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Speech bots can improve human papillomavirus (HPV) vaccination rates by overcoming communication barriers. A hybrid model combining motivational interviewing and theory-based approaches shows promise for future automated HPV vaccination counseling.

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Area of Science:

  • Public Health
  • Health Communication
  • Digital Health

Background:

  • Human papillomavirus (HPV) vaccination prevents several cancers, yet uptake remains suboptimal.
  • Effective patient-provider communication is crucial for vaccination but faces clinical barriers.
  • Speech bots offer a potential solution to enhance HPV vaccination counseling and uptake.

Purpose of the Study:

  • To develop and evaluate conversational strategies for speech bots delivering HPV vaccination counseling to young adults.
  • To compare the usability and effectiveness of motivational interviewing (MI) versus theory-based approaches.
  • To inform the development of a hybrid conversational model for automated HPV vaccination support.

Main Methods:

  • A "conversation first" design approach was used to create speech bot interactions.
  • Two counseling strategies, MI and theory-based, were piloted using Wizard of Oz experiments.
  • The study involved 24 young adult females.

Main Results:

  • Motivational interviewing (MI) demonstrated higher usability compared to the theory-based approach.
  • The theory-based approach significantly improved participants' beliefs and attitudes towards the HPV vaccine.
  • Preliminary findings support a hybrid model for enhanced HPV vaccination communication.

Conclusions:

  • Speech bots show potential for delivering effective HPV vaccination counseling.
  • A hybrid conversational model integrating MI and theory-based strategies is recommended for future development.
  • Automated speech bots could help overcome barriers and increase HPV vaccination rates.