Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, China
Background This study was conducted to characterize the long-term effect of mobile-based education on Chinese female freshmen and disclose the possible predictors of their willingness to get vaccinated based on the information-motivation-behavioral skills (IMB) model. Methods We randomly assigned 50...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-11-01
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| Series: | Human Vaccines & Immunotherapeutics |
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| Online Access: | http://dx.doi.org/10.1080/21645515.2022.2051990 |
| _version_ | 1797673190444498944 |
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| author | Liying Sun Jingjing Hu Huihui Gao Sunyi Wang Binghan Wang Jiawen Wang Hui Li Jianbing Wang Changzheng Yuan Xi Zhang |
| author_facet | Liying Sun Jingjing Hu Huihui Gao Sunyi Wang Binghan Wang Jiawen Wang Hui Li Jianbing Wang Changzheng Yuan Xi Zhang |
| author_sort | Liying Sun |
| collection | DOAJ |
| description | Background This study was conducted to characterize the long-term effect of mobile-based education on Chinese female freshmen and disclose the possible predictors of their willingness to get vaccinated based on the information-motivation-behavioral skills (IMB) model. Methods We randomly assigned 509 participants to a 7-day mobile-based educational intervention or control group and collected information about general information, health, and sexual behavior, HPV vaccination intention and action, HPV-related knowledge, cognition, and behavioral skill by an online self-administrated questionnaire at baseline, post-intervention, and at the 1-month and 3-month follow-ups. Results The intervention arm showed an improvement in IMB scores after education. Despite the persistent improvement in knowledge, the improvement in their motivation and behavioral skills decreased at the 1-month and 3-month follow-ups. Participants’ vaccination willingness was elevated after the baseline survey in both the intervention and control groups, while the overall appointment/vaccination rate was only 3.73% 3 months later. The intention to get vaccinated was associated with knowing HPV (adjusted OR: 2.37, 95% CI: 1.44 – 3.89), perceiving more barriers (adjusted OR: 2.16, 95% CI: 1.44 – 3.25), higher subjective norms (adjusted OR: 2.05, 95% CI: 1.26 – 3.32), and having more behavioral skills (adjusted OR: 2.95, 95% CI: 1.79 – 4.87). Conclusion Seven-day mobile-based education was effective to increase IMB model scores among female freshmen. However, the improvement in motivation and behavioral skills was not persistent. Information, perceived barriers, subjective norms, and behavioral skills were discovered to be influencing factors of vaccination intention. Future research with longer, more convenient, and more tailored education to the main influencing factors is warranted. |
| first_indexed | 2024-03-11T21:41:30Z |
| format | Article |
| id | doaj.art-3c69c32a2c2e4221878c55a1cd37b9f3 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T21:41:30Z |
| publishDate | 2022-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-3c69c32a2c2e4221878c55a1cd37b9f32023-09-26T13:19:06ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-11-0118510.1080/21645515.2022.20519902051990Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, ChinaLiying Sun0Jingjing Hu1Huihui Gao2Sunyi Wang3Binghan Wang4Jiawen Wang5Hui Li6Jianbing Wang7Changzheng Yuan8Xi Zhang9Zhejiang University School of Medicine, National Clinical Research Center for Child HealthZhejiang University School of MedicineZhejiang University School of Medicine, National Clinical Research Center for Child HealthZhejiang University School of MedicineZhejiang University School of MedicineUniversity of PittsburghNingbo Municipal Center for Disease Control and PreventionZhejiang University School of MedicineZhejiang University School of Medicine, National Clinical Research Center for Child HealthBeijing Office for Cancer Prevention and Control, Peking University Cancer Hospital & InstituteBackground This study was conducted to characterize the long-term effect of mobile-based education on Chinese female freshmen and disclose the possible predictors of their willingness to get vaccinated based on the information-motivation-behavioral skills (IMB) model. Methods We randomly assigned 509 participants to a 7-day mobile-based educational intervention or control group and collected information about general information, health, and sexual behavior, HPV vaccination intention and action, HPV-related knowledge, cognition, and behavioral skill by an online self-administrated questionnaire at baseline, post-intervention, and at the 1-month and 3-month follow-ups. Results The intervention arm showed an improvement in IMB scores after education. Despite the persistent improvement in knowledge, the improvement in their motivation and behavioral skills decreased at the 1-month and 3-month follow-ups. Participants’ vaccination willingness was elevated after the baseline survey in both the intervention and control groups, while the overall appointment/vaccination rate was only 3.73% 3 months later. The intention to get vaccinated was associated with knowing HPV (adjusted OR: 2.37, 95% CI: 1.44 – 3.89), perceiving more barriers (adjusted OR: 2.16, 95% CI: 1.44 – 3.25), higher subjective norms (adjusted OR: 2.05, 95% CI: 1.26 – 3.32), and having more behavioral skills (adjusted OR: 2.95, 95% CI: 1.79 – 4.87). Conclusion Seven-day mobile-based education was effective to increase IMB model scores among female freshmen. However, the improvement in motivation and behavioral skills was not persistent. Information, perceived barriers, subjective norms, and behavioral skills were discovered to be influencing factors of vaccination intention. Future research with longer, more convenient, and more tailored education to the main influencing factors is warranted.http://dx.doi.org/10.1080/21645515.2022.2051990hpv vaccineimbmobile-based educationlong-term effectvaccination willingnesschinese female freshmen |
| spellingShingle | Liying Sun Jingjing Hu Huihui Gao Sunyi Wang Binghan Wang Jiawen Wang Hui Li Jianbing Wang Changzheng Yuan Xi Zhang Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, China Human Vaccines & Immunotherapeutics hpv vaccine imb mobile-based education long-term effect vaccination willingness chinese female freshmen |
| title | Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, China |
| title_full | Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, China |
| title_fullStr | Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, China |
| title_full_unstemmed | Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, China |
| title_short | Long-term effect of mobile phone-based education and influencing factors of willingness to receive HPV vaccination among female freshmen in Shanxi Province, China |
| title_sort | long term effect of mobile phone based education and influencing factors of willingness to receive hpv vaccination among female freshmen in shanxi province china |
| topic | hpv vaccine imb mobile-based education long-term effect vaccination willingness chinese female freshmen |
| url | http://dx.doi.org/10.1080/21645515.2022.2051990 |
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