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出境医 / 临床实验 / A Message Framing Intervention for Increasing Parental Acceptance of Human Papillomavirus Vaccination

A Message Framing Intervention for Increasing Parental Acceptance of Human Papillomavirus Vaccination

Study Description
Brief Summary:
The goal of this study is to determine the effects of message framing (gain vs. loss) on African American parents' acceptance of the HPV vaccine and how such effects are moderated by parents' salient beliefs prior to message exposure. Participants are randomized into gain and loss conditions in which they view either gain-framed or loss-framed HPV vaccination messages. Key outcome variables include parents' attitudes and intentions toward vaccinating their children against HPV.

Condition or disease Intervention/treatment Phase
Cervical Cancer Anal Cancer Penile Cancer Behavioral: Framed HPV vaccination messages Not Applicable

Detailed Description:
The goal of this study is to determine the effects of message framing (gain vs. loss) on African American parents' acceptance of the HPV vaccine and how such effects are moderated by parents' salient beliefs prior to message exposure. Participants recruited from local communities and online panels will complete a computer-assisted survey. In the survey participants will first answer questions related to their beliefs about HPV and the HPV vaccine (e.g., perceived susceptibility, perceived severity, perceived efficacy, perceived safety, etc.), as well as other background information. Then they will be presented with either a gain-framed or loss-framed human papillomavirus vaccination message. After the message exposure, they will answer questions related to their attitudes toward HPV vaccination, intentions to vaccinate their children, as well as other message response measures. Eligible participants are at least 21 years old, self-identify as African American, and are custodial parents or caretakers of at least one child ages 9-17 who has not initiated the HPV vaccine series.
Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 2000 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Message Framing Intervention for Increasing Parental Acceptance of Human Papillomavirus Vaccination
Estimated Study Start Date : December 7, 2020
Estimated Primary Completion Date : May 31, 2021
Estimated Study Completion Date : May 31, 2021
Arms and Interventions
Arm Intervention/treatment
Experimental: Gain-framed messages
Participants in this arm receive gain-framed HPV vaccination messages.
Behavioral: Framed HPV vaccination messages
Digital multimedia messages consisting of text and imagery conveying the benefits of being vaccinated against HPV or the costs of not being vaccinated against HPV.

Experimental: Loss-framed messages
Participants in this arm receive loss-framed HPV vaccination messages.
Behavioral: Framed HPV vaccination messages
Digital multimedia messages consisting of text and imagery conveying the benefits of being vaccinated against HPV or the costs of not being vaccinated against HPV.

Outcome Measures
Primary Outcome Measures :
  1. Attitudes [ Time Frame: baseline posttest ]
    Attitudes toward HPV vaccination will be assessed by three semantic differential items adapted from previous research. Participants will be presented with a statement (i.e., vaccinating my child against HPV would be ____) followed by adjectives such as "Bad/Good," "Stupid/Wise," and "A bad idea/A good idea."

  2. Attitudes [ Time Frame: 1-month follow up ]
    Attitudes toward HPV vaccination will be assessed by three semantic differential items adapted from previous research. Participants will be presented with a statement (i.e., vaccinating my child against HPV would be ____) followed by adjectives such as "Bad/Good," "Stupid/Wise," and "A bad idea/A good idea."

  3. Intentions [ Time Frame: baseline posttest ]
    Behavioral intentions toward HPV vaccination will be assessed with three questions adapted from previous research. Participants will be asked questions such as "how likely would you be to get your child vaccinated with the HPV vaccine sometime soon?" Since cost of the vaccine is a potential barrier, all participants will be asked to indicate their intentions to get their children vaccinated for two scenarios: 1) if they have to purchase the vaccine for the full retail price at the time and 2) if the vaccine is offered to them free of cost. The two measures will be kept separate as outcome variables.

  4. Intentions [ Time Frame: 1-month follow up ]
    Behavioral intentions toward HPV vaccination will be assessed with three questions adapted from previous research. Participants will be asked questions such as "how likely would you be to get your child vaccinated with the HPV vaccine sometime soon?" Since cost of the vaccine is a potential barrier, all participants will be asked to indicate their intentions to get their children vaccinated for two scenarios: 1) if they have to purchase the vaccine for the full retail price at the time and 2) if the vaccine is offered to them free of cost. The two measures will be kept separate as outcome variables.


Secondary Outcome Measures :
  1. Thoughts [ Time Frame: baseline posttest ]
    Participants will be asked to list the thoughts they had while viewing the message. They will categorize the thoughts into positive (in support of the message), negative (in opposition to the message), and irrelevant.

  2. Emotions [ Time Frame: baseline posttest ]
    Participants will report how they felt while viewing the message. Anger, Guilt, Fear, Sadness, and Happiness will be measured by an established scale.

