Chiara Ceccon, Maja K Schachner, Adriana J Umaña-Taylor, Ughetta Moscardino
Promoting adolescents' cultural identity development: A pilot study of the identity project intervention in Italy
Cultural diversity & ethnic minority psychology
human papillomavirus hpv vaccine hesitancy rise provider communication firstline strategy address parental concerns use presumptive approach motivational interviewing providers may enough influence parental decisionmaking owing providers limited time selfefficacy skills implement strategies interventions enhance provider communication build parental hpv vaccine confidence undertested delivering tailored patient education parents via mobile phones visit health care provider may address time constraints clinic visits positively affect vaccine uptake study aimed describe development evaluate acceptability mobile phonebased familyfocused intervention guided theory address concerns hpv vaccinehesitant parents clinic visit well explore intervention use facilitate parentchild communication health belief model theory reasoned action guided intervention content development multilevel stakeholder engagement process used iteratively develop hpvvaxfacts intervention including community advisory board review review advisory panel comprising hpv vaccinehesitant parents health communications expert review semistructured qualitative interviews hpv vaccinehesitant parents n31 providers n15 content expert review inductive thematic analysis used identify themes interview data qualitative interviews yielded 4 themes overall views toward mobile device use health information acceptability hpvvaxfacts facilitators hpvvaxfacts use barriers hpvvaxfacts use parent interviews reviewing hpvvaxfacts prototypes almost parents 2931 94 stated intended child vaccinated parents stated liked added adolescents corner engage optional parentchild communication ie choice share discuss information child 2731 87 shared decisionmaking cases 831 26 incorporating input final intervention consisted 10item survey identify top 3 concerns parents followed tailored education mapped following concerns evidential messages images graphics enhance comprehension address low literacy links credible websites provider video suggested questions ask childs physician optional adolescents corner educate patient support parentchild communication multilevel stakeholderengaged process used iteratively develop novel intervention hpv vaccinehesitant families used model develop future mobile health interventions intervention currently pilottested preparation randomized controlled trial aiming increase hpv vaccination among adolescent children vaccinehesitant parents clinic setting future research adapt hpvvaxfacts vaccines use settings eg health departments pharmacies