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Exploring Cultural and Religious Effects on HPV Vaccination Decision Making Using a Web-Based Decision Aid: A Quasi-experimental Study

Author

Listed:
  • Yulia Gendler

    (Department of Nursing, School of Health Sciences, Ariel University, Ariel, Israel)

  • Ayala Blau

    (Department of Nursing, School of Health Sciences, Ariel University, Ariel, Israel)

Abstract

Background Human papillomavirus (HPV) poses a significant public health concern, as it is linked to various serious health conditions such as cancer and genital warts. Despite the vaccine’s safety, efficacy, and availability through national school programs, HPV vaccination rates remain low in Israel, particularly within the ultra-Orthodox community due to religious and cultural barriers. Decision aids have shown promise in facilitating shared decision making and promoting informed choices in health care. This study aimed to assess the impact of a novel Web-based decision aid on HPV vaccination intentions, knowledge, decision self-efficacy, and decisional conflict among Israeli parents and young adults, with a specific focus on exploring differences between religious groups. Methods Two Web-based decision aids were developed for parents of children aged 10 to 17 y ( n  = 120) and young adults aged 18 to 26 y ( n  = 160). A quasi-experimental study was conducted among Hebrew-speaking parents and young adults eligible for HPV vaccination. Participants completed pre- and postintervention questionnaires assessing vaccination intentions, knowledge about HPV, decision self-efficacy, and decisional conflict. Results The decision aid significantly improved intentions toward HPV vaccination among most religious groups, except the Jewish ultra-Orthodox community. Ultra-Orthodox participants exhibited reluctance to vaccinate themselves or their children (odds ratio [OR] = 0.23, P  

Suggested Citation

  • Yulia Gendler & Ayala Blau, 2024. "Exploring Cultural and Religious Effects on HPV Vaccination Decision Making Using a Web-Based Decision Aid: A Quasi-experimental Study," Medical Decision Making, , vol. 44(4), pages 426-436, May.
    • Handle: RePEc:sae:medema:v:44:y:2024:i:4:p:426-436
    DOI: 10.1177/0272989X241240466
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    References listed on IDEAS

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    1. Richard W. Martin & Stina Brogård Andersen & Mary Ann O’Brien & Paulina Bravo & Tammy Hoffmann & Karina Olling & Heather L. Shepherd & Kathrina Dankl & Dawn Stacey & Karina Dahl Steffensen, 2021. "Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards," Medical Decision Making, , vol. 41(7), pages 780-800, October.
    2. Mirjam M. Garvelink & Laura Boland & Krystal Klein & Don Vu Nguyen & Matthew Menear & Hilary L. Bekker & Karen B. Eden & Annie LeBlanc & Annette M. O’Connor & Dawn Stacey & France Légaré, 2019. "Decisional Conflict Scale Findings among Patients and Surrogates Making Health Decisions: Part II of an Anniversary Review," Medical Decision Making, , vol. 39(4), pages 316-327, May.
    3. Dawn Stacey & France Légaré & Laura Boland & Krystina B. Lewis & Marie-Chantal Loiselle & Lauren Hoefel & Mirjam Garvelink & Annette O’Connor, 2020. "20th Anniversary Ottawa Decision Support Framework: Part 3 Overview of Systematic Reviews and Updated Framework," Medical Decision Making, , vol. 40(3), pages 379-398, April.
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