Increasing HPV Vaccination Support Through a Pilot Film-Based Community Engagement
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ORIGINAL PAPER
Increasing HPV Vaccination Support Through a Pilot Film‑Based Community Engagement Shamly Austin1 · Katharine Wooten2 · Wynne Dunkle3 · Dawn Mosbacher4 · Paula Di Gregory5 · Joanna Stoms6 · Haiyan Qu7
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Mass media interventions are considered an effective tool to improve support for preventive health behavior. We conducted a retrospective analysis of data collected during 2016–2017 community screenings of the film Someone You Love: The HPV Epidemic to raise public awareness about human papillomavirus (HPV). The objective was to examine the change in participants’ support for HPV vaccination after viewing the film. The film was screened five times at four different communities. Each screening was followed by a discussion session with local health care experts. A 9-item structured survey measured the impact of the film on motivation and overall support for HPV vaccine on a 4-point Likert scale. We used Wilcoxon Signed Rank test to examine the change in vaccination support. We obtained 64 survey responses. Participants were informed about the film through word of mouth and friends (20%), flyers (19%), and their health care providers (9.4%). Fifty-five percent were parents/guardians, and 75% were aged 26–65 years. About 28% and 22% of participants reported their daughters or sons had completed all 2 or 3 HPV shots. Results from Wilcoxon Signed Rank Test indicated statistically significant increase in vaccination support (Z = − 5.44, p 65 years and older. The study was reviewed by Allegheny Health Network Institutional Review Board (AHN IRB # 000015120). The ethical approval was waived as the study was deemed by the IRB as secondary analysis of data collected during a quality improvement initiative.
Results We obtained 64 survey responses. Participants were informed about the film through word of mouth and friends (20%), flyers (19%), and their health care providers (9.4%). About 80% of the participants provided a five-star rating for the film. Fifty-five percent were parents/guardians, 75% were aged 26–65 years, and 73% were from rural areas. About 28% and 22% of participants reported their daughters or sons had completed all 2 or 3 HPV shots. Nearly 72% participants
Journal of Community Health
responded that they would encourage individuals with children or age eligible adolescents to get the vaccination (Table 1). For the open-ended question, some of the general comments about the film were: “It was informative”, “Would like to have more information especially about signs and symptoms in males and when they should be tested”, “It is emotional”, and “Helped me to think about stigma surrounding cervical cancer/cancer caused by sexually transmitted diseases (STDs)”. Table 2 shows participants’ perception of support for HPV vaccination before and after viewing the film. The percentage of individuals in the “undecided” and “supportive” groups decreased from 32.8% to 3.1% and from 29.7% to 12.5% after viewing the film, re
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