Table 1.

Major themes related to HPV vaccination decision-making among parents, effective components of existing HPV vaccine messages, and strategies to develop effective HPV vaccine messages

Component	Themes
HPV vaccine acceptability and parents’ decision-making	• Being informed is key      ○ Specific information about HPV and how it is spread      ○ Logistical information (cost, insurance) • The new and the uncertain      ○ “Newness” of vaccine      ○ Conflicting information from media and HCPs • Mistrust and vaccine safety      ○ Vaccine mistrust toward government and pharmaceutical companies      ○ Trust in HCPs      ○ Safety concerns      ○ Stigma of sexually transmitted illnesses
Effective components of existing HPV vaccine campaign messages	• Message content      ○ Address side effects and sexual health concerns      ○ Emphasize cancer prevention      ○ Provide information on eligibility, dosing, and efficacy • Visual representations      ○ Include HCPs      ○ Complex power and race dynamics
Strategies to develop effective HPV vaccine messages	• The importance of including diverse audience members in the message      ○ Diverse racial and gender groups      ○ Different roles represented (teens, parents, HCPs) • Requested information      ○ Highlight benefits and limitations      ○ Focus on cancer prevention and protection of vaccination      ○ Link other resources • Message delivery/presentation      ○ Physical location of messages      ○ Word of mouth      ○ Public service announcements