Date of Award

12-31-2017

Document Type

Campus Access Dissertation

Degree Name

Doctor of Philosophy (PhD)

Department

Nursing

First Advisor

Haeok Lee

Second Advisor

Teri A. Aronowitz

Third Advisor

Lisa K. Sheldon

Abstract

Korean American women have higher cervical cancer (11.9 per 100,0000) than nonHispanic Caucasian women (7.1 per 100,000). Despite human papillomavirus (HPV) vaccines have potential to reduce the burden of cervical cancer, Korean American women have low awareness about the HPV vaccine and low HPV vaccine uptake rates. Therefore, greater efforts are needed to develop culturally grounded intervention to increase HPV vaccination rates among Korean American women. This study aimed to: 1) develop a theory-led, culturally grounded storytelling video intervention for Korean American college-aged women, and 2) assess the acceptability, feasibility, and preliminary effectiveness of an online-based storytelling intervention to promote HPV vaccine uptake by conducting a pilot randomized controlled trial (RCT). This study was carried out in two phases. In Phase I, a storytelling video intervention was developed based on true stories by Korean American college women. In Phase II, a pilot RCT was conducted with a sample of 104 participants from multiple sites in six different states in the northeastern U.S. Inclusion criteria was Korean American college women between the ages of 18-26, who had not been vaccinated for HPV. All stages of eligibility screening, data collection, and the intervention were implemented in an online laboratory setting. Participants were randomly assigned to either an experimental group (storytelling video intervention) or control group (a written non-narrative intervention). Changes in knowledge and attitudes about the HPV vaccination from baseline to postintervention were analyzed. HPV vaccine uptake was assessed at a 2-month follow-up after the intervention. The RCT of an online-based storytelling intervention study was found to be both feasible and acceptable. The intervention group was twice as likely to receive the HPV vaccine or had scheduled the vaccination than the control group (15.6% vs. 7.1%) at the 2-month follow-up. The storytelling intervention group had a statistically higher overall knowledge score (p < 0.05) and satisfaction with the education program (p < 0.05). This study provides support of the effectiveness of the storytelling video intervention aimed at HPV vaccination in an innovative online laboratory setting. The storytelling approach is feasible and shows substantial promise for further development and testing in larger-scale studies.

Comments

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