An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized Trial
BackgroundPatients diagnosed with cervical cancer in the last 2 decades were mainly young females. Human papillomavirus (HPV) vaccination is the most radical way to prevent HPV infection and cervical cancer. However, most female college students in mainland China have not yet...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2022-09-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2022/9/e37848 |
| _version_ | 1797734754504671232 |
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| author | Mingyu Si Xiaoyou Su Yu Jiang Wenjun Wang Xi Zhang Xiaofen Gu Li Ma Jing Li Shaokai Zhang Zefang Ren Yuanli Liu Youlin Qiao |
| author_facet | Mingyu Si Xiaoyou Su Yu Jiang Wenjun Wang Xi Zhang Xiaofen Gu Li Ma Jing Li Shaokai Zhang Zefang Ren Yuanli Liu Youlin Qiao |
| author_sort | Mingyu Si |
| collection | DOAJ |
| description |
BackgroundPatients diagnosed with cervical cancer in the last 2 decades were mainly young females. Human papillomavirus (HPV) vaccination is the most radical way to prevent HPV infection and cervical cancer. However, most female college students in mainland China have not yet been vaccinated, and their relevant knowledge is limited. Theory-based education delivered via the internet is a potentially accessible and useful way to promote HPV vaccination among this population.
ObjectiveThis 3-month follow-up study intended to identify the feasibility and efficacy of an information-motivation-behavioral skills (IMB) model–based online intervention for promoting awareness and willingness regarding HPV vaccination among female college students.
MethodsA 7-day online HPV education program for female college students in mainland China was developed using a cluster randomized trial design. Recruitment and questionnaire surveys were performed online without face-to-face contact. SPSS 23.0 was used for statistical analysis. The chi-square test and t test were used to compare differences in qualitative and continuous variables between intervention and control groups. The generalized estimating equation was used to test the effectiveness of the intervention with a consideration of the time factor.
ResultsAmong 3867 participants, 102 had been vaccinated against HPV before the study (vaccination rate of 2.6%). A total of 3484 participants were followed up after the baseline survey, with no statistical difference in the loss rate between the intervention and control groups during the intervention and follow-up periods. At different follow-up time points, HPV-related knowledge, and the motivation, behavioral skills, and willingness regarding HPV vaccination were higher in the intervention group than in the control group. HPV-related knowledge was statistically different between the 2 groups, while the motivation, behavioral skills, and willingness regarding HPV vaccination only showed statistical differences right after the intervention, reaching a peak right after the intervention and then gradually reducing over time. Furthermore, there was no statistical difference in the HPV vaccination rate between the 2 groups.
ConclusionsIMB model–based online education could be a promising way to increase the HPV vaccination rate and reduce the burden of HPV infection and cervical cancer among high-risk female college students in China.
Trial RegistrationChinese Clinical Trial Registry ChiCTR1900025476; http://www.chictr.org.cn/showprojen.aspx? proj=42672
International Registered Report Identifier (IRRID)RR2-DOI:10.1186/s12889-019-7903-x |
| first_indexed | 2024-03-12T12:47:57Z |
| format | Article |
| id | doaj.art-ec4a82de954243e8b9312bc3b44d5618 |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T12:47:57Z |
| publishDate | 2022-09-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-ec4a82de954243e8b9312bc3b44d56182023-08-28T23:09:47ZengJMIR PublicationsJournal of Medical Internet Research1438-88712022-09-01249e3784810.2196/37848An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized TrialMingyu Sihttps://orcid.org/0000-0002-8372-9301Xiaoyou Suhttps://orcid.org/0000-0002-4216-2142Yu Jianghttps://orcid.org/0000-0002-2443-911XWenjun Wanghttps://orcid.org/0000-0002-1280-3025Xi Zhanghttps://orcid.org/0000-0001-7402-6981Xiaofen Guhttps://orcid.org/0000-0003-3449-0901Li Mahttps://orcid.org/0000-0003-4712-6412Jing Lihttps://orcid.org/0000-0003-1119-478XShaokai Zhanghttps://orcid.org/0000-0002-0154-7126Zefang Renhttps://orcid.org/0000-0002-7785-4704Yuanli Liuhttps://orcid.org/0000-0002-3437-1155Youlin Qiaohttps://orcid.org/0000-0001-6380-0871 BackgroundPatients diagnosed with cervical cancer in the last 2 decades were mainly young females. Human papillomavirus (HPV) vaccination is the most radical way to prevent HPV infection and cervical cancer. However, most female college students in mainland China have not yet been vaccinated, and their relevant knowledge is limited. Theory-based education delivered via the internet is a potentially accessible and useful way to promote HPV vaccination among this population. ObjectiveThis 3-month follow-up study intended to identify the feasibility and efficacy of an information-motivation-behavioral skills (IMB) model–based online intervention for promoting awareness and willingness regarding HPV vaccination among female college students. MethodsA 7-day online HPV education program for female college students in mainland China was developed using a cluster randomized trial design. Recruitment and questionnaire surveys were performed online without face-to-face contact. SPSS 23.0 was used for statistical analysis. The chi-square test and t test were used to compare differences in qualitative and continuous variables between intervention and control groups. The generalized estimating equation was used to test the effectiveness of the intervention with a consideration of the time factor. ResultsAmong 3867 participants, 102 had been vaccinated against HPV before the study (vaccination rate of 2.6%). A total of 3484 participants were followed up after the baseline survey, with no statistical difference in the loss rate between the intervention and control groups during the intervention and follow-up periods. At different follow-up time points, HPV-related knowledge, and the motivation, behavioral skills, and willingness regarding HPV vaccination were higher in the intervention group than in the control group. HPV-related knowledge was statistically different between the 2 groups, while the motivation, behavioral skills, and willingness regarding HPV vaccination only showed statistical differences right after the intervention, reaching a peak right after the intervention and then gradually reducing over time. Furthermore, there was no statistical difference in the HPV vaccination rate between the 2 groups. ConclusionsIMB model–based online education could be a promising way to increase the HPV vaccination rate and reduce the burden of HPV infection and cervical cancer among high-risk female college students in China. Trial RegistrationChinese Clinical Trial Registry ChiCTR1900025476; http://www.chictr.org.cn/showprojen.aspx? proj=42672 International Registered Report Identifier (IRRID)RR2-DOI:10.1186/s12889-019-7903-xhttps://www.jmir.org/2022/9/e37848 |
| spellingShingle | Mingyu Si Xiaoyou Su Yu Jiang Wenjun Wang Xi Zhang Xiaofen Gu Li Ma Jing Li Shaokai Zhang Zefang Ren Yuanli Liu Youlin Qiao An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized Trial Journal of Medical Internet Research |
| title | An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized Trial |
| title_full | An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized Trial |
| title_fullStr | An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized Trial |
| title_full_unstemmed | An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized Trial |
| title_short | An Internet-Based Education Program for Human Papillomavirus Vaccination Among Female College Students in Mainland China: Application of the Information-Motivation-Behavioral Skills Model in a Cluster Randomized Trial |
| title_sort | internet based education program for human papillomavirus vaccination among female college students in mainland china application of the information motivation behavioral skills model in a cluster randomized trial |
| url | https://www.jmir.org/2022/9/e37848 |
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