The Effects of Motivational Interviewing on Promoting Human Papillomavirus Vaccination Initiation and Completion Among South Asian Mother/Daughter Dyads: A Pilot Randomised Controlled Trial.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL International Journal of Behavioral Medicine Pub Date : 2025-01-17 DOI:10.1007/s12529-025-10349-y

Dorothy Ngo Sheung Chan, Kai Chow Choi, Pinky Pui Kay Lee, Winnie Kwok Wei So

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Abstract

Background: Vaccination against HPV is an effective strategy for the prevention of HPV infection and cervical cancer. Nevertheless, the HPV vaccine uptake rate is low among ethnic minorities in Hong Kong. This study sought to assess the feasibility and acceptability of motivational interviewing among South Asian mother-daughter dyads and to preliminarily examine its effects on knowledge of HPV infection and vaccination, health beliefs, intention to have the daughters vaccinated, and initiation and completion of HPV vaccine series.

Methods: This was a pilot randomised controlled trial. Forty South Asian mothers with at least one daughter aged 9 to 17 years were recruited. The intervention group received a motivational interviewing intervention whereas the control group received usual care. Structured questionnaires were used to collect data on the participants' characteristics and selected outcome variables. Bias-corrected Hedges' g and rate difference together with their 95% confidence intervals were calculated to estimate the effect sizes of the intervention on the outcomes The acceptability was assessed via semi-structured interviews.

Results: A larger proportion of the daughters of the intervention group participants had received the first dose of HPV vaccine (95% [19 out of 20]) vs 0% [0 out of 20]). The intervention group showed greater improvement in knowledge at 3 months after the intervention (Hedges' g = 0.77 (95%CI:0.13-1.41)). Most interviewees were satisfied with the intervention.

Conclusion: The intervention was feasible and acceptable. The intervention can help to increase South Asian mothers' knowledge and to increase the initiation of HPV vaccine series by their daughters.

Trial registration: This study was registered at the Chinese Clinical Trial Registry (ChiCTR2100052751) on 5 November 2021.

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动机性访谈对促进南亚母亲/女儿对人乳头瘤病毒疫苗接种的开始和完成的影响：一项随机对照试验

背景：HPV疫苗接种是预防HPV感染和宫颈癌的有效策略。然而，本港少数族裔的人乳头瘤病毒疫苗接种率较低。本研究旨在评估南亚母女对动机性访谈的可行性和可接受性，并初步检查其对HPV感染和疫苗接种知识、健康信念、女儿接种疫苗的意愿以及HPV疫苗系列的开始和完成的影响。方法：这是一项先导随机对照试验。研究人员招募了40名南亚母亲，她们至少有一个9至17岁的女儿。干预组接受动机性访谈干预，对照组接受常规护理。使用结构化问卷收集参与者的特征和选择的结果变量的数据。计算偏差校正后的对冲系数g和比率差异及其95%置信区间，以估计干预对结果的影响大小。通过半结构化访谈评估可接受性。结果：干预组参与者的女儿中有较大比例接受了第一剂HPV疫苗（95%[19 / 20]）对0%[0 / 20])。干预组在干预后3个月的知识改善更大（Hedges' g = 0.77 (95%CI:0.13-1.41)）。大多数受访者对干预感到满意。结论：干预是可行和可接受的。干预措施可以帮助增加南亚母亲的知识，并增加其女儿开始接种HPV疫苗系列。试验注册：本研究于2021年11月5日在中国临床试验注册中心（ChiCTR2100052751）注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.