title: Translating self-persuasion into an adolescent HPV vaccine promotion intervention for parents attending safety-net clinics.
abstract: Self-persuasion is an effective behavior change strategy, but has not been translated for low-income, less educated, uninsured populations attending safety-net clinics or to promote human papillomavirus (HPV) vaccination. We developed a tablet-based application (in English and Spanish) to elicit parental self-persuasion for adolescent HPV vaccination and evaluated its feasibility in a safety-net population.
  
  
  
  Parents (N=45) of age-eligible adolescents used the self-persuasion application. Then, during cognitive interviews, staff gathered quantitative and qualitative feedback on the self-persuasion tasks including parental decision stage.
  
  
  
  The self-persuasion tasks were rated as easy to complete and helpful. We identified six question prompts rated as uniformly helpful, not difficult to answer, and generated non-redundant responses from participants. Among the 33 parents with unvaccinated adolescents, 27 (81.8%) reported deciding to get their adolescent vaccinated after completing the self-persuasion tasks.
  
  
  
  The self-persuasion application was feasible and resulted in a change in parents' decision stage. Future studies can now test the efficacy of the tablet-based application on HPV vaccination.
  
  
  
  The self-persuasion application facilitates verbalization of reasons for HPV vaccination in low literacy, safety-net settings. This self-administered application has the potential to be more easily incorporated into clinical practice than other patient education approaches.
authors.affiliation: Southern Methodist University, Dallas, USA. Electronic address: baldwin@smu.edu.
authors.forename: Austin S
authors.initials: AS
authors.lastname: Baldwin
authors.affiliation: Southern Methodist University, Dallas, USA.
authors.forename: Deanna C
authors.initials: DC
authors.lastname: Denman
authors.affiliation: Southern Methodist University, Dallas, USA.
authors.forename: Margarita
authors.initials: M
authors.lastname: Sala
authors.affiliation: University of Texas Southwestern Medical Center, Harold C. Simmons Comprehensive Cancer Center, Dallas, USA.
authors.forename: Emily G
authors.initials: EG
authors.lastname: Marks
authors.affiliation: UT School of Public Health, San Antonio, USA.
authors.forename: L Aubree
authors.initials: LA
authors.lastname: Shay
authors.affiliation: Parkland Health & Hospital System, Dallas, USA.
authors.forename: Sobha
authors.initials: S
authors.lastname: Fuller
authors.affiliation: Parkland Health & Hospital System, Dallas, USA.
authors.forename: Donna
authors.initials: D
authors.lastname: Persaud
authors.affiliation: University of Texas Southwestern Medical Center, Harold C. Simmons Comprehensive Cancer Center, Dallas, USA.
authors.forename: Simon Craddock
authors.initials: SC
authors.lastname: Lee
authors.affiliation: University of Texas Southwestern Medical Center, Harold C. Simmons Comprehensive Cancer Center, Dallas, USA.
authors.forename: Celette Sugg
authors.initials: CS
authors.lastname: Skinner
authors.affiliation: University of California-Merced, Merced, USA.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Wiebe
authors.affiliation: University of Texas Southwestern Medical Center, Harold C. Simmons Comprehensive Cancer Center, Dallas, USA.
authors.forename: Jasmin A
authors.initials: JA
authors.lastname: Tiro
mesh_terms: D000293:Adolescent; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010565:Persuasive Communication; D036301:Qualitative Research; D064876:Safety-net Providers; D014611:Vaccination
chemical_list: D053918:Papillomavirus Vaccines