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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

S. Jo. Gibson


HPV, human papillomavirus, vaccination, sexually transmitted infection, cancer, education, parent, intent, adolescent, primary care


Problem: Human Papillomavirus (HPV) is a sexually transmitted infection that can eventually lead to cancer. A safe and effective vaccine is available for adolescent males and females to protect against HPV infection. Healthy People 2020 has set a goal of 80% vaccination among 13-17 year olds. However, complete HPV vaccination rates are considerably low both nationally and within a rural Midwest county. Current literature cites several barriers among parents contributing to these low rates. Purpose: This quality improvement project developed an evidence-based educational intervention based on these barriers to improve HPV-related knowledge and intent to vaccinate among parents of adolescents. Methods: An educational intervention was presented to 35 parents, representing 57 seventh to 12th grade students enrolled in a rural Midwest junior/senior high school during parent-teacher conferences. A one-group pre-test post-test design was used to measure parental HPV-related knowledge and intent to vaccinate before and after review of an evidence-based educational brochure. Results: Post-intervention knowledge measures for questions 1-5 (p = .0000) and questions 8-10 (p = .015) showed statistically significant improvements in knowledge. Post intervention intent to vaccinate significantly increased with a critical value of 40 and test statistic of 14. Conclusions: The implementation of this evidence-based quality improvement project was successful in improving HPV-related knowledge and intent to vaccinate among parents of 7th to 12th grade students and may positively influence future vaccination rates.

Library of Congress Subject Headings

Papillomaviruses -- Prevention
Papillomavirus vaccines
Sexually transmitted diseases
Health education
Teenagers -- Diseases


Includes bibliographical references (pages 84-91)



Number of Pages



South Dakota State University


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