Identifying HPV vaccine narrative communication needs among parents on social media

Philip M Massey, Elikem Togo, Shawn C Chiang, Ann C Klassen, Meredith Rose, Jennifer A Manganello, Amy E Leader, Philip M Massey, Elikem Togo, Shawn C Chiang, Ann C Klassen, Meredith Rose, Jennifer A Manganello, Amy E Leader

Abstract

Sharing personal experiences is an important communication strategy in public health, including vaccination. This study sought to understand if parents would be receptive to learning about the HPV vaccine from other parent experiences, and what format this information should take on social media. In May 2020, we conducted a qualitative study of six online focus groups across the U.S. with parents (n = 48) of children ages 9-14. Using a text-based discussion format, we discussed their experiences getting information about the HPV vaccine and using Twitter to learn about health topics. Four coders structured qualitative findings by themes including content, delivery, and source of information. An accompanying survey was used to describe participant Twitter use and HPV vaccine knowledge and attitudes. The average participant age was 44.6 years old, 63% were mothers, and the majority had high HPV vaccine knowledge. Parents indicated that they want to hear from other parents about their experiences with the HPV vaccine. However, it was hard to know where to find this information. When experiences are shared on social media, the negative ones are more memorable and more personal. Parents thought Twitter could be an important space to communicate about the HPV vaccine if it was done in a credible, verifiable, and authentic way. Parents want to learn about the HPV vaccine through other parent experiences, especially when this aligns with science supporting the vaccine. Public health and medical communities must embrace this mix of evidence and lived experiences to deliver and discuss health information.

Keywords: Adolescent health; Cancer prevention; HPV vaccine; Narrative communication; Social media.

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

© 2021 The Authors.

Figures

Fig. 1
Fig. 1
Study Flow Diagram and Focus Group Recruitment, May 2020.

