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首页> 外文期刊>Vaccine >Overcoming the knowledge-behavior gap: The effect of evidence-based HPV vaccination leaflets on understanding, intention, and actual vaccination decision
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Overcoming the knowledge-behavior gap: The effect of evidence-based HPV vaccination leaflets on understanding, intention, and actual vaccination decision

机译：克服知识-行为差距：基于证据的HPV疫苗接种传单对理解，意图和实际疫苗接种决定的影响

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Objective: Informed decision making requires transparent and evidence-based (=balanced) information on the potential benefit and harms of medical preventions. An analysis of German HPV vaccination leaflets revealed, however, that none met the standards of balanced risk communication. Methods: We surveyed a sample of 225 girl-parent pairs in a before-after design on the effects of balanced and unbalanced risk communication on participants' knowledge about cervical cancer and the HPV vaccination, their perceived risk, their intention to have the vaccine, and their actual vaccination decision. Results: The balanced leaflet increased the number of participants who were correctly informed about cervical cancer and the HPV vaccine by 33 to 66 absolute percentage points. In contrast, the unbalanced leaflet decreased the number of participants who were correctly informed about these facts by 0 to 18 absolute percentage points. Whereas the actual uptake of the HPV vaccination 14 months after the initial study did not differ between the two groups (22% balanced leaflet vs. 23% unbalanced leaflet; p = .93, r = .01), the originally stated intention to have the vaccine reliably predicted the actual vaccination decision for the balanced leaflet group only (concordance between intention and actual uptake: 97% in the balanced leaflet group, r(s) = .92, p = .00; 60% in the unbalanced leaflet group, rs = .37, p = .08). Conclusion: In contrast to a unbalanced leaflet, a balanced leaflet increased people's knowledge of the HPV vaccination, improved perceived risk judgments, and led to an actual vaccination uptake, which first was robustly predicted by people's intention and second did not differ from the uptake in the unbalanced leaflet group. These findings suggest that balanced reporting about HPV vaccination increases informed decisions about whether to be vaccinated and does not undermine actual uptake. (C) 2014 The Authors. Published by Elsevier Ltd. All rights reserved.
机译：目标：明智的决策需要透明且基于证据（=平衡）的信息，以了解医疗预防措施的潜在利弊。然而，对德国HPV疫苗接种传单的分析显示，没有一份传单符合平衡的风险沟通标准。方法：我们在前后设计中调查了225对女孩-父母对样本，了解平衡和不平衡的风险交流对参与者关于子宫颈癌和HPV疫苗知识，感知风险，接种疫苗的意图的影响，以及他们的实际疫苗接种决定。结果：平衡的传单使正确了解宫颈癌和HPV疫苗的参与者人数增加了33至66个绝对百分点。相反，不平衡的传单使正确了解这些事实的参与者人数减少了0至18个绝对百分点。初始研究后14个月，HPV疫苗的实际摄入量在两组之间没有差异（22％的平衡叶与23％的不平衡叶; p = .93，r = .01），最初的意图是疫苗仅可靠地预测了平衡小叶组的实际疫苗接种决定（意图与实际摄入量之间的一致性：平衡小叶组的97％，r（s）= .92，p = .00;不平衡小叶组的60％ ，rs = .37，p = .08）。结论：与不平衡的传单相反，平衡的传单增加了人们对HPV疫苗接种的了解，改善了人们对HPV疫苗接种的认识，并导致了实际的疫苗接种量，这首先是由人们的意图进行了有力的预测，其次与从疫苗接种中摄取的没有区别。不平衡的传单组。这些发现表明，关于HPV疫苗接种的均衡报告可以增加有关是否要接种疫苗的明智决定，并且不会损害实际摄入量。 （C）2014作者。由Elsevier Ltd.出版。保留所有权利。

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