title: Development of a Theory-based, Sociocultural Instrument to Assess Black Maternal Intentions to Vaccinate Their Daughters Aged 9 to 12 Against HPV.
abstract: The human papillomavirus (HPV) vaccine could assist in reducing the cervical cancer disparity existing between Black and White women. Understanding factors influencing Black maternal intentions to vaccinate their daughter is essential in improving vaccination uptake. However, existing instruments do not comprehensively assess factors (e.g., culture) influencing maternal intentions. This paper describes the development of the Human Papillomavirus Vaccination Survey for Black Mothers with Girls Aged 9 to 12 (HPVS-BM), the first instrument to measure knowledge, attitudes, subjective norms, and cultural beliefs relating to Black maternal intentions to vaccinate their daughters aged 9 to 12 years against HPV. The items and scales were refined using content review by experts, as well as cognitive interviews and pilot testing with target audience participants. The final version of the HPVS-BM was administered to 242 Black mothers with adolescent daughters. Internal reliability was determined using Cronbach's alpha. An a priori hypothetical model was developed to determine convergent and discriminant validity. All scales of the HPVS-BM had an acceptable internal reliability of 0.70 or higher. The intention scale of HPVS-BM was significantly correlated (p < .05) with perceived benefits, perceived barriers, and subjective norms, supporting strong convergent validity. Moderate discriminant construct validity was also demonstrated. Exhibiting good psychometrics, this instrument could be used by healthcare researchers and professionals to develop programs to increase HPV vaccination among Black adolescent females aimed at reducing the racial disparities in cervical cancer. Further psychometric testing of this survey tool for understanding factors influencing maternal intentions is warranted.
authors.affiliation: Department of Surgery and Office of Research, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Blvd., Nashville, TN, 37208-3599, USA. jcunningham@mmc.edu.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Cunningham-Erves
authors.affiliation: Department of Human Studies, School of Education, The University of Alabama at Birmingham, EB 255, 901 13th Street South Room 255, Birmingham, AL, 35294-1250, USA.
authors.forename: Laura L
authors.initials: LL
authors.lastname: Talbott
authors.affiliation: Department of Human Studies, School of Education, The University of Alabama at Birmingham, EB 233, 1720 2nd Ave. S, Birmingham, AL, 35294-1250, USA.
authors.forename: Marcia R
authors.initials: MR
authors.lastname: O'Neal
authors.affiliation: School of Health Professions, The University of Alabama at Birmingham, SHPB 560, 1720 2nd Ave. S, Birmingham, AL, 35294-1212, USA.
authors.forename: Nataliya V
authors.initials: NV
authors.lastname: Ivankova
authors.affiliation: School of Nursing, Vanderbilt University, 461 21st Ave. S, Nashville, TN, 37240, USA.
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Wallston
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D002648:Child; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D027383:Papillomaviridae / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000821:virology; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010465:Perception; D011795:Surveys and Questionnaires; D014611:Vaccination; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescent health; African Americans; Cervical cancer; HPV; Instrument development; Psychometric testing; Sexually transmitted diseases