Integrating a Health Information Technology System for Primary and Secondary Cervical Cancer Prevention
Condition: Human Papilloma Virus; Cervical Cancer; Human Papillomavirus Infection; Oropharyngeal Cancer; Vaginal Cancer; Vulvar Cancer; Anal Cancer; Penile Cancer
MeSH terms: Papillomavirus Infections; Uterine Cervical Neoplasms; Papilloma; Anus Neoplasms; Oropharyngeal Neoplasms; Vulvar Neoplasms; Vaginal Neoplasms; Penile Neoplasms
Study type: Interventional

Summary: 
      The project aims to increase HPV vaccination and cervical cancer screening through a
      web-based mobile health education program called, Wheel of Wellness (WoW) and a brief
      negotiated interview (BNI). The in-person BNI and WoW system will provide educational
      resources for participants and their families to learn more about HPV vaccination and
      cervical cancer screening.
    

Detailed description: 
      WoW will be tailored to the participant and will be based on the participant's cancer
      screening and HPV vaccine health needs; It will then send custom text messages based their
      concerns and will remind them to schedule and attend their doctor's appointment. The
      researchers will conduct a single armed proof of concept where the participants will be
      actively using WoW. The in-person BNI will empower participants to have positive behavioral
      changes in regards to their health by giving them appropriate health information as well as
      answering their questions and concerns about cervical cancer prevention and screening.
    

Intervention name(s): WoW and BNI
Intervention type(s): Behavioral
Intervention description(s): The Text/web based health information technology system, WoW, will provide educational resources for participants and their families to learn more about HPV vaccination and cervical cancer screening. WoW will be tailored to the participant and will be based on the participant's cancer screening and HPV vaccine health needs; It will then send custom text messages based their concerns and will remind them to schedule and attend their doctor's appointment. The brief negotiated interview will encourage and empower participants to have positive behavioral changes in regards to their health.
Intervention model: Single Group Assignment
Intervention model description: We are proposing a single arm proof of concept. We will recruit 30 parents/guardians and their age-eligible child for the single arm proof of concept.
For this proof of concept/pilot trial, we will assess the feasibility and impact of WOW to improve provider communication about HPV vaccination and increase the initial and complete vaccination rates for both boys and girls aged 9-17 and to enhance knowledge and awareness about risks and benefits of HPV vaccine among dyads. The power of our proposed pilot for determining intervention effects is limited. However, because we are proposing a proof of concept pilot and feasibility study, in our experience and that of others, our proposed sample size generally provides sufficient data to estimate subject retention, distribution of variables and feasibility as we plan for a larger-multi-site RCT of the proposed study. We expect our intervention to demonstrate feasibility of the intervention in a clinic setting.
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: HPV vaccinaton; Cervical cancer screening; Web-based mobile health education; brief negotiated interview (BNI