title: Design and efficacy of a multilingual, multicultural HPV vaccine education intervention.
abstract: BACKGROUND
  The human papillomavirus (HPV) is the precursor and the single, most important risk factor for cervical cancer. It is also the most commonly sexually transmitted infection in the United States. An estimated 20 million persons are currently infected with the virus, with an estimated 6 million new infections occurring annually and 12,000 new cervical cancer cases and 4,000 cervical cancer deaths annually. The human papillomavirus (HPV) vaccine is thus an especially important preventive measure for racial/ethnic groups who bear an unequal burden of cervical cancer mortality.
  
  
  OBJECTIVE
  This study aimed to develop a culturally and linguistically appropriate intervention to educate and empower Latino and Korean Americans to make an informed HPV vaccination decision for their minor children.
  
  
  METHODS
  A parent-focused HPV vaccine education DVD was developed through focus groups and cognitive interviews with Latino and Korean Americans parents of children ages 11-17. A randomized controlled efficacy trial was subsequently conducted with 708 Latino and Korean Americans parents to assess knowledge gains, decisional conflict, decision self-efficacy and informed decision-making resulting from viewing the intervention DVD.
  
  
  RESULTS
  Differences between treatment and control groups for pre-post changes in knowledge, informed decision-making and decisional conflict were statistically significant among the parents exposed to the education intervention DVD.
  
  
  CONCLUSIONS
  The study demonstrated that a culturally and linguistically appropriate intervention DVD designed to educate parents about the risks and benefits of the HPV vaccine promoted informed decision-making regarding HPV vaccination among at-risk populations.
authors.affiliation: HealthPoint Communications Institute, Mountain View, CA, USA.
authors.forename: Armando
authors.initials: A
authors.lastname: Valdez
authors.affiliation: Division of Biostatistics, Public Health Sciences, University of California-Davis, CA, USA.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Stewart
authors.affiliation: Health Promotion Research Institute, California State University-Fullerton, CA, USA.
authors.forename: Sora Park
authors.initials: SP
authors.lastname: Tanjasiri
authors.affiliation: San Mateo County Health System, CA, USA and Division of Infectious Diseases, Stanford School of Medicine, CA, USA.
authors.forename: Vivian
authors.initials: V
authors.lastname: Levy
authors.affiliation: San Joaquin County Health Department, Stockton, CA, USA.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Garza
keywords: Ethnic Groups: Hispanic Americans; Korean Americans; Papillomavirus vaccine; Parents; United States; Uterine Cervical Neoplasms; Vaccination