Evidence map›Paper›PMID 30785361›Full record

Trial reportHuman vaccines & immunotherapeutics2019

Insights on HPV vaccination in the United States from mothers' comments on Facebook posts in a randomized trial.

David B Buller, Barbara J Walkosz, Julia Berteletti, Sherry L Pagoto, Jessica Bibeau, Katie Baker, Joel Hillhouse, Kimberly L Henry

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. TeenVac.org: A Mobile Web App to Improve Human Papillomavirus Vaccine Uptake for Adolescent Boys.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  19. Observational
  20. Development of a Codebook of Online Anti-Vaccination Rhetoric to Manage COVID-19 Vaccine Misinformation.International journal of environmental research and public health · 2021
    Article
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

8 authors at 4 institutions in 1 country.

David B Bullera Klein Buendel, Inc , Golden , CO , USA .
Barbara J Walkosza Klein Buendel, Inc , Golden , CO , USA .
Julia Bertelettia Klein Buendel, Inc , Golden , CO , USA .
Sherry L Pagotob Department of Allied Health Sciences, University of Connecticut , Storrs , CT , USA.
Jessica Bibeaub Department of Allied Health Sciences, University of Connecticut , Storrs , CT , USA.
Katie Bakerc Community and Behavioral Health, East Tennessee State University , Johnson City , TN , USA.
Joel Hillhousec Community and Behavioral Health, East Tennessee State University , Johnson City , TN , USA.
Kimberly L Henryd Applied Social and Health Psychology, Colorado State University , Storrs , CT , USA.
Klein Buendel (United States) · USEast Tennessee State University · USUniversity of Connecticut · USColorado State University · US

Funding

Likes Pins and Views: Engaging Moms on Teen Indoor Tanning Thru Social MediaR01CA192652 · NCI · KLEIN BUENDEL, INC. · PI BULLER, DAVID B, PAGOTO, SHERRY L. · 2015 to 2020
$3.5M
NCI NIH HHS R01 CA192652
6 · The paper itself

Abstract

In the United States, parents' health beliefs affect HPV vaccination decisions for children. Our team acquired insights into mothers' health beliefs from their reactions and comments to posts on HPV vaccination in a social media adolescent health campaign in a randomized trial (n = 881 mothers; 63.1% reported daughters had 1+ doses of the HPV vaccine) evaluating communication intended to reduce daughters' indoor tanning. A total of 10 HPV vaccination messages in didactic (n = 7) and narrative (n = 3) formats were posted on vaccination need, uptake, and effectiveness and stories of young women who died from cervical cancer and a mother's decision to vaccinate her daughters. These posts received 28 reactions (like, love, and sad buttons; mean = 2.8 per post) and 80 comments (mean = 8.0 per post). More comments were favorable (n = 43) than unfavorable (n = 34). Data was not collected on views for posts. The most common favorable comment reported that daughters were vaccinated (n = 31). Unfavorable comments cited safety concerns, lack of physician support, distrust of pro-vaccine sources, and increased sexual activity of daughters. Mothers posting unfavorable (18.2%) as opposed to favorable (78.6%) comments or not commenting (64.0%) were less likely to have had their daughters vaccinated (chi-square = 22.27, p < 0.001). Favorable comments often did not state reasons for vaccinating. Concerns about lack of vaccine safety remain a barrier. Mothers may express distrust in pro-vaccine sources to reduce discomfort with not vaccinating daughters to reduce their risk for HPV infection. Many mothers who remained silent had vaccinated daughters, which suggests they did not resisit HPV vaccination.

Indexed as

Health Knowledge, Attitudes, PracticeMothersPatient Acceptance of Health CareAdolescentAdultFemaleHumansMiddle AgedPapillomavirus InfectionsPapillomavirus VaccinesSocial MediaUnited StatesUterine Cervical NeoplasmsPapillomavirus VaccinesHealth communicationhuman papillomavirus vaccinationsocial media

Identifiers

PMID30785361
PMCPMC6746513
OpenAlexW2917478753

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.