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

2. 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.

3. How do we do across the u.S.?

4. We’re gradually improving

5. 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

6. 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):

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

10. 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”!

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

12. 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

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

15. Let’s make cancer a disease of the past