  3. Perceived argument strength [ Time Frame: baseline posttest ]
    Perceived argument strength will be measured by an established scale.


Eligibility Criteria
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Ages Eligible for Study:   21 Years to 99 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 21 years or older
  • Self-identify as African American
  • Custodial parent or caretaker of at least one child ages 9-17 who has not initiated the HPV vaccine series
  • Has access to Internet to complete the study

Exclusion Criteria:

  • Younger than 21 years
  • Does not self-identify as African American
  • Not a custodial parent or caretaker of at least one child ages 9-17 who has not initiated the HPV vaccine series
  • Has no access to Internet to complete the study
Contacts and Locations

Contacts
Layout table for location contacts
Contact: Xiaoli Nan 3014050640 nan@umd.edu
Contact: Cheryl Holt 3014056659 cholt14@umd.edu

Sponsors and Collaborators
University of Maryland, College Park
Investigators
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Principal Investigator: Xiaoli Nan University of Maryland, College Park
Tracking Information
First Submitted Date  ICMJE December 17, 2018
First Posted Date  ICMJE February 27, 2019
Last Update Posted Date December 2, 2020
Estimated Study Start Date  ICMJE December 7, 2020
Estimated Primary Completion Date May 31, 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: April 14, 2020)
  • Attitudes [ Time Frame: baseline posttest ]
    Attitudes toward HPV vaccination will be assessed by three semantic differential items adapted from previous research. Participants will be presented with a statement (i.e., vaccinating my child against HPV would be ____) followed by adjectives such as "Bad/Good," "Stupid/Wise," and "A bad idea/A good idea."
  • Attitudes [ Time Frame: 1-month follow up ]
    Attitudes toward HPV vaccination will be assessed by three semantic differential items adapted from previous research. Participants will be presented with a statement (i.e., vaccinating my child against HPV would be ____) followed by adjectives such as "Bad/Good," "Stupid/Wise," and "A bad idea/A good idea."
  • Intentions [ Time Frame: baseline posttest ]
    Behavioral intentions toward HPV vaccination will be assessed with three questions adapted from previous research. Participants will be asked questions such as "how likely would you be to get your child vaccinated with the HPV vaccine sometime soon?" Since cost of the vaccine is a potential barrier, all participants will be asked to indicate their intentions to get their children vaccinated for two scenarios: 1) if they have to purchase the vaccine for the full retail price at the time and 2) if the vaccine is offered to them free of cost. The two measures will be kept separate as outcome variables.
  • Intentions [ Time Frame: 1-month follow up ]
    Behavioral intentions toward HPV vaccination will be assessed with three questions adapted from previous research. Participants will be asked questions such as "how likely would you be to get your child vaccinated with the HPV vaccine sometime soon?" Since cost of the vaccine is a potential barrier, all participants will be asked to indicate their intentions to get their children vaccinated for two scenarios: 1) if they have to purchase the vaccine for the full retail price at the time and 2) if the vaccine is offered to them free of cost. The two measures will be kept separate as outcome variables.
Original Primary Outcome Measures  ICMJE
 (submitted: February 25, 2019)
  • Attitudes [ Time Frame: baseline posttest ]
    Attitudes toward HPV vaccination will be assessed by three semantic differential items adapted from previous research. Participants will be presented with a statement (i.e., vaccinating my child against HPV would be ____) followed by adjectives such as "Bad/Good," "Stupid/Wise," and "A bad idea/A good idea."
  • Attitudes [ Time Frame: 1-month follow up ]
    Attitudes toward HPV vaccination will be assessed by three semantic differential items adapted from previous research. Participants will be presented with a statement (i.e., vaccinating my child against HPV would be ____) followed by adjectives such as "Bad/Good," "Stupid/Wise," and "A bad idea/A good idea."
  • Intentions [ Time Frame: baseline posttest ]
    Behavioral intentions toward HPV vaccination will be assessed with three questions adapted from previous research. Participants will be asked questions such as "how likely would you be to get your child vaccinated with the HPV vaccine sometime soon?" Since cost of the vaccine is a potential barrier, all participants will be asked to indicate their intentions to get their children vaccinated for two scenarios: 1) if they have to purchase the vaccine for the full retail price at the time and 2) if the vaccine is offered to them free of cost. The two measures will be kept separate as outcome variables.
  • Intentions [ Time Frame: 1-month follow up ]
    Behavioral intentions toward HPV vaccination will be assessed with three questions adapted from previous research. Participants will be asked questions such as "how likely would you be to get your child vaccinated with the HPV vaccine sometime soon?" Since cost of the vaccine is a potential barrier, all participants will be asked to indicate their intentions to get their children vaccinated for two scenarios: 1) if they have to purchase the vaccine for the full retail price at the time and 2) if the vaccine is offered to them free of cost. The two measures will be kept separate as outcome variables.
  • behaviors [ Time Frame: 1-year follow up ]
