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A Randomized Trial of Digital Interventions to Increase HPV Vaccination Intentions Among Nigerian Caregivers

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This study evaluates whether different types of digital health communication can increase parents' intention to vaccinate their daughters against human papillomavirus (HPV) in Nigeria. HPV vaccination is recommended for girls aged 9-14 years and helps prevent cervical cancer, yet vaccination rates remain low. Parents of eligible, unvaccinated girls will be randomly assigned to receive one of several types of digital content delivered online. These include: (1) a short chatbot conversation based on motivational interviewing principles, (2) an interactive game designed to help parents recognize and resist common forms of vaccine misinformation, (3) a set of short edutainment videos about HPV vaccination, (4) standard informational infographics about HPV vaccination from a national public health agency, or (5) unrelated health content about menstruation. The main outcome is parents' self-reported intention to vaccinate their daughter against HPV, measured immediately and one week after exposure to the assigned content. Additional outcomes include HPV-related knowledge, perceptions of vaccine safety, willingness to recommend the vaccine to others, and self-reported vaccine uptake at 1-week and 6 month follow-up. The results will help inform scalable communication strategies to improve HPV vaccination uptake in low- and middle-income settings.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 27
Healthy Volunteers: t
View:

• Parent or primary caregiver of at least one girl aged 9-14 years

• Parent states no or unsure to question asking if eligible daughter has received any doses of the HPV vaccine

• Provides informed consent to participate

Locations
Other Locations
Nigeria
Online study
RECRUITING
Lagos
Time Frame
Start Date: 2026-05-07
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 3340
Treatments
Experimental: Chatbot counseling arm
A brief motivational-interviewing-style chatbot dialogue adapted from WHO vaccination counseling guidance
Experimental: Misinformation-resistance pre-bunking inoculation arm
A short interactive game (approximately 3-5 minutes) designed to build resistance to HPV vaccine misinformation
Experimental: Short edutainment arm
5-6 brief edutainment videos (total viewing time approximately 10-15 minutes) providing HPV vaccine information tailored to the Nigerian context
Active_comparator: Standard infographic control arm
Existing infographics on HPV vaccination from Nigeria's National Primary Health Care Development Agency (NPHCDA)
No_intervention: Unrelated content control arm
Series of infographics on menstruation from Nigeria's Menstrual Health Advocacy Consortium
Sponsors
Collaborators: World Bank Group
Leads: University of Pennsylvania

This content was sourced from clinicaltrials.gov