Evaluación de la fidelidad de una intervención educativa para la prevención del Virus del Papiloma Humano en adolescentes
DOI:
https://doi.org/10.29166/rfcmq.v50i3.8406Palabras clave:
virus del papiloma humano, adolescente;, intervención educativa, evaluación educacional, supervisión de la fidelidadResumen
transmisión sexual más prevalentes, con implicaciones significativas para
la salud pública. La adolescencia es una etapa clave para implementar
intervenciones educativas preventivas que promuevan conductas sexuales
responsables. Por tanto, se planteó el objetivo de evaluar la fidelidad de una
intervención educativa para la prevención del virus del papiloma humano
en adolescentes.
Material y métodos: Se llevó a cabo un estudio no experimental descriptivo
de tipo transversal a una muestra de 393 estudiantes de nivel secundaria de
14 años de edad seleccionados por conveniencia. La intervención consistió
en sesiones educativas participativas con enfoque en derechos sexuales y
reproductivos. La fidelidad de la intervención fue evaluada considerando
la tasa de retención, tasa de cumplimiento y se aplicó la escala evaluación
de los participantes al instructor y a la calidad del programa para medir la
aceptabilidad y satisfacción de los participantes en una escala tipo Likert
donde uno sugiere poca satisfacción y cinco muy satisfecho.
Resultados: Los resultados sugieren que el programa de prevención de VPH
se implementó con éxito, mostrando una tasa promedio de cumplimiento
de sesiones, de 89,11%, una tasa de aceptabilidad del 97,7% y una alta
satisfacción (M=4,502, DE=0,627) de los participantes con el contenido, las
actividades y los facilitadores fueron bien recibidos y se adaptaron a sus
necesidades.
Discusión:
Conclusiones: La estructura y el diseño del programa de intervención son
efectivos y viables para evaluar si la intervención realmente está logrando
su objetivo principal.
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Flood T, Wilson IM, Prue G, McLaughlin M, Hughes CM. Impact of school-based educational interventions in middle adolescent populations (15-17yrs) on human papillomavirus (HPV) vaccination uptake and perceptions/knowledge of HPV and its associated cancers: A systematic review. Prev Med (Baltim). 2020 Oct;139:106168.
Jankowski M, Grudziąż-Sękowska J, Wrześniewska-Wal I, Tyszko P, Sękowski K, Ostrowski J, et al. National HPV Vaccination Program in Poland—Public Awareness, Sources of Knowledge, and Willingness to Vaccinate Children against HPV. Vaccines (Basel). 2023 Aug 16;11(8):1371.
Rodriguez SA, Mullen PD, Lopez DM, Savas LS, Fernández ME. Factors associated with adolescent HPV vaccination in the U.S.: A systematic review of reviews and multilevel framework to inform intervention development. Prev Med (Baltim). 2020 Feb;131:105968.
Escoffery C, Petagna C, Agnone C, Perez S, Saber LB, Ryan G, et al. A systematic review of interventions to promote HPV vaccination globally. BMC Public Health. 2023 Jun 29;23(1):1262.
López N, Garcés-Sánchez M, Panizo MB, de la Cueva IS, Artés MT, Ramos B, et al. HPV knowledge and vaccine acceptance among European adolescents and their parents: a systematic literature review. Public Health Rev. 2020 Dec 14;41(1):10.
Ou L, Youngstedt SD. The Role of Vaccination Interventions to Promote HPV Vaccine Uptake Rates in a College-Aged Population: a Systematic Review. Journal of Cancer Education. 2022 Apr 21;37(2):244–50.
Al Shdefat S, Al Awar S, Osman N, Khair H, Sallam G, Maki S. Identification Level of Awareness and Knowledge of Emirati Men about HPV. J Healthc Eng. 2022 Mar 21;2022:1–10.
López N, Garcés-Sánchez M, Panizo MB, de la Cueva IS, Artés MT, Ramos B, et al. HPV knowledge and vaccine acceptance among European adolescents and their parents: a systematic literature review. Public Health Rev. 2020 Dec 14;41(1):10.
Sethi S, Santiago PHR, Soares GH, Ju X, Antonsson A, Canfell K, et al. Development and validation of an HPV infection knowledge assessment scale among Aboriginal and Torres Strait Islander Peoples. Vaccine X. 2023 Aug;14:100317.
Santa Maria D, Markham C, Misra SM, Coleman DC, Lyons M, Desormeaux C, et al. Effects of a randomized controlled trial of a brief, student-nurse led, parent-based sexual health intervention on parental protective factors and HPV vaccination uptake. BMC Public Health. 2021 Dec 24;21(1):585.
