Abstract C17: Community theater outreach to increase HPV vaccine intention among parents of Latino adolescents: A pilot test

Veronica Landa, J. Montealegre, Maria L. Jibaja-Weiss
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Abstract

Introduction: Although Latinos have higher HPV vaccination rates than non-Hispanic whites, coverage is far below the 80% Healthy People 2020 goal. Significant gaps in knowledge and awareness about HPV and the HPV vaccine persist. Community theater performances are an effective tool to communicate health messages to medically underserved minority populations. Here we describe the pilot test of a community theater-based intervention to increase HPV vaccination intention among Spanish-speaking parents of underserved Latino adolescents. Methods: The monologue script was written by a professional playwright and then modified in an iterative process based on recommendations from clinical and community advisory boards. The monologue performance was pilot tested in two groups, one at a charter school and another at a church in Harris County, TX. Audiences viewed a performance of the monologue and then participated in a question-and-answer session. After the intervention, they were asked questions about the performance and their comprehension of health messages. Additionally, participants answered a self-administered questionnaire. Feedback from the pilot audiences was compiled and incorporated into a revised monologue script. Results: The monologue pilot performances were attended by 36 people. They were mostly female around the average age of 41. 36% were very likely to get their children vaccinated for HPV before viewing the monologue, and 97% were very likely to get their children vaccinated for HPV after the viewing the monologue. This difference was statistically significant (p Discussion: Responses to the pre- and post-performance intention-to-vaccinate item suggest that the monologue may increase Latino parents9 intentions to vaccinate their adolescent children against the HPV vaccine. This suggests that community theater performances targeted to Latino parents may be an effective approach to communicate health messages and improve parents9 knowledge and intentions to vaccinate their adolescent children for HPV. For the most part, audiences understood the main health messages of the monologue and were entertained by and identified with the character and scenarios depicted in the script. However, there were several key messages that audience members felt were not strongly conveyed in the original script: specifically, that the vaccine is about cancer prevention not sexual activity, why the recommended age for vaccination is 11 and 12 years, and the importance of vaccinating against HPV and other adolescent vaccines (Tdap and meningococcal). Changes made to the monologue script will be made based on the feedback from the pilot audiences. Community theater performances targeted to Latino parents may be an effective approach to communicate health messages and improve parents9 knowledge and intentions to vaccinate their adolescent children for HPV. Citation Format: Veronica Landa, Jane Montealegre, Maria Jibaja-Weiss. Community theater outreach to increase HPV vaccine intention among parents of Latino adolescents: A pilot test [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr C17.
摘要C17:社区戏剧外展提高拉丁裔青少年父母的HPV疫苗意向:一项试点试验
虽然拉丁美洲人的HPV疫苗接种率高于非西班牙裔白人,但覆盖率远低于80%健康人2020年的目标。关于人乳头瘤病毒和人乳头瘤病毒疫苗的知识和认识仍然存在重大差距。社区戏剧表演是向医疗服务不足的少数群体传达健康信息的有效工具。在这里,我们描述了一项以社区剧院为基础的干预的试点试验,以增加服务不足的拉丁裔青少年的西班牙语父母的HPV疫苗接种意愿。方法:独白剧本由专业剧作家撰写,并根据临床和社区咨询委员会的建议进行反复修改。独白表演在两组进行了试点测试,一组在特许学校,另一组在德克萨斯州哈里斯县的一个教堂。观众观看了独白表演,然后参加了问答环节。干预后,他们被问及表现和对健康信息的理解。此外,参与者还回答了一份自我管理的问卷。从试点观众的反馈被汇编并纳入一个修改的独白剧本。结果:参加独白先导表演的人数为36人。他们大多是平均年龄在41岁左右的女性。36%的人很可能在观看独白之前让孩子接种HPV疫苗,97%的人很可能在观看独白后让孩子接种HPV疫苗。讨论:对表演前和表演后意图接种疫苗项目的反应表明,独白可能会增加拉丁裔父母为其青少年儿童接种HPV疫苗的意图。这表明,针对拉丁裔父母的社区戏剧表演可能是一种有效的方式,可以传达健康信息,提高父母对青少年儿童接种HPV疫苗的认识和意愿。在大多数情况下,观众理解独白的主要健康信息,并被剧本中描绘的角色和场景所娱乐和认同。然而,观众认为有几个关键信息在原剧本中没有得到充分传达:具体来说,疫苗是关于预防癌症而不是性活动,为什么建议接种疫苗的年龄是11岁和12岁,以及接种HPV和其他青少年疫苗(Tdap和脑膜炎球菌)的重要性。对独白剧本的修改将根据试播观众的反馈进行。针对拉丁裔父母的社区戏剧表演可能是一种有效的方式,可以传达健康信息,提高父母对青少年儿童接种HPV疫苗的认识和意愿。引文格式:Veronica Landa, Jane Montealegre, Maria Jibaja-Weiss。社区戏剧外展提高拉丁裔青少年父母的HPV疫苗意向:一项试点试验[摘要]。见:第十届AACR会议论文集:种族/少数民族和医疗服务不足人群的癌症健康差异科学;2017年9月25-28日;亚特兰大,乔治亚州。费城(PA): AACR;癌症流行病学杂志,2018;27(7增刊):摘要nr C17。
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