Effect of educational intervention for compliance of school adolescents with the human papillomavirus vaccine.
Hellen Lívia Oliveira Catunda Ferreira, Cícero Mendes Siqueira, Leilane Barbosa de Sousa and 4 others
PMID 36219589WHAT IT FOUND
Schoolgirls who received printed HPV message cards as an addition to usual guidance had higher vaccination compliance than those who received usual guidance.
The cards were linked to better knowledge, but their effect cannot be separated from routine advice.
Key findings
01After the educational project, adequate HPV vaccine practice was higher in the intervention group than in the control group (81.7% vs 23.8%, p = 0.000).
02Adequate post-intervention knowledge and adequate post-intervention attitude were each associated with compliance with HPV vaccination (p = 0.000 for both).
03In the logistic model, age 12 years or older, adequate knowledge, and adequate attitude were significantly associated with compliance, with odds ratios of 2.08, 2.516, and 5.510.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The message cards were tested only as an addition to usual guidance, so the contribution of the cards alone cannot be separated. Randomisation was by clusters, and the groups differed at baseline: the control group had more girls under 12 years (65.8% vs 40.7%), and the intervention group had more girls who considered themselves non-white (89% vs 72.5%). Follow-up was short, and some control adolescents were followed by telephone; those who could not be contacted or did not respond were discontinued. The study included only female adolescents aged 9 to 14 years in two municipalities, so it says little about boys or other settings. The outcome was a vaccine dose proven in the vaccination card at the post-test, not long-term completion of the vaccination schedule.
The easy way to misread this
Do not conclude that the printed cards by themselves caused more adolescents to get vaccinated. The intervention group received the cards in addition to usual guidance, and the study did not test the cards alone.