    Participants will report whether they have initiated HPV vaccination for their children (or completed the HPV vaccine series).
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: November 30, 2020)
  • Thoughts [ Time Frame: baseline posttest ]
    Participants will be asked to list the thoughts they had while viewing the message. They will categorize the thoughts into positive (in support of the message), negative (in opposition to the message), and irrelevant.
  • Emotions [ Time Frame: baseline posttest ]
    Participants will report how they felt while viewing the message. Anger, Guilt, Fear, Sadness, and Happiness will be measured by an established scale.
  • Perceived argument strength [ Time Frame: baseline posttest ]
    Perceived argument strength will be measured by an established scale.
Original Secondary Outcome Measures  ICMJE
 (submitted: February 25, 2019)
  • Thoughts [ Time Frame: baseline posttest ]
    Participants will be asked to list the thoughts they had while viewing the message. They will categorize the thoughts into positive (in support of the message), negative (in opposition to the message), and irrelevant.
  • Emotions [ Time Frame: baseline posttest ]
    Participants will report how they felt while viewing the message. Anger, Guilt, Fear, Sadness, and Happiness will be measured by an established scale (Dillard & Peck, 2000).
  • Perceived argument strength [ Time Frame: baseline posttest ]
    Perceived argument strength will be measured by an established scale (Zhao et al., 2011).
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE A Message Framing Intervention for Increasing Parental Acceptance of Human Papillomavirus Vaccination
Official Title  ICMJE A Message Framing Intervention for Increasing Parental Acceptance of Human Papillomavirus Vaccination
Brief Summary The goal of this study is to determine the effects of message framing (gain vs. loss) on African American parents' acceptance of the HPV vaccine and how such effects are moderated by parents' salient beliefs prior to message exposure. Participants are randomized into gain and loss conditions in which they view either gain-framed or loss-framed HPV vaccination messages. Key outcome variables include parents' attitudes and intentions toward vaccinating their children against HPV.
Detailed Description The goal of this study is to determine the effects of message framing (gain vs. loss) on African American parents' acceptance of the HPV vaccine and how such effects are moderated by parents' salient beliefs prior to message exposure. Participants recruited from local communities and online panels will complete a computer-assisted survey. In the survey participants will first answer questions related to their beliefs about HPV and the HPV vaccine (e.g., perceived susceptibility, perceived severity, perceived efficacy, perceived safety, etc.), as well as other background information. Then they will be presented with either a gain-framed or loss-framed human papillomavirus vaccination message. After the message exposure, they will answer questions related to their attitudes toward HPV vaccination, intentions to vaccinate their children, as well as other message response measures. Eligible participants are at least 21 years old, self-identify as African American, and are custodial parents or caretakers of at least one child ages 9-17 who has not initiated the HPV vaccine series.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Condition  ICMJE
  • Cervical Cancer
  • Anal Cancer
  • Penile Cancer
Intervention  ICMJE Behavioral: Framed HPV vaccination messages
Digital multimedia messages consisting of text and imagery conveying the benefits of being vaccinated against HPV or the costs of not being vaccinated against HPV.
Study Arms  ICMJE
  • Experimental: Gain-framed messages
    Participants in this arm receive gain-framed HPV vaccination messages.
    Intervention: Behavioral: Framed HPV vaccination messages
  • Experimental: Loss-framed messages
    Participants in this arm receive loss-framed HPV vaccination messages.
    Intervention: Behavioral: Framed HPV vaccination messages
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Not yet recruiting
Estimated Enrollment  ICMJE
 (submitted: February 25, 2019)
2000
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE May 31, 2021
Estimated Primary Completion Date May 31, 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • 21 years or older
  • Self-identify as African American
  • Custodial parent or caretaker of at least one child ages 9-17 who has not initiated the HPV vaccine series
  • Has access to Internet to complete the study

Exclusion Criteria:

  • Younger than 21 years
  • Does not self-identify as African American
  • Not a custodial parent or caretaker of at least one child ages 9-17 who has not initiated the HPV vaccine series
  • Has no access to Internet to complete the study
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 21 Years to 99 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE
Contact: Xiaoli Nan 3014050640 nan@umd.edu
Contact: Cheryl Holt 3014056659 cholt14@umd.edu
Listed Location Countries  ICMJE Not Provided
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03856437
Other Study ID Numbers  ICMJE 1322177-1.1
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE Not Provided
Responsible Party University of Maryland, College Park
Study Sponsor  ICMJE University of Maryland, College Park
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Xiaoli Nan University of Maryland, College Park
PRS Account University of Maryland, College Park
Verification Date November 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP