Evaluation of Pediatric Human Papillomavirus Vaccination Provider Counseling Written Materials: A Health Literacy Perspective

Rosy Chhabra, Deena J. Chisolm, Barbara Bayldon, Maheen Quadri, Iman Sharif, Jessica J. Velazquez, Karen Encalada, Angelic Rivera, Millie Harris, Elana Levites-Agababa, H. Shonna Yin

Research output: Contribution to journalComment/debate

2 Citations (Scopus)

Abstract

Background and Objectives: Despite recommendations supporting human papillomavirus (HPV) vaccination, pediatric vaccination rates remain suboptimal in the United States; lack of tools to support provider counseling is one barrier. We sought to evaluate HPV-related counseling materials for readability, suitability, and content, and assess parent perceptions of materials, using a health literacy perspective. Methods: A systematic search was conducted for written materials developed for HPV vaccination counseling by examining state Department of Health Web sites and associated links to local and national organizations. Materials were assessed for the following: 1) readability (Flesch Reading Ease, Flesch-Kincaid, Gunning Fog, Simple Measure of Gobbledygook, Fry), 2) suitability (understandability and actionability) (Suitability Assessment of Materials; Patient Education Materials Assessment Tool for Printable Materials), and 3) coverage of 8 key content areas (recommended by Centers for Disease Control and Prevention). Semistructured interviews were conducted with English-speaking parents or caregivers of children 9 to 17 years of age from 3 pediatric clinics (New York, Ohio, Illinois) serving predominantly low-income families to assess perceptions and usefulness of 4 handouts selected for review. Results: Thirty-eight documents were assessed. Mean ± standard deviation (SD) reading grade level was 9.4 ± 2; 10.5% (n = 4) had a reading level of 6th grade or below; 68.4% (n = 26) were considered not suitable. Mean understandability was 41.7% and mean actionability was 20.7%. Only 5.3% (n = 2) addressed all 8 content areas mean ± SD (number of areas = 6.7 ± 1.2). Brochure comprehensiveness and inclusion of a personal story were cited as factors that would be helpful in influencing parents to vaccinate against HPV. Conclusions: Few written materials for HPV vaccination counseling were optimal from a health literacy best practices perspective. Content comprehensiveness was important for informed decision making.

Original languageEnglish (US)
Pages (from-to)S21-S22
JournalAcademic Pediatrics
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2018

Fingerprint

Health Literacy
Counseling
Vaccination
Pediatrics
Reading
Parents
Pamphlets
Weather
Patient Education
Centers for Disease Control and Prevention (U.S.)
Practice Guidelines
Caregivers
Decision Making
Organizations
Interviews
Health

Keywords

  • health communication
  • health literacy
  • human papillomavirus
  • vaccination

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Evaluation of Pediatric Human Papillomavirus Vaccination Provider Counseling Written Materials : A Health Literacy Perspective. / Chhabra, Rosy; Chisolm, Deena J.; Bayldon, Barbara; Quadri, Maheen; Sharif, Iman; Velazquez, Jessica J.; Encalada, Karen; Rivera, Angelic; Harris, Millie; Levites-Agababa, Elana; Yin, H. Shonna.

In: Academic Pediatrics, Vol. 18, No. 2, 01.03.2018, p. S21-S22.

Research output: Contribution to journalComment/debate

Chhabra, R, Chisolm, DJ, Bayldon, B, Quadri, M, Sharif, I, Velazquez, JJ, Encalada, K, Rivera, A, Harris, M, Levites-Agababa, E & Yin, HS 2018, 'Evaluation of Pediatric Human Papillomavirus Vaccination Provider Counseling Written Materials: A Health Literacy Perspective', Academic Pediatrics, vol. 18, no. 2, pp. S21-S22. https://doi.org/10.1016/j.acap.2017.08.004
Chhabra, Rosy ; Chisolm, Deena J. ; Bayldon, Barbara ; Quadri, Maheen ; Sharif, Iman ; Velazquez, Jessica J. ; Encalada, Karen ; Rivera, Angelic ; Harris, Millie ; Levites-Agababa, Elana ; Yin, H. Shonna. / Evaluation of Pediatric Human Papillomavirus Vaccination Provider Counseling Written Materials : A Health Literacy Perspective. In: Academic Pediatrics. 2018 ; Vol. 18, No. 2. pp. S21-S22.
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abstract = "Background and Objectives: Despite recommendations supporting human papillomavirus (HPV) vaccination, pediatric vaccination rates remain suboptimal in the United States; lack of tools to support provider counseling is one barrier. We sought to evaluate HPV-related counseling materials for readability, suitability, and content, and assess parent perceptions of materials, using a health literacy perspective. Methods: A systematic search was conducted for written materials developed for HPV vaccination counseling by examining state Department of Health Web sites and associated links to local and national organizations. Materials were assessed for the following: 1) readability (Flesch Reading Ease, Flesch-Kincaid, Gunning Fog, Simple Measure of Gobbledygook, Fry), 2) suitability (understandability and actionability) (Suitability Assessment of Materials; Patient Education Materials Assessment Tool for Printable Materials), and 3) coverage of 8 key content areas (recommended by Centers for Disease Control and Prevention). Semistructured interviews were conducted with English-speaking parents or caregivers of children 9 to 17 years of age from 3 pediatric clinics (New York, Ohio, Illinois) serving predominantly low-income families to assess perceptions and usefulness of 4 handouts selected for review. Results: Thirty-eight documents were assessed. Mean ± standard deviation (SD) reading grade level was 9.4 ± 2; 10.5{\%} (n = 4) had a reading level of 6th grade or below; 68.4{\%} (n = 26) were considered not suitable. Mean understandability was 41.7{\%} and mean actionability was 20.7{\%}. Only 5.3{\%} (n = 2) addressed all 8 content areas mean ± SD (number of areas = 6.7 ± 1.2). Brochure comprehensiveness and inclusion of a personal story were cited as factors that would be helpful in influencing parents to vaccinate against HPV. Conclusions: Few written materials for HPV vaccination counseling were optimal from a health literacy best practices perspective. Content comprehensiveness was important for informed decision making.",
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