Evidence map›Paper›PMID 29599089›Full record

Trial reportVaccine2018

Cancer-salient messaging for Human Papillomavirus vaccine uptake: A randomized controlled trial.

Rachael M Porter, Avnika B Amin, Robert A Bednarczyk, Saad B Omer

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03002324 (Tailoring of Vaccine-Focused Messages), which is not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03002324 nacompletednot on this map

Tailoring of Vaccine-Focused Messages: Moral Foundations and Disease Salience - Part 2

TypeinterventionalSponsorEmory UniversityRan2017 to 2017Enrolled1,320ConditionsHuman PapillomavirusArmsBaseline Survey, Current CDC Message, Cervical Cancer Message, Control Message, Post-Intervention Survey
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  9. A Tale of Two Diverse Qualtrics Samples: Information for Online Survey Researchers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rachael M PorterDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States. Electronic address: rmp413@gmail.com.
Avnika B AminDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Robert A BednarczykDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Emory Vaccine Center, Emory University, Atlanta, GA, United States.
Saad B OmerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Emory Vaccine Center, Emory University, Atlanta, GA, United States; Department of Pediatrics, School of Medicine, Emory University, Atlanta, GA, United States.

Funding

A Practice-Provider-Parent-Adolescent intervention to increase HPV vaccinationK01AI106961 · NIAID · EMORY UNIVERSITY · PI BEDNARCZYK, ROBERT A. · 2014 to 2017
$471k
NIAID NIH HHS K01 AI106961
6 · The paper itself

Abstract

BACKGROUND AND

objectivesVaccination with Human Papillomavirus (HPV) vaccine is recommended for 11-12 years-old, but uptake is suboptimal. Current messaging focuses on HPV infection transmission and prevention. Parents and providers are often uncomfortable discussing sexual practices of adolescents, contributing to the delay/refusal of vaccine. We created a cervical cancer-salient message encouraging HPV vaccination, emphasizing disease salience and disease threat, while promoting self-efficacy. We hypothesized this message would have greater effects on vaccine confidence and intent to vaccinate compared to Centers for Disease Control and Prevention (CDC) and non-vaccine control messages.

methodsA 3-arm randomized trial was conducted. Parents of girls aged 9-17 were eligible for the study. We measured participants' vaccine confidence and intent to vaccinate at baseline and post intervention message. Recruitment and surveys were administered online through Amazon Mechanical Turk.

results762 participants completed both surveys. We saw modest increases in vaccine confidence when comparing cervical cancer arm and control arm, and CDC arm and control arm; estimates were not statistically significant. The odds of reporting intent to vaccinate among the cervical cancer message arm were 1.13 times the odds of reporting intent to vaccinate in the control arm (95% CI: 0.30. 4.29). Intent to vaccinate was also not statistically significantly different between CDC message arm and control arm (OR = 1.25, 95%CI: 0.66, 2.37).

conclusionNeither message had effect on intent to vaccinate, highlighting need for research to identify successful messaging strategies for HPV. Exploratory analyses suggest among parents with 'Low' vaccine confidence at baseline, the cervical cancer framed message may be more effective in changing intention than the CDC message or non-vaccine control. Future work should target groups with 'Low' or 'Medium' vaccine confidence at baseline - they may be more amenable to change, and more receptive to disease-salient messaging. CLINICAL

trial registrationClinicaltrials.gov, Reference #: NCT03002324.

Indexed as

Behavior TherapyAdolescentAdultChildFemaleHumansMiddle AgedPapillomavirus InfectionsPapillomavirus VaccinesParentsPatient Acceptance of Health CareUterine Cervical NeoplasmsVaccinationPapillomavirus Vaccines

Identifiers

PMID29599089
PMCPMC6550298

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.