Parental Human Papillomavirus Vaccine Survey (PHPVS): Nurse-Led Instrument Development and Psychometric Testing for Use in Research and Primary Care Screening

By Thomas, Tami Lynn; Strickland, Ora L. et al. | Journal of Nursing Measurement, April 1, 2013 | Go to article overview

Parental Human Papillomavirus Vaccine Survey (PHPVS): Nurse-Led Instrument Development and Psychometric Testing for Use in Research and Primary Care Screening


Thomas, Tami Lynn, Strickland, Ora L., DiClemente, Ralph, Higgins, Melinda, Williams, Bryan, Hickey, Kathleen, Journal of Nursing Measurement


Background and Purpose: Human papillomavirus (HPV) vaccine was approved for girls aged 9-24 years in 2006 to prevent HPV infection and cervical cancer. The Parental Human Papillomavirus Survey (PHPVS) was framed on theoretical constructs of the health belief model (HBM) and developed to survey parents regarding their HPV knowledge, attitudes, and intent to vaccinate. Methods: We evaluated the psychometric properties of the PHPVS using classical item analysis and exploratory factor analysis (EFA) among a sample of 200 parents/caregivers. Results: The EFA yielded a 4-factor unidimensional model that explained between 62% and 68% of the total variance depending on the extraction method used. The estimated Cronbach's alpha for the PHPVS was .96. Conclusions: The PHPVS is a reliable measure of HPV knowledge, attitudes, and intent to vaccinate.

Keywords: HPV vaccines; health surveys; health care disparities; pediatrics; adolescents; parents

Human papillomavirus (HPV) infection is etiologically linked to cancers of the cervix, anus, oropharynx, penis, vagina, and vulva (Parkin & Bray, 2006). The HPV vaccine is a health care breakthrough and an essential element of health promotion in pediatric and adolescent health care for boys and girls (Chaturvedi, 2010). The Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP) recommends vaccinating girls and boys from the age of 9 to 26 years (CDC, 2010). To eliminate HPV-related cancers through HPV vaccination, it is essential to recognize the factors involved in parents' decision whether to permit their children to get the HPV vaccine (Harper et al., 2006). Indeed, the prevalence of HPV infection and cervical cancer rates continue to increase in African American and Latina women (Kobetz et al., 2010). So, the primary author sought to develop a theory-based survey that was short and simple to use with items that could identify intervention points to address HPV vaccination in populations of children and adolescents with low vaccine rates and those experiencing health disparities.

PURPOSE

The purpose of this article is to describe the development and results of the psychometric evaluation of the Parental HPV Survey (PHPVS). The PHPVS was developed in 2007 in response to the debut of the HPV vaccine and the controversy that followed. During the spring of 2007, nurses and other health care providers discussed with policy makers and public health officials which parents would or would not vaccinate their child or adolescent with the HPV vaccine. The PHPVS was developed and then psychometrically tested so researchers would have an instrument to use in health promotion research. The PHPVS instrument can assist health promotion researchers to explore and describe parental perceptions of HPV infection and vaccination by measuring the perceived severity of HPV infection, parental perceived vulnerability of their child to HPV infection, the perceived benefits of HPV vaccination, and the subsequent barriers to vaccinating their child with the HPV vaccine.

SCOPE OF MEASUREMENT

This survey development was rooted in the construct of primary prevention from Neuman's Systems Model (NSM) and then developed after further literature review on social psychology theory and the health belief model (HBM; Neuman, 1990, 1996; Rosenstock, 1975; Rosenstock, Strecher, & Becker, 1988). By using this theory, the PHPVS could be used to collect descriptive data to develop primary prevention interventions to reduce HPV-related cancers in populations experiencing health disparities and to begin to use the PHPVS in primary care to elicit parental attitudes and knowledge about HPV and the HPV vaccine.

BACKGROUND AND CONCEPTUAL FRAMEWORK

A Healthcare Breakthrough and a Controversy

Current research findings indicate that parents and caregivers of elementary and middle school children are often misinformed and subsequently filled with anxiety, mistrust, and doubt about reproductive health issues, such as HPV vaccination (Foster, 2007; Moseley, Freed, Bullard, & Goold, 2007; Shafii, Stovel, Davis, & Holmes, 2004). …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Parental Human Papillomavirus Vaccine Survey (PHPVS): Nurse-Led Instrument Development and Psychometric Testing for Use in Research and Primary Care Screening
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.