Escoffery C, Petagna C, Agnone C, Perez S, Saber LB, Ryan G, et al. A systematic review of interventions to promote HPV vaccination globally. BMC Public Health. 2023 Jun 29;23(1):1262.
Smith JS, Gilbert PA, Melendy A, Rana RK, Pimenta JM. Age-Specific Prevalence of Human Papillomavirus Infection in Males: A Global Review. Journal of Adolescent Health. 2011 Jun;48(6):540–52.
Smith JS, Melendy A, Rana RK, Pimenta JM. Age-Specific Prevalence of Infection with Human Papillomavirus in Females: A Global Review. Journal of Adolescent Health. 2008 Oct;43(4):S5.e1-S5.e62.
Viñas-Sifontes Leida, CRMavel, CCMaigret. Papiloma virus humano en adolescentes y jóvenes menores de 25 años. Revista Archivo Médico de Camagüey. 2020 Jun 1;24(3):360–70.
Alarcón-Romero L del C, Organista-Nava J, Gómez-Gómez Y, Ortiz-Ortiz J, Hernández-Sotelo D, del Moral-Hernández O, et al. Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico. Cancer Control. 2022 Jan 24;29:107327482211033.
Saldaña-Rodríguez P, Bahena-Román M, Delgado-Romero K, Madrid-Marina V, Torres-Poveda K. Prevalence and Risk Factors for High-Risk Human Papillomavirus Infection and Cervical Disorders: Baseline Findings From an Human Papillomavirus Cohort Study. Cancer Control. 2023 Apr 26;30.
Comerlato J, Kops NL, Bessel M, Horvath JD, Fernandes BV, Villa LL, et al. Sex differences in the prevalence and determinants of HPV-related external genital lesions in young adults: a national cross-sectional survey in Brazil. BMC Infect Dis. 2020 Dec 18;20(1):683.
Manyere NR, Dube Mandishora RS, Magwali T, Mtisi F, Mataruka K, Mtede B, et al. Human papillomavirus genotype distribution in genital warts among women in Harare-Zimbabwe. J Obstet Gynaecol (Lahore). 2020 Aug 17;40(6):830–6.
Sethi S, Santiago PHR, Soares GH, Ju X, Antonsson A, Canfell K, et al. Development and validation of an HPV infection knowledge assessment scale among Aboriginal and Torres Strait Islander Peoples. Vaccine X. 2023 Aug;14:100317.
Das M. WHO launches strategy to accelerate elimination of cervical cancer. Lancet Oncol. 2021 Jan;22(1):20–1.
Espina C, Herrero R, Sankaranarayanan R, Krug E, Wild CP, Schüz J. Toward the World Code Against Cancer. J Glob Oncol. 2018 Sep;4:1–8.
Feliu A, Finck C, Lemos M, Bahena Botello A, de Albuquerque Melo Nogueira F, Bonvecchio Arenas A, et al. Latin America and the Caribbean Code Against Cancer 1st edition: Building capacity on cancer prevention to primary healthcare professionals. Cancer Epidemiol. 2023 Oct;86:102400.
Herrero R, Carvajal LJ, Camargo MC, Riquelme A, Porras C, Ortiz AP, et al. Latin American and the Caribbean Code Against Cancer 1st edition: Infections and cancer. Cancer Epidemiol. 2023 Oct;86:102435.
Fishbein M. A Reasoned Action Approach to Health Promotion. Medical Decision Making. 2008 Nov 17;28(6):834–44.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991 Dec;50(2):179–211.
Perez S, Tatar O, Gilca V, Shapiro GK, Ogilvie G, Guichon J, et al. Untangling the psychosocial predictors of HPV vaccination decision-making among parents of boys. Vaccine. 2017 Aug;35(36):4713–21.
Maness SB, Reitzel LR, Watkins KL, McNeill LH. HPV Awareness, Knowledge and Vaccination Attitudes among Church-going African-American Women. Am J Health Behav. 2016 Nov 1;40(6):771–8.
García-Vázquez J. La educación sexual: ¿en tutorías o curricular? Magister. 2021 Dec 1;25–32.
Lorencatto F, Gould NJ, McIntyre SA, During C, Bird J, Walwyn R, et al. A multidimensional approach to assessing intervention fidelity in a process evaluation of audit and feedback interventions to reduce unnecessary blood transfusions: a study protocol. Implementation Science. 2016 Dec 12;11(1):163.
