Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention Mapping

Background: Currently, the eHealth field calls for detailed descriptions of theory-based interventions in order to support improved design of such interventions. This article aims to provide a systematic description of the design rationale behind an interactive web-based tailored intervention promot...

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Main Authors: Mirjam Pot, Robert A. C. Ruiter, Theo W. G. M. Paulussen, Annerieke Heuvelink, Hester E. de Melker, Hans J. A. van Vliet, Hilde M. van Keulen
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpubh.2018.00226/full
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spelling doaj-5d1a7e6684ba45aa8de3a9c1d81011612020-11-25T02:30:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652018-09-01610.3389/fpubh.2018.00226270468Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention MappingMirjam Pot0Mirjam Pot1Robert A. C. Ruiter2Theo W. G. M. Paulussen3Annerieke Heuvelink4Hester E. de Melker5Hans J. A. van Vliet6Hilde M. van Keulen7Child Health, Netherlands Organization for Applied Scientific Research (TNO), Leiden, NetherlandsDepartment of Work & Social Psychology, Maastricht University, Maastricht, NetherlandsDepartment of Work & Social Psychology, Maastricht University, Maastricht, NetherlandsChild Health, Netherlands Organization for Applied Scientific Research (TNO), Leiden, NetherlandsPerceptual and Cognitive Systems, Netherlands Organization for Applied Scientific Research (TNO), Soesterberg, NetherlandsCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, NetherlandsCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, NetherlandsChild Health, Netherlands Organization for Applied Scientific Research (TNO), Leiden, NetherlandsBackground: Currently, the eHealth field calls for detailed descriptions of theory-based interventions in order to support improved design of such interventions. This article aims to provide a systematic description of the design rationale behind an interactive web-based tailored intervention promoting HPV-vaccination acceptability.Methods: The 6-step Intervention Mapping (IM) protocol was used to describe the design rationale. After the needs assessment in Step 1, intervention objectives were formulated in Step 2. In Step 3, we translated theoretical methods into practical applications, which were integrated into a coherent intervention in Step 4. In Step 5, we anticipated future implementation and adoption, and finally, an evaluation plan was generated in Step 6.Results: Walking through the various steps of IM resulted in a detailed description of the intervention. The needs assessment indicated HPV-vaccination uptake remaining lower than expected. Mothers play the most important role in decision-making about their daughter's immunization. However, they generally feel ambivalent after they made their decisions, and their decisions are based on rather unstable grounds. Therefore, intervention objectives were to improve HPV-vaccination uptake and informed decision-making, and to decrease decisional conflict among mothers of invited girls. Computer-tailoring was chosen as the main method; virtual assistants were chosen as a practical application to deliver interactive tailored feedback. To maximize compatibility with the needs of the target group, a user-centered design strategy by means of focus groups and online experiments was applied. In these, prototypes were tested and sequentially refined. Finally, efficacy, effectiveness, and acceptability of the intervention were tested in a randomized controlled trial. Results showed a significant positive effect of the intervention on informed decision-making, decisional conflict, and nearly all determinants of HPV-vaccination uptake (P < 0.001). Mothers evaluated the intervention as highly positive.Discussion: Using IM led to an innovative effective intervention for promoting HPV-vaccination acceptability. The intervention maps will aid in interpreting the results of our evaluation studies. Moreover, it will ease the comparison of design rationales across interventions, and may provide leads for the development of other eHealth interventions. This paper adds to the plea for systematic reporting of design rationales constituting the process of developing interventions.https://www.frontiersin.org/article/10.3389/fpubh.2018.00226/fullHPV-vaccination acceptabilityintervention mappingeHealthweb-based interventiondesign rationale
collection DOAJ
language English
format Article
sources DOAJ
author Mirjam Pot
Mirjam Pot
Robert A. C. Ruiter
Theo W. G. M. Paulussen
Annerieke Heuvelink
Hester E. de Melker
Hans J. A. van Vliet
Hilde M. van Keulen
spellingShingle Mirjam Pot
Mirjam Pot
Robert A. C. Ruiter
Theo W. G. M. Paulussen
Annerieke Heuvelink
Hester E. de Melker
Hans J. A. van Vliet
Hilde M. van Keulen
Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention Mapping
Frontiers in Public Health
HPV-vaccination acceptability
intervention mapping
eHealth
web-based intervention
design rationale
author_facet Mirjam Pot
Mirjam Pot
Robert A. C. Ruiter
Theo W. G. M. Paulussen
Annerieke Heuvelink
Hester E. de Melker
Hans J. A. van Vliet
Hilde M. van Keulen
author_sort Mirjam Pot
title Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention Mapping
title_short Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention Mapping
title_full Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention Mapping
title_fullStr Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention Mapping
title_full_unstemmed Systematically Developing a Web-Based Tailored Intervention Promoting HPV-Vaccination Acceptability Among Mothers of Invited Girls Using Intervention Mapping
title_sort systematically developing a web-based tailored intervention promoting hpv-vaccination acceptability among mothers of invited girls using intervention mapping
publisher Frontiers Media S.A.
series Frontiers in Public Health
issn 2296-2565
publishDate 2018-09-01
description Background: Currently, the eHealth field calls for detailed descriptions of theory-based interventions in order to support improved design of such interventions. This article aims to provide a systematic description of the design rationale behind an interactive web-based tailored intervention promoting HPV-vaccination acceptability.Methods: The 6-step Intervention Mapping (IM) protocol was used to describe the design rationale. After the needs assessment in Step 1, intervention objectives were formulated in Step 2. In Step 3, we translated theoretical methods into practical applications, which were integrated into a coherent intervention in Step 4. In Step 5, we anticipated future implementation and adoption, and finally, an evaluation plan was generated in Step 6.Results: Walking through the various steps of IM resulted in a detailed description of the intervention. The needs assessment indicated HPV-vaccination uptake remaining lower than expected. Mothers play the most important role in decision-making about their daughter's immunization. However, they generally feel ambivalent after they made their decisions, and their decisions are based on rather unstable grounds. Therefore, intervention objectives were to improve HPV-vaccination uptake and informed decision-making, and to decrease decisional conflict among mothers of invited girls. Computer-tailoring was chosen as the main method; virtual assistants were chosen as a practical application to deliver interactive tailored feedback. To maximize compatibility with the needs of the target group, a user-centered design strategy by means of focus groups and online experiments was applied. In these, prototypes were tested and sequentially refined. Finally, efficacy, effectiveness, and acceptability of the intervention were tested in a randomized controlled trial. Results showed a significant positive effect of the intervention on informed decision-making, decisional conflict, and nearly all determinants of HPV-vaccination uptake (P < 0.001). Mothers evaluated the intervention as highly positive.Discussion: Using IM led to an innovative effective intervention for promoting HPV-vaccination acceptability. The intervention maps will aid in interpreting the results of our evaluation studies. Moreover, it will ease the comparison of design rationales across interventions, and may provide leads for the development of other eHealth interventions. This paper adds to the plea for systematic reporting of design rationales constituting the process of developing interventions.
topic HPV-vaccination acceptability
intervention mapping
eHealth
web-based intervention
design rationale
url https://www.frontiersin.org/article/10.3389/fpubh.2018.00226/full
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