very limited research that has looked at electronic reminders (text messages) and its effectiveness in adherence to vaccination among low-income minority populations. Results have shown that text messages, among low-income parents and adolescents who were identified as having a cellphone, is an effective strategy to increase the likelihood of adolescent vaccination adherence. Hard copy and electronic messaging reminders have also been proven to be effective when coupled with other prevention strategies for immunizations for influenza and pneumococcal pneumonia and screening for colon, breast, and cervical cancer in adults. Additionally, Merck and Co. recommend electronic reminders in their patient compliance program as a key strategy for adherence. To our knowledge, this community-based pilot intervention study will be the first to assess electronic reminders and HPV vaccine initiation and adherence among rural uninsured and Medicaid populations. The investigators hypothesize that adolescent whose parents who receive the intervention will be more likely to initiate HPV vaccination and be compliant at 3 months and at 7 months as compared to the control group.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

522

Conditions

Patient Compliance

Interventions

HPV Vaccine Electronic RemindersBEHAVIORAL

The intervention group will receive 4 education messages, 2 reminder/education messages, as well as 1 baseline and 1 final assessment survey. Control group participants will receive 2 contacts throughout the study, 1 at baseline and 1 at their final assessment survey. Up to two reminder contacts will be used if surveys are not completed for both intervention and control group participants. Preference for receipt of reminders will be obtained from the information study card parents complete at study enrollment. Enrollment card content, educational messages and patient- reminders will all be developed with community input.

Eligibility

Sex: ALLMin age: 9 YearsMax age: 17 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Parent/Caretaker has Medicaid or is Uninsured * Parent/Caretaker has a child between 11- 18 y/o * Parent/Caretaker should be able to read English or Spanish * Parent/Caretaker should have a phone and/or email address to provide for the study Exclusion Criteria: * Parents who have children younger than 11 or older than 18 years of age * Parents who are not currently uninsured or enrolled in Medicaid/Medicare. * Parent/Caretaker's child who received the 1st dose of HPV vaccine before enrolling in study

Outcomes

Primary Outcomes

Vaccine Adherence, as measure by receiving the 3 recommended doses withing a 6 month time period.

Vaccine adherence will be measured using the CDC's guidelines which state that the second dose be given one to two months after the first, and the third dose be given six months after the first dose.

Time frame: 7 months after initial HPV Vaccince shot

Secondary Outcomes

HPV Knowledge, as measured by a 20% increase in knowledge about HPV and HPV vaccine among the intervention group.

Parents in the intervention group will receive 4 tailored education messages and 2 tailored reminder/education messages within the 6 month window period for the recommended HPV vaccine adherence guidelines. In order to assess a 20% increase in knowledge about HPV and the HPV vaccine, parents will take a baseline assessment survey and then a final assessment survey at the 7-month point once the vaccine series is completed.

Time frame: 7 months after the first initial HPV vaccine shot