Table 3:
The impact of the interactive educational forum on mothers’ HPV-related knowledge, attitudes, and intentions to vaccinate their adolescent children (N=115).
| Constructs/Survey Questions | Pre-intervention survey1 n (%) |
Post-intervention survey1 n (%) |
McNemar’s p-value2 |
|
|---|---|---|---|---|
| HPV knowledge/beliefs | ||||
| HPV infection is different than HIV infection | ||||
| Correct | True | 42 (38.5) | 103 (94.5) | < 0.0001 |
| Incorrect | False | 1 (0.9) | 4 (3.7) | |
| Not Sure | 66 (60.6) | 2 (1.8) | ||
| HPV is rare | ||||
| Correct | False | 7 (6.4) | 38 (34.5) | < 0.0001 |
| Incorrect | True | 22 (20.0) | 61 (55.5) | |
| Not sure | 81 (73.6) | 11 (10.0) | ||
| HPV is spread through sexual contact | ||||
| Correct | True | 29 (26.4) | 106 (96.4) | < 0.0001 |
| Incorrect | False | 3 (2.7) | 2 (1.8) | |
| Not Sure | 78 (70.9) | 2 (1.8) | ||
| HPV can cause cancer | ||||
| Correct | True | 16 (15.1) | 103 (97.2) | < 0.0001 |
| Incorrect | False | 5 (4.7) | 1 (0.9) | |
| Not Sure | 85 (80.2) | 2 (1.9) | ||
| HPV vaccine knowledge/ beliefs | ||||
| HPV vaccine prevents some cancers | ||||
| Correct | True | 16 (14.2) | 107 (94.7) | < 0.0001 |
| Incorrect | False | 6 (5.3) | 2 (1.8) | |
| Not Sure | 91 (80.5) | 4 (3.5) | ||
| HPV vaccine is unsafe | ||||
| Correct | False | 9 (8.0) | 75 (67.0) | < 0.0001 |
| Incorrect | True | 19 (17.0) | 29 (25.9) | |
| Not Sure | 84 (75.0) | 8 (7.1) | ||
| HPV vaccine contains pork gelatin | ||||
| Correct | False | 4 (3.5) | 53 (46.5) | < 0.0001 |
| Incorrect | True | 7 (6.1) | 22 (19.3) | |
| Not Sure | 103 (90.4) | 39 (34.2) | ||
| All adolescent girls should get the HPV vaccine | ||||
| Correct | True | 9 (8.0) | 99 (88.4) | < 0.0001 |
| Incorrect | False | 11 (9.8) | 5 (4.5) | |
| Not Sure | 92 (82.1) | 8 (7.1) | ||
| Adolescent boys do not need the vaccine | ||||
| Correct | False | 11 (9.7) | 78 (69.0) | < 0.0001 |
| Incorrect | True | 10 (8.8) | 24 (21.2) | |
| Not Sure | 92 (81.4) | 11 (9.7) | ||
| HPV vaccination involves more than 1 shot | ||||
| Correct | True | 6 (5.4) | 32 (28.6) | < 0.0001 |
| Incorrect | False | 4 (3.6) | 51 (45.5) | |
| Not Sure | 102 (91.1) | 29 (25.9) | ||
| Social norms/ influence | ||||
| Other parents in your community do not think their children should get the HPV vaccine | ||||
| Positive | False | 9 (8.0) | 37 (32.7) | < 0.0001 |
| Negative | True | 14 (12.4) | 49 (43.4) | |
| Not Sure | 90 (79.6) | 27 (23.9) | ||
| Doctors think it’s very important for adolescents to get the HPV vaccine | ||||
| Positive | True | 30 (27.3) | 92 (83.6) | < 0.0001 |
| Negative | False | 2 (1.8) | 4 (3.6) | |
| Not Sure | 78 (70.9) | 14 (12.7) | ||
| Barriers | ||||
| When thinking about the HPV vaccine for your son and daughter, how concerned are you about side effects? | ||||
| Positive | Not concerned | 10 (8.9) | 48 (42.9) | < 0.0001 |
| Negative | Somewhat Concerned | 9 (8.0) | 17 (15.2) | |
| Very Concerned | 23 (20.5) | 40 (35.7) | ||
| Not sure | 70 (62.5) | 7 (6.3) | ||
| Self-efficacy | ||||
| You have enough information to make a decision about getting your son or daughter the HPV vaccine | ||||
| Correct | Agree | 13 (11.6) | 101 (90.2) | < 0.0001 |
| Incorrect | Disagree | 13 (11.6) | 4 (3.6) | |
| Not Sure | 86 (76.8) | 7 (6.3) | ||
| You know where your son/daughter can go to get the HPV vaccine | ||||
| Correct | Agree | 27 (25.7) | 97 (92.4) | < 0.0001 |
| Incorrect | Disagree | 6 (5.7) | 3 (2.9) | |
| Not Sure | 72 (68.6) | 5 (4.8) | ||
| Willingness | ||||
| Which of the following best describes how you feel about getting your son/daughter the HPV vaccine? | ||||
| Positive | You want him/her to get the vaccine | 7 (6.3) | 84 (75.7) | < 0.0001 |
| Negative | You do not want him/her to get the vaccine | 4 (3.6) | 3 (2.7) | |
| You are undecided | 30 (27.0) | 14 (12.6) | ||
| Unsure | 70 (63.1) | 10 (9.0) | ||
| Intention | ||||
| In the next 6 months, is it likely that you will talk with your son’s/daughter’s doctor about the HPV vaccine? | ||||
| Positive | Yes, very likely | 6 (5.5) | 77 (70.0) | < 0.0001 |
| Somewhat likely | 15 (13.6) | 18 (16.4) | ||
| Negative | No, not likely | 9 (8.2) | 6 (5.5) | |
| Not sure | 80 (72.7) | 9 (8.2) | ||
| In the next 6 months, how likely is it that your son/daughter will get the HPV vaccine? | ||||
| Positive | Yes, very likely | 3 (2.8) | 69 (63.3) | < 0.0001 |
| Somewhat likely | 14 (12.8) | 22 (20.2) | ||
| Negative | No, not likely | 3 (2.8) | 4 (3.7) | |
| Not sure | 89 (81.7) | 14 (12.8) | ||
1
The data for each individual question was restricted to responses from mothers who had non-missing data on both the pre- and post-survey for each question.
2
These p-values are based on dichotomized responses (correct/incorrect or positive/negative).