The cost of implementing two small media interventions to promote HPV vaccination.
OBJECTIVE
To estimate the cost of implementing lay health worker delivered print-based photonovella intervention and iPad-based tailored interactive multimedia intervention (TIMI) to promote Human Papillomavirus (HPV) vaccine uptake and completion among Hispanic parents of daughters 9-17years old.


METHODS
We recruited 301 participants in control, 422 in photonovella, and 239 in TIMI clinics. Intervention costs were estimated using micro-costing from the societal perspective. Cost included time spent planning, training the promotoras, recruiting study participants, and delivering the interventions. Overhead for utilities and project administration was estimated at 30% of direct costs.


RESULTS
The total cost per person for the photonovella and TIMI interventions were $88 and $108, respectively. Less than 10% of costs were fixed and therefore the average cost estimates were insensitive to the size of the target groups.


CONCLUSIONS
The electronic medium for HPV vaccine education was 23% more costly than the standard low-tech print based approach. The cost difference should be considered relative to the effectiveness of these methods in achieving increases in immunization rates. The cost estimates provide information for cost-effectiveness and budget impact assessments of new HPV immunization intervention programs.
Center for Health Services Research, School of Public Health, University of Texas Health Science Center at Houston, USA.
Siddharth S
SS
Karanth
Center for Health Services Research, School of Public Health, University of Texas Health Science Center at Houston, USA. Electronic address: david.r.lairson@uth.tmc.edu.
David R
DR
Lairson
Center for Health Services Research, School of Public Health, University of Texas Health Science Center at Houston, USA.
Danmeng
D
Huang
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, USA.
Lara S
LS
Savas
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, USA.
Sally W
SW
Vernon
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, USA.
María E
ME
Fernández
D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010353:Patient Education as Topic / Q000379:methods*; D014611:Vaccination / Q000191:economics* / Q000379:methods
D053918:Papillomavirus Vaccines
HPV; Hispanic parents; Intervention cost; Tailored message; Vaccine education