45RR DESIGNING A SIMPLE DECISION AID FOR A SCHOOL-BASED HPV VACCINE PROGRAM

Tuesday, October 20, 2009
Grand Ballroom, Salons 1 & 2 (Renaissance Hollywood Hotel)
Carol Bennett, MSc1, Elizabeth Drake, MHA1, Laura Hopkins, BSc, MSc, MD2, Sara D. Khangura, BA1, Debra Morris1, Anton Saarimaki, MCS1 and Annette M. O'Connor, PhD2, (1)Ottawa Hospital Research Institute, Ottawa, ON, Canada, (2)University of Ottawa, Ottawa, ON, Canada

Purpose: To design a 4-page decision aid to support parents’ decision making about their daughter’s participation in a school-based HPV vaccination program. Background: In 2007, the Province of Ontario introduced a free, school-based Human Papillomavirus (HPV) vaccination program for Grade 8 girls. Traditionally these types of programs achieve 80-90% uptake, however, less than half of 76,000 eligible girls were vaccinated in 2007-2008. Recent literature suggests that HPV vaccine information is conflicting, inaccurate, outdated, biased, incomplete, written at high literacy levels, and may not sufficiently address parent/guardian concerns or decision making needs. Simply educating parents/guardians about HPV and HPV vaccines may not be sufficient to influence their attitudes, which may be driven by other, non-information-based preferences. A short decision aid may be helpful as an accompaniment to the consent form currently distributed to the parents of Grade 8 students.

Method: A multi-disciplinary team developed a decision aid entitled “What can you do to prevent HPV and cervical cancer?” targeted at parents/guardians of Grade 8 girls in Ontario. The decision aid is based on a 2007 systematic review of randomized controlled trials of HPV vaccines and was developed according to the International Patient Decision Aid Standards (IPDAS). The decision aid elements include: option information, probabilities of benefits and side effects, values clarification, and identification of unresolved decisional needs.

Result: This simple decision aid format is being evaluated in an ongoing study.

Conclusion: The decision aid will be exhibited and its development discussed.

Candidate for the Lee B. Lusted Student Prize Competition