Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination
Objective: Human papillomavirus (HPV) vaccine uptake remains suboptimal. Our stepped-wedge cluster randomized trial found that reminder-recall letters sent to parents of age-eligible children significantly increased vaccine uptake compared to usual care. Subsequently, we conducted a process evaluati...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335524003577 |
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| author | Joan M. Griffin Xuan Zhu Wei Yi Kong Robert M. Jacobson Kathy L. MacLaughlin Jennifer L. St. Sauver Jeph Herrin Gregory D. Jenkins Nicole L. Larson Lila J. Finney Rutten |
| author_facet | Joan M. Griffin Xuan Zhu Wei Yi Kong Robert M. Jacobson Kathy L. MacLaughlin Jennifer L. St. Sauver Jeph Herrin Gregory D. Jenkins Nicole L. Larson Lila J. Finney Rutten |
| author_sort | Joan M. Griffin |
| collection | DOAJ |
| description | Objective: Human papillomavirus (HPV) vaccine uptake remains suboptimal. Our stepped-wedge cluster randomized trial found that reminder-recall letters sent to parents of age-eligible children significantly increased vaccine uptake compared to usual care. Subsequently, we conducted a process evaluation to assess the mechanisms of the letter's effectiveness. This study evaluated who remembered the letter, use of provided resources, and child vaccination status. Methods: This cross-sectional evaluation included data from parents (n = 1165) of adolescents ages 11–12 from six primary care practices who received letters about their child's HPV vaccination status. From 2018 to 2022, parents were mailed reminder-recall letters and then sent questionnaires 12–15 months after receiving the letter. Questionnaires asked if parents recalled the letter, whether their child received a vaccination and, if not, reasons for not vaccinating, and attitudes and beliefs about HPV vaccination. Results: A total of 1165 of 1991 questionnaires were completed (59 %). Over half (58 %) remembered the reminder-recall letter. Compared to those not remembering the letter, those who did were significantly more likely to have had their child vaccinated (56 % versus 44 %, p < 0.05). Of those who remembered the letter but did not vaccinate, the majority reported misperceptions about their child being too young (26 %) or concerns about vaccine safety (20 %). Of those who did not remember the letter and did not vaccinate, the primary reason was not knowing the child was due for vaccination (27 %). Conclusions: Reminder-recall letters cued the majority of parents to complete HPV vaccination; however, vaccine misperceptions remain a challenge, indicating the need for additional communication strategies. |
| format | Article |
| id | doaj-art-c16df2ec0b6f43e69a42f74e9d3a663e |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-c16df2ec0b6f43e69a42f74e9d3a663e2025-01-11T06:41:15ZengElsevierPreventive Medicine Reports2211-33552025-01-0149102942Evaluation of parent reminder-recall letters to promote human papillomavirus vaccinationJoan M. Griffin0Xuan Zhu1Wei Yi Kong2Robert M. Jacobson3Kathy L. MacLaughlin4Jennifer L. St. Sauver5Jeph Herrin6Gregory D. Jenkins7Nicole L. Larson8Lila J. Finney Rutten9Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA; Division of Health Care Delivery Research, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USA; Corresponding author at: Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USADepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USA; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USADepartment of Family Medicine, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USADepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USASection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, USA; Flying Buttress Associates, Charlottesville, Virginia, USADepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USADepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USADepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, 200 First Street SW, Rochester, MN 55905, USAObjective: Human papillomavirus (HPV) vaccine uptake remains suboptimal. Our stepped-wedge cluster randomized trial found that reminder-recall letters sent to parents of age-eligible children significantly increased vaccine uptake compared to usual care. Subsequently, we conducted a process evaluation to assess the mechanisms of the letter's effectiveness. This study evaluated who remembered the letter, use of provided resources, and child vaccination status. Methods: This cross-sectional evaluation included data from parents (n = 1165) of adolescents ages 11–12 from six primary care practices who received letters about their child's HPV vaccination status. From 2018 to 2022, parents were mailed reminder-recall letters and then sent questionnaires 12–15 months after receiving the letter. Questionnaires asked if parents recalled the letter, whether their child received a vaccination and, if not, reasons for not vaccinating, and attitudes and beliefs about HPV vaccination. Results: A total of 1165 of 1991 questionnaires were completed (59 %). Over half (58 %) remembered the reminder-recall letter. Compared to those not remembering the letter, those who did were significantly more likely to have had their child vaccinated (56 % versus 44 %, p < 0.05). Of those who remembered the letter but did not vaccinate, the majority reported misperceptions about their child being too young (26 %) or concerns about vaccine safety (20 %). Of those who did not remember the letter and did not vaccinate, the primary reason was not knowing the child was due for vaccination (27 %). Conclusions: Reminder-recall letters cued the majority of parents to complete HPV vaccination; however, vaccine misperceptions remain a challenge, indicating the need for additional communication strategies.http://www.sciencedirect.com/science/article/pii/S2211335524003577HPVVaccinationReminder-recallProcess evaluationVaccine hesitancy |
| spellingShingle | Joan M. Griffin Xuan Zhu Wei Yi Kong Robert M. Jacobson Kathy L. MacLaughlin Jennifer L. St. Sauver Jeph Herrin Gregory D. Jenkins Nicole L. Larson Lila J. Finney Rutten Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination Preventive Medicine Reports HPV Vaccination Reminder-recall Process evaluation Vaccine hesitancy |
| title | Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination |
| title_full | Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination |
| title_fullStr | Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination |
| title_full_unstemmed | Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination |
| title_short | Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination |
| title_sort | evaluation of parent reminder recall letters to promote human papillomavirus vaccination |
| topic | HPV Vaccination Reminder-recall Process evaluation Vaccine hesitancy |
| url | http://www.sciencedirect.com/science/article/pii/S2211335524003577 |
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