Bettencourt AF, Gross D, Breitenstein S. Evaluating Implementation Fidelity of a School-Based Parenting Program for Low-Income Families. The Journal of School Nursing. 2019 Oct 11;35(5):325–36.
Beck AK, Baker AL, Britton B, Lum A, Pohlman S, Forbes E, et al. Adapted motivational interviewing for brief healthcare consultations: A systematic review and meta‐analysis of treatment fidelity in real‐world evaluations of behaviour change counselling. Br J Health Psychol. 2023 Nov 4;28(4):972–99.
MacLean JA, Stegenga KA, Henley AK, Robb SL. Implementing NIH Behavior Change Consortium Treatment Fidelity Recommendations in a Multi-Site Randomized Controlled Trial of an Active Music Engagement Intervention for Young Children with Cancer and Parents. Integr Cancer Ther. 2022 Jan 12;21:153473542211404.
Borrelli B. The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. J Public Health Dent. 2011 Jan 18;71(s1).
Bellg AJ, Borrelli B, Resnick B, Hecht J, Minicucci DS, Ory M, et al. Enhancing Treatment Fidelity in Health Behavior Change Studies: Best Practices and Recommendations From the NIH Behavior Change Consortium. Health Psychology. 2004;23(5):443–51.
Borrelli B, Sepinwall D, Ernst D, Bellg AJ, Czajkowski S, Breger R, et al. A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research. J Consult Clin Psychol. 2005 Oct;73(5):852–60.
Ang K, Hepgul N, Gao W, Higginson IJ. Strategies used in improving and assessing the level of reporting of implementation fidelity in randomised controlled trials of palliative care complex interventions: A systematic review. Palliat Med. 2018 Feb 10;32(2):500–16.
Campbell M. Framework for design and evaluation of complex interventions to improve health. BMJ. 2000 Sep 16;321(7262):694–6.
Lichstein KL, Riedel BW, Grieve R. Fair tests of clinical trials: A treatment implementation model. Advances in Behaviour Research and Therapy. 1994 Jan;16(1):1–29.
Moncher FJ, Prinz RJ. Treatment fidelity in outcome studies. Clin Psychol Rev. 1991 Jan;11(3):247–66.
Dufrene BA, Noell GH, Gilbertson DN, Duhon GJ. Monitoring Implementation of Reciprocal Peer Tutoring: Identifying and Intervening With Students Who Do Not Maintain Accurate Implementation. School Psych Rev. 2005 Mar 1;34(1):74–86.
Henggeler SW, Melton GB, Brondino MJ, Scherer DG, Hanley JH. Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. J Consult Clin Psychol. 1997;65(5):821–33.
Clark A, Breitenstein S, Martsolf DS, Winstanley EL. Assessing Fidelity of a Community‐Based Opioid Overdose Prevention Program: Modification of the Fidelity Checklist. Journal of Nursing Scholarship. 2016 Jul 4;48(4):371–7.
Sanders MR, Spry CS, Tellegen CL, Kirby JN, Metzler CM, Prinz RJ. Development and Validation of Fidelity Monitoring and Enhancement in an Evidence-Based Parenting Program. J Behav Health Serv Res. 2020 Oct 31;47(4):569–80.
Hasson H. Systematic evaluation of implementation fidelity of complex interventions in health and social care. Implementation Science. 2010 Dec 3;5(1):67.
Carroll C, Patterson M, Wood S, Booth A, Rick J, Balain S. A conceptual framework for implementation fidelity. Implementation Science. 2007 Dec 30;2(1):40.
Dusenbury L. A review of research on fidelity of implementation: implications for drug abuse prevention in school settings. Health Educ Res. 2003 Apr 1;18(2):237–56.
Gearing RE, El-Bassel N, Ghesquiere A, Baldwin S, Gillies J, Ngeow E. Major ingredients of fidelity: A review and scientific guide to improving quality of intervention research implementation. Clin Psychol Rev. 2011 Feb;31(1):79–88.
Lipsey MW, Cordray DS. Evaluation Methods for Social Intervention. Annu Rev Psychol. 2000 Feb;51(1):345–75.
Hulscher MEJL. Process evaluation on quality improvement interventions. Qual Saf Health Care. 2003 Feb 1;12(1):40–6.
Ellis DA, Naar-King S, Templin T, Frey MA, Cunningham PB. Improving health outcomes among youth with poorly controlled type I diabetes: The role of treatment fidelity in a randomized clinical trial of multisystemic therapy. Journal of Family Psychology. 2007 Sep;21(3):363–71.
Gearing RE, El-Bassel N, Ghesquiere A, Baldwin S, Gillies J, Ngeow E. Major ingredients of fidelity: A review and scientific guide to improving quality of intervention research implementation. Clin Psychol Rev. 2011 Feb;31(1):79–88.
