Stories to Prevent (StoP) HPV Cancers

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMilton S. Hershey Medical Center

About this trial

This randomized controlled trial (RCT) evaluates the association of a narrative communication intervention on human papillomavirus (HPV) vaccination rates among 9- to 12-year-olds. The intervention is a brief video from local cancer survivors narrating their stories with an HPV-related cancer diagnosis and recommending the HPV vaccine for cancer prevention. RCT participants will be the parents (n=200) of children ages 9-12 who have not initiated HPV vaccination. Participants will be randomized (1:1) to our intervention or control (placebo video) one week before their child's next primary care visit. Our primary outcome is HPV vaccine initiation (first dose of the HPV vaccine series) among children ages 9-12 at the time of the wellness visit. The study also explores the effect of narratives on theory-based mediators of HPV vaccination, including parents' cognitive (e.g., risk perception) and emotional reactions (e.g., hope, anticipated regret).

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Parent/guardian of a 9-12 year old receiving primary care at a Penn State Health clinic

Their child has not previously received or initiated the HPV vaccine

Is able to read and understand spoken English or Spanish

Has a valid email address and access to a mobile phone, table, desktop or laptop computer to engage in the intervention

Disqualifiers

Parent of guardian is less than 18 years of age

Unable to read and understand spoken English or Spanish

Does not have access to a mobile phone, table, desktop or laptop computer

Trial design

Design model

Parallel

Treatments tested in this trial

  • Cancer survivor narrative

    Other intervention

    The narrative video intervention has three parts: (1) Cancer experience - the cancer survivor narrates his/her experience with an HPV-related cancer, including diagnosis, treatment, and how cancer affected their personal life or family; (2) Vaccine recommendation - the cancer survivor provides brief information about the safety and effectiveness of the HPV vaccine and recommend that parents get the HPV vaccine for their child to prevent cancers; and (3) Closing message - The sentence "HPV vaccine is cancer prevention. Talk to your child's healthcare provider about getting the HPV vaccine during the next clinic visit" will appear on the screen.

  • Healthy eating tips

    Other intervention

    A publicly available video about healthy eating tips for families with children.

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: Cancer survivor narrative videoExperimental treatment 1 intervention
Group B: Placebo videoPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

HPV vaccine initiation, 9-12 year olds

The proportion of children ages 9-12 who have initiated HPV vaccination (first dose) during their scheduled clinic visit.

Time frame
One week after clinic visit

Secondary outcomes

1

HPV vaccine initiation stratified by age

The proportion of children ages 9-12 who have initiated HPV vaccination (first dose) by during their scheduled clinic visit stratified by age group (9-10 vs 11-12)

Time frame
One week after clinic visit
2

HPV vaccine initiation stratified by sex

The proportion of children ages 9-12 who have initiated HPV vaccination (first dose) during their scheduled clinic visit stratified by sex (male vs female)

Time frame
One week after clinic visit
3

HPV vaccine initiation stratified by race/ethnicity

The proportion of children ages 9-12 who have initiated HPV vaccination (first dose) during their scheduled clinic visit stratified by race/ethnicity (White, Black, Hispanic, Others)

Time frame
One week after clinic visit
4

HPV vaccine communication in clinics

Measure quality indicators of HPV vaccine recommendation, including the use of a presumptive announcement (i.e., noting the child's age, saying the child should get the vaccine today, using language that assumes the parent will accept the vaccine, focusing on disease prevention) and opportunities for the parent to voice concerns or questions and receive answers from the provider.

Time frame
One week after clinic visit

Other outcomes

Sponsors and contacts

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