Human Papillomavirus Vaccine Means Cancer Control

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Presentation transcript:

Human Papillomavirus Vaccine Means Cancer Control Lance chilton, m.d. Emeritus professor of pediatrics University of new mexico

Conflicts of interest Nothing monetary Concerns about One male friend with HPV-caused throat cancer Several female friends who have had cervical pre-cancer and many who have worried about positive Pap smears.

How do we do across the u.S.?

We’re gradually improving

Why use a digital intervention to improve hpv vaccine uptake? Parents are the prime decision-makers about vaccination, even into late adolescence Parents remain under- and mis-informed about HPV vaccination Mobile devices (mostly smartphones) have become the main means of information acquisition in both the developed and developing world Apps on these devices can be responsive to parental concerns about vaccination generally, and HPV vaccination in particular

Website development: 4 parent and 5 daughter focus groups I think it can be serious. Maybe in high school. I’m so confused. I don’t know if it is cervical cancer or an STD. I hope it works but I am not convinced. It could prevent you from getting HPV. There could be bad side effects. Nodulman, et al. Journal of School Health 2015;85(5):289-298

YES! It did work. So, DiD it work?

Effectiveness of GIRLS’ web app! Vaccine Uptake Received 1st Vaccination No 1st Vaccination Total Vacteens Intervention 26 (70%) 11 (30%) 37 (46%) Usual Info Control 17 (39.5%) 26 (60.5%) 43 (54%) 80 (100%) Significant difference, p=.006 Families given access to the app were almost 2 ½ times more likely to have immunized their girls than those given “Usual Information”!

Girls to Boys Study changes PCORI to NIH Vacteens to BoyVac Clinic Recruitment Only to Multi-pronged Recruitment

Study stays the same Primary measure: uptake of vaccine, completion of vaccine series Secondary measure: questionnaire at beginning of study, at 3 months, at 9 months Patient incentives for completing study Incentives for those referring patients to study Factual, fun, interesting apps

Here’s where you can help us Help us find boys/parents Clinics Schools Cancer Activists Sports Teams Clubs Where else?

Let’s make cancer a disease of the past