Toomey E, Hardeman W, Hankonen N, Byrne M, McSharry J, Matvienko-Sikar K, et al. Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions. Health Psychol Behav Med. 2020 Jan 1;8(1):132–51.
Campbell BK. Fidelity in public health clinical trials: considering provider‐participant relationship factors in community treatment settings. J Public Health Dent. 2011 Jan 18;71(s1).
Gaete V. Desarrollo psicosocial del adolescente. Rev Chil Pediatr. 2015 Nov;86(6):436–43.
Gutgesell ME, Payne N. Issues of Adolescent Psychological Development in the 21st Century. Pediatr Rev. 2004 Mar 1;25(3):79–85.
Grove SK, Gray JR. Investigación en enfermería. Desarrollo de la práctica enfermera basada en la evidencia. 7th ed. DRK EDICIÓN SL, editor. Barcelona, España : Elsevier, Inc.; 2019. 1–487 p.
Feeley N, Cossette S, Côté J, Héon M, Stremler R, Martorella G, et al. The importance of piloting an RCT intervention. Can J Nurs Res. 2009 Jun;41(2):85–99.
Breitenstein SM, Fogg L, Garvey C, Hill C, Resnick B, Gross D. Measuring Implementation Fidelity in a Community-Based Parenting Intervention. Nurs Res. 2010 May;59(3):158–65.
Resnick B, Bellg AJ, Borrelli B, De Francesco C, Breger R, Hecht J, et al. Examples of implementation and evaluation of treatment fidelity in the BCC studies: Where we are and where we need to go. Annals of Behavioral Medicine. 2005 Apr 1;29(2):46–54.
Johnson-Kozlow M, Hovell MF, Rovniak LS, Sirikulvadhana L, Wahlgren DR, Zakarian JM. Fidelity issues in secondhand smoking interventions for children. Nicotine & Tobacco Research. 2008 Dec 1;10(12):1677–90.
Orozco C, Moreno M, Gómez M. Intervencion educativa para incrementar la conducta sexual protector para VPH en adolescentes [Tesis ]. [Monterrey, Nuevo ]: Universidad Autónoma de Nuevo León ; 2018.
Auslander BA, Meers JM, Short MB, Zimet GD, Rosenthal SL. A qualitative analysis of the vaccine intention–behaviour relationship: parents’ descriptions of their intentions, decision-making behaviour and planning processes towards HPV vaccination. Psychol Health. 2019 Mar 4;34(3):271–88.
Nguyen LTP, Phan DQ, Gyan A, Nguyen HTN, Cassell D, Huynh G. Parents’ Intentions of Human Papillomavirus Vaccination for Students in Vietnam: A Cross-Sectional Study. Cancer Control. 2024 Jan 13;31.
Foster CE, Brennan G, Matthews A, McAdam C, Fitzsimons C, Mutrie N. Recruiting participants to walking intervention studies: a systematic review. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):137.
Santa Maria D, Markham C, Misra SM, Coleman DC, Lyons M, Desormeaux C, et al. Effects of a randomized controlled trial of a brief, student-nurse led, parent-based sexual health intervention on parental protective factors and HPV vaccination uptake. BMC Public Health. 2021 Dec 24;21(1):585.
Sidani S, Braden C. Outcome Evaluation: Methods. In: Jhon Wiley and Sons Ltd, editor. Nursing and Health Interventions . 2nd ed. Hoboken Nueva Jersey, USA: Wiley Blackwell; 2021. p. 355–94.
Yeaton WH, Sechrest L. Critical dimensions in the choice and maintenance of successful treatments: Strength, integrity, and effectiveness. J Consult Clin Psychol. 1981;49(2):156–67.
García-Vázquez J, Ordóñez AL, Álvarez y ÓS. Evaluación de proceso del programa de educación afectivo-sexual Ni ogros ni princesas. Glob Health Promot. 2012 Jun 15;19(2):78–86.
Jiménez-López A, Choya-Sánchez I, Valle-Núñez R, Díez-González S, Gutiérrez-Díez C, Rodríguez-Alonso A, et al. Educación en sexualidades. Ni ogros ni princesas: guía didáctica para los talleres externos. Consejería de Salud del Principado de Asturias, editor. Asturias, España; 2022. 1–43 p.
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Derechos de autor 2025 Jaime Adalberto Garcia Inzunza, Dora Julia Onofre Rodriguez , Raquel Benavides Torres , Delfino Hernández Garcia
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
