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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Arends


HPV vaccine, text message, reminder, parental education


Background: Human papillomavirus (HPV) is the most commonly spread disease among scientifically recognized sexually transmitted infections. It is associated with more than 33,000 new cases of reproductive cancers annually in the United States. Though approximately 40% of all new cases occur in adolescents, completion rates of the HPV vaccination series remain inadequate. Methods: At a rural pediatric clinic, parents of adolescents aged 11-18 years (n = 14) completed HPV vaccine education and had the opportunity to receive text message reminders for subsequent vaccine dosing over a sixmonth project period. A pretest questionnaire was used to measure baseline parental knowledge regarding HPV vaccination. Upon completion of the pretest questionnaire, a CDC educational handout was provided for review. Following review of the educational handout, a posttest questionnaire was administered to measure knowledge improvement. A Call-Em-All automated reminder system was utilized to send text message reminders for subsequent vaccine doses to enhance vaccine adherence. Results: A signed-rank test comparing mean pretest and posttest knowledge achieved statistical significance for knowledge improvement (p = 0.0098). A chi-square test of independent variables comparing the total number of HPV vaccines administered during the project period to the same time period one year prior achieved statistical significance for increased HPV vaccine administration (p = 0.0003). Discussion: Project results support routine use of HPV vaccine parental education in a rural pediatric clinic. An extended project period may have optimized data collection to support the use of text message reminders for subsequent HPV vaccine dosing.

Library of Congress Subject Headings

Papillomavirus vaccines
Papillomavirus diseases -- Vaccinations
Papillomavirus diseases -- Prevention
Sexually transmitted disease vaccines
Rural parents -- Attitudes
Teenagers -- Diseases -- Prevention
Health education
Wireless communication systems in medical care


Includes bibliographical references (pages 87-96)



Number of Pages



South Dakota State University


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