Adaptation Of An HPV Education Resource To Promote HPV Vaccination

H. Lee Moffitt Cancer Center and Research Institute155 enrolled

Overview

The purpose of the study is to assess Human Papillomavirus (HPV) and HPV vaccination knowledge, awareness, attitudes, health beliefs, and behaviors as well as educational preferences for learning more about HPV and HPV vaccination and to receive feedback on and adapt HPV educational materials for Young Latino Men who have Sex with Men (YLMSM).

To assess HPV and HPV vaccination knowledge, awareness, attitudes, health beliefs, and behaviors as well as educational preferences among 260 Spanish-speaking YLMSM ages 18-26 in Florida and Puerto Rico. To conduct 20 in-depth interviews with key stakeholders (10 in PR and 10 in FL) eliciting feedback to inform intervention content and delivery methods and identify potential facilitators and barriers to intervention implementation. To culturally adapt an existing Cancer 101 educational resource in English and Spanish for YLMSM ages 18-26 and to conduct focus groups or individual interviews with 24 YLMSM in PR (n=12) and FL (n=12) to gain feedback on the acceptability, accessibility, content, delivery preferences, and aesthetics of the theoretically informed, HPV educational intervention targeted for English and/or Spanish-speaking YLMSM.

Study Type

OBSERVATIONAL

Enrollment

155

Conditions

HPV Vaccine HPV

Interventions

Online surveyBEHAVIORAL

Aim 1 Participants will be asked to complete a Qualtrics survey to identify knowledge gaps, health beliefs, attitudes, and educational learning preferences.

Focus groups or Individual InterviewsBEHAVIORAL

Focus groups and/or individual interviews will be conducted in-person and/or remotely to receive feedback on the HPV vaccine education materials. Focus groups and/or individual interviews will be conducted with 24 young adult Latino men who have sex with men (YLMSM) in either English or Spanish (approximately 12 in Puerto Rico and approximately 12 in Florida). The purpose will be to gain feedback on the acceptability, accessibility, content, delivery preference, and aesthetics of the theoretically informed HPV education materials culturally targeted for Spanish- and/or English-speaking YLMSM.

Interviews

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria for Aim 1 \& 3: * Men who have had sex with a man and/or are attracted to men * Hispanic/Latino ethnicity * Able to read, write and understand Spanish (for Aim 1) and Spanish or English (for Aim 3) * Aged 18-26 years * Primary residence in either Puerto Rico or Florida * Has access to the internet (Aim 1 only) Additional criteria for Aim 3: * Has regular access to a working telephone or be able to attend an in-person focus group (modifications related to COVID-19 situation will allow virtual modality to complete the focus groups or individual interviews). * Able to read, write and understand Spanish or English Inclusion Criteria for Aim 2: * Individuals with a current or prior role (within last twelve months) in a community-based organization, private or public healthcare clinic, health department, college/university organization, or interest group that provides services to sexual minorities in FL or PR as a healthcare provider, staff member, group member, or in a leadership role * Age 21 or older * Able to understand, read and speak either Spanish or English * Access to a working telephone or computer Exclusion Criteria for Aim 1 \& 3: * Self identifies as either transman or transwoman * aged \<18 years or \>27 years * Individuals who contact the research team about interest in participating on Aims 1 or 3 (when recruitment cap has been completed for that aim) can be directed to Aims 1 or 3 for possible recruitment. Individuals can participate in more than 1 aim, but not more than one time in a single aim.

Locations (2)

Moffitt Cancer Center

Tampa, Florida, United States

Ponce Health Sciences University

Ponce, Puerto Rico

Outcomes

Primary Outcomes

Part 1: HPV Vaccine Knowledge (Aim 1)

A scale consisting of 19 items (Score range 0-18) assessing general HPV knowledge and 9 items (Score range 0-9) assessing HPV vaccination-specific knowledge (modified from scales by Perez et al 2016 and Waller et al 2013, respectively), using a response scale consisting of True, False, and I don't know; higher scores mean higher knowledge.

Time frame: Day 1

Part 1: HPV Vaccine Awareness (Aim 1)

A scale consisting of 2 items from the Health Information National Trends Survey (HINTS) 2018, with response options Yes or No; Positive responses mean higher awareness

Time frame: Day 1

Part 1: HPV Vaccine Attitude (Aim 1)

A scale consisting of 8 items modified from the Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS); with a 5-point response scale ranging from strongly disagree to strongly agree; higher scores mean stronger attitudes. The possible scale score range = 8-40.

Time frame: Day 1

Part 1: HPV Vaccine Health Beliefs 1 (Aim 1)

Participants will complete scales; a. Perceived Risk 5 point scale from no chance to Certain I will get; higher scores mean higher perceived risk; b. Descriptive norms scale from 0% to 100%, higher score mean greater descriptive norms; c. Perceived norms 8 point scale ranging from strongly disagree to strongly agree, not applicable, higher scores mean stronger perceived norms; d. Perceived Barriers 3-point scale ranging from Not concerned at all to Very concerned, higher scores mean higher perceived barriers; e. Self-efficacy scale ranging from Strongly agree to Strongly Disagree; lower scores mean higher self-efficacy.

Time frame: Day 1

Part 1: HPV Vaccine Health Beliefs 2 (Aim 1)

Count of participants who responded what they thought their perceived risk is contracting HPV. Questions range from Much below average, below average, average risk, above average risk, much above average risk, and I don't know.

Data from ClinicalTrials.gov

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