Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based Intervention

The study examined whether the 3R (reframe, prioritize, and reform) communication model intervention can impact parents’ and adolescents’ HPV vaccination acceptability. We used face-to-face methods to recruit participants from three local churches in the Ashanti Region of Ghana. Participants complet...

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Main Authors: Matthew Asare, Peter Agyei-Baffour, Adofo Koranteng, Mary E. Commeh, Emmanuel Sarfo Fosu, Anjelica Elizondo, Rodney X. Sturdivant
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/5/890
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author Matthew Asare
Peter Agyei-Baffour
Adofo Koranteng
Mary E. Commeh
Emmanuel Sarfo Fosu
Anjelica Elizondo
Rodney X. Sturdivant
author_facet Matthew Asare
Peter Agyei-Baffour
Adofo Koranteng
Mary E. Commeh
Emmanuel Sarfo Fosu
Anjelica Elizondo
Rodney X. Sturdivant
author_sort Matthew Asare
collection DOAJ
description The study examined whether the 3R (reframe, prioritize, and reform) communication model intervention can impact parents’ and adolescents’ HPV vaccination acceptability. We used face-to-face methods to recruit participants from three local churches in the Ashanti Region of Ghana. Participants completed pre- and post-intervention assessments based on the validated Theory of Planned Behavior survey. We organized two face-to-face presentations for parents and adolescents separately for parents (<i>n</i> = 85) and adolescents (<i>n</i> = 85). Participants’ post-intervention vs. pre-intervention scores for attitude (mean = 35.46 ± SD = 5.46 vs. mean = 23.42 ± SD = 8.63), knowledge (M = 28.48 ± SD = 5.14 vs. M = 16.56 ± SD = 7.19), confidence (M = 8.96 ± SD = 3.43 vs. M = 6.17 ± SD = 2.84), and intention for vaccine acceptance (M = 4.73 ± SD = 1.78 vs. M = 3.29 ± SD = 1.87) increased significantly (<i>p</i> < 0.001). The intervention showed that for every one-unit increase in the participants’ self-confidence and attitude scores, the odds of the HPV vaccination acceptability increased by 22% (95% CI: 10–36) and 6% (95% CI: 0.1–12), respectively. Intention for vaccine acceptance, F (1167) = 6.89, and attitude toward vaccination, F (1167) = 19.87, were significantly higher among parents than adolescents (<i>p</i> < 0.001), after controlling for the baseline scores. These findings suggest that the intervention targeting parents’ and adolescents’ attitudes and knowledge has the potential to increase HPV vaccination acceptance in Ghana.
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spelling doaj.art-4a0bc545e85c418e8816ef4b1a0a659e2023-11-18T03:35:19ZengMDPI AGVaccines2076-393X2023-04-0111589010.3390/vaccines11050890Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based InterventionMatthew Asare0Peter Agyei-Baffour1Adofo Koranteng2Mary E. Commeh3Emmanuel Sarfo Fosu4Anjelica Elizondo5Rodney X. Sturdivant6Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76798, USASchool of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi P.O. Box UPO-1279, GhanaSchool of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi P.O. Box UPO-1279, GhanaNon-Communicable Disease Control, Ghana Health Services, Accra P.O. Box MB-582, GhanaDepartment of Statistical Science, College of Arts & Sciences, Baylor University, Waco, TX 76798, USADepartment of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76798, USADepartment of Statistical Science, College of Arts & Sciences, Baylor University, Waco, TX 76798, USAThe study examined whether the 3R (reframe, prioritize, and reform) communication model intervention can impact parents’ and adolescents’ HPV vaccination acceptability. We used face-to-face methods to recruit participants from three local churches in the Ashanti Region of Ghana. Participants completed pre- and post-intervention assessments based on the validated Theory of Planned Behavior survey. We organized two face-to-face presentations for parents and adolescents separately for parents (<i>n</i> = 85) and adolescents (<i>n</i> = 85). Participants’ post-intervention vs. pre-intervention scores for attitude (mean = 35.46 ± SD = 5.46 vs. mean = 23.42 ± SD = 8.63), knowledge (M = 28.48 ± SD = 5.14 vs. M = 16.56 ± SD = 7.19), confidence (M = 8.96 ± SD = 3.43 vs. M = 6.17 ± SD = 2.84), and intention for vaccine acceptance (M = 4.73 ± SD = 1.78 vs. M = 3.29 ± SD = 1.87) increased significantly (<i>p</i> < 0.001). The intervention showed that for every one-unit increase in the participants’ self-confidence and attitude scores, the odds of the HPV vaccination acceptability increased by 22% (95% CI: 10–36) and 6% (95% CI: 0.1–12), respectively. Intention for vaccine acceptance, F (1167) = 6.89, and attitude toward vaccination, F (1167) = 19.87, were significantly higher among parents than adolescents (<i>p</i> < 0.001), after controlling for the baseline scores. These findings suggest that the intervention targeting parents’ and adolescents’ attitudes and knowledge has the potential to increase HPV vaccination acceptance in Ghana.https://www.mdpi.com/2076-393X/11/5/890HPV vaccinationintervention3-R communication modelGhanaian parentsadolescents
spellingShingle Matthew Asare
Peter Agyei-Baffour
Adofo Koranteng
Mary E. Commeh
Emmanuel Sarfo Fosu
Anjelica Elizondo
Rodney X. Sturdivant
Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based Intervention
Vaccines
HPV vaccination
intervention
3-R communication model
Ghanaian parents
adolescents
title Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based Intervention
title_full Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based Intervention
title_fullStr Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based Intervention
title_full_unstemmed Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based Intervention
title_short Assessing the Efficacy of the 3R (Reframe, Reprioritize, and Reform) Communication Model to Increase HPV Vaccinations Acceptance in Ghana: Community-Based Intervention
title_sort assessing the efficacy of the 3r reframe reprioritize and reform communication model to increase hpv vaccinations acceptance in ghana community based intervention
topic HPV vaccination
intervention
3-R communication model
Ghanaian parents
adolescents
url https://www.mdpi.com/2076-393X/11/5/890
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