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4/12/16&

KEY&FINDINGS:&TEXT&MESSAGE&REMINDERS&

Reminder:+
Your+daughter+
is+due+for+the+
next+dose+of+
Gardasil++

8888888888888

Educa2on&+&reminders&=&88%&adherence&
Educa2on&only&=&40%&adherence.&
(Aragones&et&al.,&2015)&

8 8 8 8 8 8 8 8 8 8 8 8 8 Parents&who&received&reminders&were&

22.5&2mes&more&likely&to&complete&the&
threeedose&series.&No&one&in&the&control&
group&received&the&2nd&or&3rd&&dose&on&
2me.&(Cassidy&et&al.,&2014)&&

Reminders&increased&one2me&
8 8 8 8 8 8 8 8 8 8 8 8 8 8 adherence&to&the&2nd&and&3rd&HPV&
doses.&(Kharbanda&et&al.,&2010)&&

PLAN&FOR&CHANGE&IN&PRACTICE&
Nurses&will&deliver&a&brief,&oneeoneone&educa2onal&interven2on&about&
the&HPV&vaccine.&&
Parents&whose&daughters&are&between&the&ages&of&11e17&years&old&
will&receive&this&informa2on&when&they&present&for&immuniza2ons.&&
Informa2on&will&be&based&on:&
1. The&most&common&parental&concerns&iden2ed&in&the&literature.&
2. Factors&associated&with&parental&acceptance&in&key&studies.&
Educa2on&will&take&place&in&a&clinical&sebng&where&the&vaccine&can&be&
prescribed&and&administered.&Community&clinics&serving&loweincome&pa2ents&
in&low&socioeconomic&regions&will&be&the&priority&sebng,&due&to&dispari2es&in&
cervical&cancer.&&&&
(Aragones&et&al.,&2015;&Cassidy&et&al.,&2014;&Kennedy&et&al.,&2008;&Ogembo&et&al.,&2014;&&
Spleen&et&al.,&2012,&&&Yeganeh&et&al.,&2010).&

STEP&1:&EVIDENCEeBASED&EDUCATIONAL&SESSION&

888888+

Recommend+

888888+

+SuscepAbility+

Your+ daughter+ is+ due+ for+ the+ rst+ dose+ of+ the+ HPV+ vaccine,+
and+I+highly+recommend+that+she+receives+it+today.&
EBP:&Provider&recommenda2on&is&the&single&most&
important&factor&associated&with&parental&acceptance&of&
the&vaccine.&&&
It+protects+against+an+infecAon+that+everyone+is+at+risk+of+geYng++
EBP:&Parents&are&more&likely&to&accept&when&they&believe&
their&daughters&are&suscep2ble&to&the&infec2on.&&&

STEP&2:&TEXT&MESSAGE&REMINDERS&
Parents&who&consent&to&the&rst&dose&of&Gardasil&will&be&
enrolled&in&a&text&message&reminder&service&(Aragones&et&al.,&
2015;&Cassidy&et&al.,&2014,&&&Kharbanda&et&al.,&2012).&&

Text&message&#1:&sent&2&months&aoer&the&1st&dose&
Text&message&#2:&sent&6&months&aoer&the&1st&dose&
Free&service:&Gardasil&website&&&

888888+

PrevenAon+

888888+

Safety+

which+can+lead+to+cervical+cancer.+The+HPV+vaccine+is+the+
best+way+to+help+prevent+that. ++
EBP:&Health&Belief&Model.&Understanding&that&the&vaccine&
is&a&cancerepreven2ng&measure&will&mo2vate&parents&to&
protect&their&daughters.&&&&&

GARDASIL+.+COM+

8888888888888888888888888888888888888+

txt++
+msg++

It+is+very+eecAve+and+safe.++
EBP:&Concerns&about&the&benets&and&side&eects&of&
Gardasil&were&common&parental&concerns&in&the&literature.&&&

2&

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