Development and Piloting of a Randomized Controlled Trial of a Narrative Communication Intervention to Increase Human Papillomavirus Vaccination Intentions and Uptake in a College Population
Skip to main content
eScholarship
Open Access Publications from the University of California

UC Merced

UC Merced Electronic Theses and Dissertations bannerUC Merced

Development and Piloting of a Randomized Controlled Trial of a Narrative Communication Intervention to Increase Human Papillomavirus Vaccination Intentions and Uptake in a College Population

Abstract

Objective: Adding to the literature on the development and evaluation of interventions to increase HPV vaccination intentions and uptake in adults, the current project outlines the development and evaluation of a theoretically-guided health communication video containing information on HPV, the HPV vaccine, and HPV-related cancers. This project also examines the feasibility of the intervention and evaluates with a pilot randomized controlled trial (RCT), the efficacy of the newly designed health communication video compared to an attentional control condition and the standard-of-care condition in increasing the intentions of the HPV vaccine in an adult, college population. Methods: Two studies were conducted: (1) a mixed-methods approach to the development and evaluation of a CSM-guided narrative video, and (2) a pilot, RCT that examined the feasibility and efficacy of the newly developed narrative video. Study 1 was conducted in three phases: Phase 1: Script Content Development, Phase 2: Script Content Evaluation and Refinement, and Phase 3: Video Evaluation and Refinement. For study 3, university undergraduate students (N = 72) were randomized to either the narrative intervention condition (n = 25), an attentional control condition (n = 24), or a standard-of-care condition (n = 23). Participants completed a baseline survey and two days post-baseline they completed the intervention condition and post-intervention survey. Participants also completed a one-month follow-up survey. Results: Study 1 results indicate the newly developed narrative video was appealing, persuasive, interesting, believable, of high quality, and provided new information about HPV and the HPV vaccine. Study 2 results indicate that it is feasible to recruit participants to complete an intervention to increase HPV vaccine intentions and uptake in a Hispanic-majority university population. Further, the pilot RCT findings reflected the expected patterns of correlations and mean differences of survey measures over time. Conclusions: This project successfully developed and evaluated a theoretically-guided health communication video for college students containing information on HPV, the HPV vaccine, and HPV-related cancers. The feasibility and pilot RCT indicate the expected patterns of findings for primary and secondary outcome measures. A full RCT will be conducted that will be powered to detect meaningful differences among intervention conditions.

Main Content
For improved accessibility of PDF content, download the file to your device.
Current View