Defense Date

3-22-2024

Graduation Date

Spring 5-11-2024

Availability

Immediate Access

Submission Type

dissertation

Degree Name

PhD

School

School of Nursing

Committee Chair

Alison Colbert

Committee Member

Melissa Kalarchian

Committee Member

Patricia J. Kelly

Keywords

criminal-legal system, women, cervical cancer, human papillomavirus, human papillomavirus vaccine, educational catch-up module

Abstract

Introduction: Cervical cancer can often be prevented with targeted strategies such as Pap smear screenings and the human papillomavirus (HPV) vaccination, now also recommended for those aged 27-45 who have not received the vaccine previously. However, women involved in the criminal-legal system often miss out on primary and secondary prevention measures and are at increased risk for the development of cervical cancer caused by HPV. Purpose: The purpose of this study was to examine the feasibility and acceptability of an electronic HPV catch-up module for women in the criminal-legal system aged 27-45. The study, guided by the Health Belief Model, also examined the impact the module on modifying factors and beliefs about HPV vaccination and intention to vaccinate. Methods: This feasibility study was conducted virtually. The sample was recruited from a larger reproductive health study, Sexual Health Empowerment Women, on cervical health literacy for women involved in the criminal-legal system. The study had four phases: formative research, creation of the HPV catch-up module, launch of the HPV catch-up module in small group, and implementation of the HPV catch-up module with the larger group. Results: A total of 32 women participated in the study. Results suggest an increase in knowledge, self-efficacy, perceived susceptibility to HPV, and perceived benefits of HPV pots completion of the electronic HPV education module. Discussion: The results suggest that the web-based HPV education module was both feasible and acceptable to the population of interest and that intervention can increase the intent to vaccinate.

Language

English

MOORE-2024.docx (418 kB)

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