College of Science and Health Theses and Dissertations

Date of Award

Spring 6-12-2017

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Young Me Lee

Second Advisor

Josepth Tariman

Third Advisor

Linda Graf


Background: Infection with human papillomavirus (HPV), the sexually transmitted virus that causes cervical and penial cancer can be prevented. An effective vaccine has been approved for both boys and girls since 2006. Despite recommendation from the Center of Disease Control, vaccination initiation and completion rates among African American adolescents in the United States are lower than average in the nation.

Objectives: The purpose of this descriptive survey study was to identify African-American parents’ knowledge and perceptions of sexually transmitted HPV infection and the HPV vaccination. The secondary objective was to use a single-group pre-test post-test research design to examine the effectiveness of an HPV education program developed for African-American parents on HPV knowledge, perceptions, cultural influence and comfort level in discussing HPV with health care providers.

Methods: A descriptive, single-group pre-test post-test and HPV educational program research design was used. Pre-testing, post-testing and HPV educational program were administered face to face with a convenience sample of African American parents to assess their knowledge, perception and cultural influences toward HPV, the HPV vaccine and provider comfort.

Paired t test and descriptive statistics were used to analyze data.

Results: A total of 102 African American parents participated in this study. This study found a statistically significant relationship between African American parents, cultural influence and lack of knowledge as a barrier to healthcare and the HPV vaccine using paired t-test analysis

(p = 0.001). The cultural influence questionnaire had a mean of 14.76 (SD=1.68) indicating a strong correlation between the influence culture has with African Americans in making healthcare decisions for themselves and their children. The pre-and post-knowledge questionnaire had a mean of 4.29 (SD=2.59), the pre-and post-perception questionnaire had a mean of 2.63 (SD=1.81), indicating a positive trend in improved knowledge and perception towards the HPV vaccine after implementation of the developed HPV education program. The HPV education program had a mean of 4.78 (SD=.413) to the question that the HPV program gave motivation to parents to request the HPV vaccine for their child. These responses support a need for providers to consider the impact culture has on African American parents and the need to implement educational strategies to increase African American Parents regarding knowledge of HPV and the HPV vaccine in order to increase vaccination rates in this community.

Relevance to Clinical Practice:

Improving the knowledge of HPV infections in African American Parents can lead to improved health outcomes. Identifying educational and cultural barriers are key to improving educational interventions needed by healthcare providers in order to reach the African American parent population. Addressing noted barriers may improve the decision of African American parents to permit their children to receive and complete the much-needed HPV vaccination series.

SLP Collection


Included in

Nursing Commons