Development of Digital Storytelling Intervention to Promote Vietnamese American (ASUF 30007302)

Project: Research project

Project Details


Development of Digital Storytelling Intervention to Promote Vietnamese American (ASUF 30007302) Development of Digital Storytelling Intervention to Promote Vietnamese American Adolescents HPV Vaccination Purpose: This pilot study aims to (1) develop digital, personal stories about the human papilloma virus (HPV) and HPV vaccination among Vietnamese American women with adolescent children who have been vaccinated against HPV, and (2) share these stories with a separate community group of Vietnamese American mothers and compare their attitudes, beliefs, and intention to change behavior before and after viewing the digital stories. Significance: HPV infection is the most common sexually transmitted infection in the United States; related healthcare costs are about $1.7 billion U.S. annually. Vietnamese American females are disproportionately affected by cervical cancer. While cervical cancer can be detected early with regular Papanicolaou testing, it remains one of the top 10 cancers occurring in Vietnamese American females. HPV vaccines offer hope against HPV-associated cancers and diseases. The high morbidity, mortality, and economic burden attributed to cancer-causing HPV call for nursing researchers to address this public health concern through vigorous prevention efforts, including HPV vaccination. Methods: Design: Aim 1: Formative research for culture-centric message (story) development. Aim 2: Quasi-experimental pre- and posttest design. Sample, setting, & procedure: We will advertise and recruit the target sample via word of mouth, Vietnamese broadcasting, newspapers, and flyers in Vietnamese American communities and nail salons. For Aim 1, we will recruit six Vietnamese American women who have at least one child aged 11-17 who has received any dose of the HPV vaccines to participate in a 2-day digital storytelling (DST) workshop. Each participant will generate a digital story with English and Vietnamese subtitles at the end of the workshop. For Aim 2, we will share stories from DST workshop participants with a separate community group of 10 Vietnamese American mothers who have an unvaccinated child aged 11-17. All study materials will be translated into Vietnamese before recruitment. Measures: A survey, including sociodemographics, health history, HPV-related items (e.g., attitudes toward behavior, beliefs, vaccination intention), will be administered (pre and post- exposure) to the community participants to assess the story effects. Post-exposure, we will also use a 15-item narrative assessment tool developed based on the model of culture-centric narrative in health promotion, to elicit the participants responses to the stories regarding the underlying structural ingredients. Analysis: We will use SPSS 22.0 to manage data and conduct univariate and correlation to describe distributions of variables and relations among them. Non-parametric tests will be conducted to evaluate changes in scores over time. Nursing Implications: This storytelling intervention provides a noninvasive, easy-to-deliver, inexpensive, and holistic way for nurses to promote healthy outcomes in a vulnerable and underserved population at a high risk of developing HPV-associated cancers and diseases.
Effective start/end date9/1/168/31/18


  • American Nurses Foundation: $5,000.00


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