References

    1. Braun V., Clarke V. Using thematic analysis in psychology. Qual. Res. Psychol. 2006;3(2):77–101. doi: 10.1191/1478088706qp063oa.
    1. Brewer N.T., Hall M.E., Malo T.L., Gilkey M.B., Quinn B., Lathren C. Announcements versus conversations to improve HPV vaccination coverage: a randomized trial. Pediatrics. 2017;139(1):e20161764. doi: 10.1542/peds.2016-1764.
    1. Cartmell K.B., Mzik C.R., Sundstrom B.L., Luque J.S., White A., Young-Pierce J. HPV vaccination communication messages, messengers, and messaging strategies. J. Cancer Educ. 2019;34(5):1014–1023. doi: 10.1007/s13187-018-1405-x.
    1. Centers for Disease Control and Prevention (CDC) Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger [WWW Document] 2020. accessed 12.30.20.
    1. Centers for Disease Control and Prevention (CDC) Human Papillomavirus (HPV): Reasons to get vaccinated [WWW Document] 2020. accessed 5.10.21.
    1. Chou W.-Y., Budenz A. Considering Emotion in COVID-19 Vaccine Communication: Addressing Vaccine Hesitancy and Fostering Vaccine Confidence. Health Commun. 2020;35(14):1718–1722. doi: 10.1080/10410236.2020.1838096.
    1. Duggan, M., Lenhart, A., Lampe, C., Ellison, N.B., 2015. Parents and Social Media [WWW Document]. URL .
    1. Dunn A.G., Leask J., Zhou X., Mandl K.D., Coiera E. Associations between exposure to and expression of negative opinions about human papillomavirus vaccines on social media: An observational study. J. Med. Internet Res. 2015;17(6):e144. doi: 10.2196/jmir.4343.
    1. Ernst K., Shelby A. Social media in the exam room: stories of human papillomavirus disease and prevention. Acad. Pediatr. 2018;18(2):S19–S20. doi: 10.1016/j.acap.2017.05.002.
    1. Frank L.B., Murphy S.T., Chatterjee J.S., Moran M.B., Baezconde-Garbanati L. Telling stories, saving lives: creating narrative health messages. Health Commun. 2015;30(2):154–163. doi: 10.1080/10410236.2014.974126.
    1. Gilkey M.B., Zhou M., McRee A.L., Kornides M.L., Bridges J.F.P. Parents’ views on the best and worst reasons for guideline-consistent HPV vaccination. Cancer Epidemiol. Biomarkers Prev. 2018;27(7):762–767. doi: 10.1158/1055-9965.EPI-17-1067.
    1. Hoffman J. How anti-vaccine sentiment took hold in the United States. New York Times. 2019
    1. Hopfer S. Effects of a narrative HPV vaccination intervention aimed at reaching college women: a randomized controlled trial. Prev. Sci. 2012;13(2):173–182. doi: 10.1007/s11121-011-0254-1.
    1. Ipsos, Ipsos Knowledge Panel [WWW Document] 2020 accessed 12.30.20.
    1. Kearney M.D., Selvan P., Hauer M.K., Leader A.E., Massey P.M. Characterizing HPV vaccine sentiments and content on instagram. Heal. Educ. Behav. 2019;46(2_suppl):37S–48S. doi: 10.1177/1090198119859412.
    1. Malo T.L., Gilkey M.B., Hall M.E., Shah P.D., Brewer N.T. Messages to motivate human papillomavirus vaccination: National studies of parents and physicians. Cancer Epidemiol. Biomarkers Prev. 2016;25(10):1383–1391. doi: 10.1158/1055-9965.EPI-16-0224.
    1. Margolis M.A., Brewer N.T., Shah P.D., Calo W.A., Gilkey M.B. Stories about HPV vaccine in social media, traditional media, and conversations. Prev. Med. (Baltim) 2019;118:251–256. doi: 10.1016/j.ypmed.2018.11.005.
    1. Massey P.M., Leader A., Yom-Tov E., Budenz A., Fisher K., Klassen A.C. Applying multiple data collection tools to quantify human papillomavirus vaccine communication on twitter. J. Med. Internet Res. 2016;18(12):e318. doi: 10.2196/jmir.6670.
    1. McHugh, M.L., 2012. Interrater reliability: The kappa statistic. Biochem. Medica 22, 276–282. .
    1. McRee A.L., Brewer N.T., Reiter P.L., Gottlieb S.L., Smith J.S. The Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS): Scale development and associations with intentions to vaccinate. Sex. Transm. Dis. 2010;37:234–239. doi: 10.1097/OLQ.0b013e3181c37e15.
    1. Murphy S.T., Frank L.B., Chatterjee J.S., Baezconde-Garbanati L. Narrative versus nonnarrative: the role of identification, transportation, and emotion in reducing health disparities. J. Commun. 2013;63(1):116–137. doi: 10.1111/jcom.2013.63.issue-110.1111/jcom.12007.
    1. Perkins, R.B., Fisher-Borne, M., Brewer, N.T., 2019. Engaging parents around vaccine confidence: proceedings from the National HPV Vaccination Roundtable meetings. Hum. Vaccines Immunother. .
    1. Pew Research Center, 2019. Social Media Fact Sheet [WWW Document]. URL .
    1. Pew Research Center, 2016. Social Media Update 2016 [WWW Document]. URL (accessed 12.15.20).
    1. Reiter P.L., Gerend M.A., Gilkey M.B., Perkins R.B., Saslow D., Stokley S., Tiro J.A., Zimet G.D., Brewer N.T. Advancing Human Papillomavirus Vaccine Delivery: 12 Priority Research Gaps. Acad. Pediatr. 2018;18(2):S14–S16. doi: 10.1016/j.acap.2017.04.023.
    1. Reno J.E., O’Leary S., Garrett K., Pyrzanowski J., Lockhart S., Campagna E., Barnard J., Dempsey A.F. Improving Provider Communication about HPV Vaccines for Vaccine-Hesitant Parents Through the Use of Motivational Interviewing. J. Health Commun. 2018;23(4):313–320. doi: 10.1080/10810730.2018.1442530.
    1. Shah P.D., Calo W.A., Gilkey M.B., Boynton M.H., Alton Dailey S., Todd K.G., Robichaud M.O., Margolis M.A., Brewer N.T. Questions and concerns about HPV vaccine: A communication experiment. Pediatrics. 2019;143(2):e20181872. doi: 10.1542/peds.2018-1872.
    1. A. Singhal E.M. Rogers Entertainment-education: A communication strategy for social change 2012 A Communication Strategy for Social Change Entertainment-Education 10.4324/9781410607119.
    1. Sturm L., Donahue K., Kasting M., Kulkarni A., Brewer N.T., Zimet G.D. Pediatrician-Parent Conversations About Human Papillomavirus Vaccination: An Analysis of Audio Recordings. J. Adolesc. Heal. 2017;61(2):246–251. doi: 10.1016/j.jadohealth.2017.02.006.
    1. Surian D., Nguyen D.Q., Kennedy G., Johnson M., Coiera E., Dunn A.G. Characterizing Twitter Discussions About HPV Vaccines Using Topic Modeling and Community Detection. J. Med. 2016;18:1–12. doi: 10.2196/jmir.6045.
    1. Walker, T., Elam-Evans, L.D., Yankey, D., Singleton, J.A., Sterrett, N., Markowitz, L.E., Williams, C.L., Fredua, B., McNamara, L., Stokley, S., 2020. National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2019. MMWR. Morb. Mortal. Wkly. Rep. 69, 1109–1116. .

Source: PubMed

3
S'abonner