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Designing and evaluating a health belief model based intervention to increase intent of HPV vaccination among college men: Use of qualitative and quantitative methodology

Mehta, Purvi
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368014093

Abstract Details

2013, PhD, University of Cincinnati, Education, Criminal Justice, and Human Services: Health Education.
Humanpapilloma virus (HPV) is a common sexually transmitted disease/infection (STD/STI), leading to cervical and anal cancers. Annually, 6.2 million people are newly diagnosed with HPV and 20 million currently are diagnosed. According to the Centers for Disease Control and Prevention, 51.1% of men carry multiple strains of HPV. Recently, HPV vaccine was approved for use in boys and young men to help reduce the number of HPV cases. Currently limited research is available on HPV and HPV vaccination in men. The purpose of the study was to determine predictors of HPV vaccine acceptability among college men through the qualitative approach of focus groups and to develop an intervention to increase intent to seek vaccination in the target population The study took place in two phases. During Phase I, six focus groups were conducted with 50 participants. In Phase II using a randomized controlled trial a HBM based intervention was compared with a traditional knowledge based intervention in 90 college men. In Phase I lack of perceived susceptibility, perceived severity of HPV and barriers towards taking the HPV vaccine were major themes identified from the focus groups. Participants for this phase and phase II were primarily single, heterosexual, about 20 years old, Caucasian males attending the University of Cincinnati. Phase II analysis was done for pretest/posttest and for pretest/posttest/follow-up. This was done due to a 17.8% retention rate at follow-up. Repeated measures of ANOVA indicated significant positive changes in the intervention group. Scores for knowledge and HBM constructs, perceived severity, perceived susceptibility, perceived benefits, perceived barriers, self-efficacy, and cues to action improved over time while no significant findings were made for the control group. Regression analysis was done for change scores at pretest/posttest, follow-up/pretest, and follow-up/posttest. No significant model was found for follow-up/posttest. Results from the pretest/posttest regression analysis indicated self-efficacy for taking the vaccine (p=0.000), perceived barriers (p=0.007), and perceived severity (p=0.004) were significant positive predictors of vaccine acceptability. The model had an adjusted R2 of 0.351which indicated that these three predictors accounted for 35.1% variance. HBM is a robust model to predict HPV vaccine acceptability in college men. Results from follow-up/pretest found perceived benefits (p=.004) held a significant positive relationship towards intent to vaccinate. The model had an adjusted R2 of 0.453, which indicated this predictor accounted for 45.3% variance regarding whether participants would take the vaccine. Overall, the intervention proved to be effective in creating positive change towards HPV vaccine acceptability. Some limitations had occurred, such as a low retention rate at follow-up, and differences between groups at baseline. Despite these issues, change in the intervention still occurred. This study indicates that more theory-based interventions are needed to increase HPV vaccination in college men.
Manoj Sharma, M.B.B.S. Ph.D. (Committee Chair)
Liliana Guyler, Ph.D. (Committee Member)
Rebecca Lee, Ph.D. (Committee Member)
Bradley Wilson, Ph.D. (Committee Member)
161 p.
Health Education
Health Belief Model; HPV vaccine acceptability; college men; qualitative methodology; quantitative methodology; ;

Recommended Citations

Citations

  • Mehta, P. (2013). Designing and evaluating a health belief model based intervention to increase intent of HPV vaccination among college men: Use of qualitative and quantitative methodology [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368014093

    APA Style (7th edition)

  • Mehta, Purvi. Designing and evaluating a health belief model based intervention to increase intent of HPV vaccination among college men: Use of qualitative and quantitative methodology. 2013. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368014093.

    MLA Style (8th edition)

  • Mehta, Purvi. "Designing and evaluating a health belief model based intervention to increase intent of HPV vaccination among college men: Use of qualitative and quantitative methodology." Doctoral dissertation, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368014093

    Chicago Manual of Style (17th edition)

ucin1368014093
936
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This open access ETD is published by University of Cincinnati and OhioLINK.