2023-09-28 14:46:10 +00:00
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abstract: 'Background: The high morbidity, mortality, and economic burden
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attributed to cancer-causing human papillomavirus (HPV) call for
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researchers to address this public health concern through HPV
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vaccination. Disparities of HPV-associated cancers in Vietnamese and
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Korean Americans exist, yet their vaccination rates remain low. Evidence
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points to the importance of developing culturally and linguistically
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congruent interventions to improve their HPV vaccination rates. We
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adopted digital storytelling (DST) that combines oral storytelling with
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computer-based technology (digital images, audio recording, and music)
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as a promising approach for facilitating the communication of culturally
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relevant health messages.Objective: This study aimed to (1) assess the
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feasibility and acceptability of intervention development through DST
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workshops, (2) conduct an in-depth analysis of the cultural experience
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that shapes HPV attitudes, and (3) explore aspects of the DST workshop
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experience that could inform future formative and intervention work.
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Methods: Through community partners, social media, and snowball
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sampling, we recruited 2 Vietnamese American and 6 Korean American
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mothers (mean age 41.4, SD 5.8 years) who had children vaccinated
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against HPV. Three virtual DST workshops were conducted between July
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2021 and January 2022. Our team supported mothers to develop their own
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stories. Mothers completed web-based surveys before and after the
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workshop and provided feedback on each other''s story ideas and the
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workshop experience. We used descriptive statistics to summarize
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quantitative data and constant comparative analysis to analyze
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qualitative data collected in the workshop and field notes.Results:
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Eight digital stories were developed in the DST workshops. They were
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well accepted, and the mothers showed overall satisfaction and relevant
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indicators (eg, would recommend it to others, would attend a similar
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workshop, it was worth their time; mean 4.2-5, range 1-5). Mothers found
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the process rewarding and appreciated the opportunity to share their
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stories in group settings and learn from each other. The 6 major themes
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that emerged from the data reflect the mothers'' rich personal
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experiences, attitudes, and perceptions about their child''s HPV
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vaccination, which included (1) showing parents'' love and
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responsibility; (2) HPV and related knowledge, awareness, and attitudes;
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(3) factors influencing vaccine decision-making; (4) source of
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information and information sharing; (5) response to children''s being
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vaccinated; and (6) cultural perspectives on health care and HPV
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vaccination.Conclusions: Our findings suggest that a virtual DST
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workshop is a highly feasible and acceptable approach to engaging
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Vietnamese American and Korean American immigrant mothers in developing
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culturally and linguistically congruent DST interventions. Further
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research is needed to test the efficacy and effectiveness of digital
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stories as an intervention for Vietnamese American and Korean American
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mothers of unvaccinated children. This process of developing an
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easy-to-deliver, culturally and linguistically aligned, and holistic
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web-based DST intervention can be implemented with other populations in
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other languages.'
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affiliation: 'Kim, SW (Corresponding Author), Arizona State Univ, Edson Coll Nursing
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\& Hlth Innovat, 500 N 3rd St MC 3020, Phoenix, AZ 85004 USA.
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Kim, Sunny Wonsun; Chen, Angela Chia -Chen; Ou, Lihong; Larkey, Linda; Todd, Michael;
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Han, Yooro, Arizona State Univ, Edson Coll Nursing \& Hlth Innovat, 500 N 3rd St
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MC 3020, Phoenix, AZ 85004 USA.
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Kim, Sunny Wonsun, Arizona State Univ, Edson Coll Nursing \& Hlth Innovat, 500 N
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3rd St MC 3020, Phoenix, AZ 85004 USA.'
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article-number: e45696
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author: Kim, Sunny Wonsun and Chen, Angela Chia -Chen and Ou, Lihong and Larkey, Linda
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and Todd, Michael and Han, Yooro
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author-email: Sunny.Kim@asu.edu
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author_list:
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- family: Kim
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given: Sunny Wonsun
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- family: Chen
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given: Angela Chia -Chen
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- family: Ou
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given: Lihong
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- family: Larkey
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given: Linda
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- family: Todd
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given: Michael
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- family: Han
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given: Yooro
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da: '2023-09-28'
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doi: 10.2196/45696
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eissn: 2561-326X
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files: []
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journal: JMIR FORMATIVE RESEARCH
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keywords: 'Vietnamese; Korean; Asia; cultural; digital storytelling; storytelling;
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story; stories; HPV; vaccine; vaccination; feasibility; digital
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intervention; mortality rate; ratio; odd; rate; deep analysis; social
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media; child; immigrant; mother; immunization; inoculation; inoculate;
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communication; culture; language; human papillomavirus; photo; video;
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digital; microphone; conversation; dialogue; Research Electronic Data
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Capture; voiceover; soundtrack; writing; write; script; health status;
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health insurance; survey; questionnaire; qualitative; constructivist;
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constructivism'
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keywords-plus: HPV VACCINE; KNOWLEDGE; BEHAVIOR; ONLINE; WOMEN
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language: English
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number-of-cited-references: '43'
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orcid-numbers: 'Kim, Sunny Wonsun/0000-0002-2926-2712
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Todd, Michael/0000-0002-1981-4245
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CHEN, ANGELA CHIA-CHEN/0000-0001-9153-7054
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Ou, Lihong/0000-0002-4104-7935'
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papis_id: ac207a61784709b6d7e39a6e48db3493
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ref: Kim2023developingculturally
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researcherid-numbers: Ou, Lihong/GPW-9210-2022
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times-cited: '0'
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title: 'Developing a Culturally and Linguistically Congruent Digital Storytelling
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Intervention in Vietnamese and Korean American Mothers of Human Papillomavirus-Vaccinated
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Children: Feasibility and Acceptability Study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001021685600002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '7'
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web-of-science-categories: Health Care Sciences \& Services; Medical Informatics
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year: '2023'
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