Disease prevention without relapse: Processes of change for HPV vaccination

• DOI: 10.4236/ojpm.2013.33041
• Publication Date: 2013-06-10T03:42:42Z
• Authors: Anne C. Fernandez; Andrea L. Paiva; Jessica M. Lipschitz; H. Elsa Larson; Nicole R. Amoyal; Cerissa L. Blaney; Marie A. Sillice; Colleen A. Redding; James O. Prochaska
• Keywords: Transtheoretical model

Background: Human papillomavirus is the most prevalent sexually transmitted infection in United States and associated with 70% of cervical cancers as well over 90% genital warts. Although HPV vaccine appears US immunization schedule during adolescence, a large percentage women reach adulthood without being vaccinated. The Transtheoretical Model's (TTM) Processes Change (POC) construct provides an assessment participants' experiences vaccination central component computer-tailored interventions designed to increase compliance medical recommendations, such vaccination. This study describes development validation POC measure for increasing among young adult women. Methods: Cross-sectional measurement was conducted using online survey sample 340 female college students representing vaccinated unvaccinated Factor analytic structural equation modeling evaluations stage by were used evaluate validity measure. Results: Confirmatory analyses supported theoretically expected ten-factor, fully correlated model best fit data. Expected Stage relationships also confirmed insofar each significantly Change, exception dramatic relief. Follow-up suggested that individuals Precontemplation all less frequently than other stages. Conclusions: found be internally externally valid college-attending developed may tailor stage-matched use experiential behavioral strategies important this high-risk population.