# An Intervention to Increase Knowledge about HPV in Alabama's Black Belt Counties

> **NIH NIH U54** · TUSKEGEE UNIVERSITY · 2024 · $361,597

## Abstract

PROJECT SUMMARY
In the US, human papillomavirus (HPV) vaccines have the potential to prevent 33,700 HPV cancers each
year, but vaccine coverage rates remain low in the southeast, which has the highest rates of HPV-related
cancers. Vaccination rates are particularly low in Alabama. Vaccines for Children (VFC), a program
administered by the Centers for Disease Control and Prevention (CDC), provides free vaccines for
administration to children under 18 years and who are enrolled in Medicaid or are uninsured. Adults aged 19-
45 enrolled in Medicaid or uninsured are eligible to receive free HPV vaccine through the Family Planning
Program of the Alabama Department of Public Health (ADPH). To improve the benefits of these programs in
Alabama’s Barbour, Bullock, Lowndes, and Macon Counties, we will conduct a health communication
campaign targeting adults ages18 and older to explore the use of these programs through primary care
physicians and local health centers as HPV vaccination sites. We have developed an electronic application
(app), Protect Me from HPV, to help participants access information about HPV and HPV-related cancers, and
to complete surveys. The Apple store and the office of External Affairs and General Counsel at Tuskegee
University (TU), approved the app. Patent acquisition for this application is in progress. We developed an
anonymous 44-item survey to identify barriers/facilitators to HPV vaccination, it will be distributed within these
counties by TU specific-investigators, 2 primary care physicians, and 9 local health centers, which were
identified in these counties through the ADPH as VFC and Family Planning Programs providers. From each
facility, 5-15 physicians, nurses, and staff members will be invited to complete the survey, which will include
questions covering general services offered, current HPV vaccines administered and frequency of
administration, workflows supporting vaccination and participation in these programs, whether/how they
recommend the HPV vaccine, how their patients currently obtain such vaccines and barriers/facilitators to
HPV vaccination. Second, we will utilize 70-item-pre- and 63-item-post-surveys during short and long-term
educational interventions. This study will take place in each county. We will use results from the analysis
of initial surveys from a one-day short-term educational intervention to revise the educational strategies based
on participants’ feedback. In each county, a 2nd 63-item post-survey will be administered 3 months after the
first workshop and once a year for 4 years in each county to evaluate the effect of long-term education
intervention. During this period, HPV health communication campaigns targeting participants will be
continued. Third, the feasibility test will allow us to identify areas for improvement of the app. Our goal is to
improve HPV vaccination rates in Alabama’s Black Belt Counties (BBCs). The proposed research will provide
a foundation to explore the use of communi...

## Key facts

- **NIH application ID:** 10933029
- **Project number:** 5U54MD007585-33
- **Recipient organization:** TUSKEGEE UNIVERSITY
- **Principal Investigator:** Ehsan Abdalla
- **Activity code:** U54 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $361,597
- **Award type:** 5
- **Project period:** 1997-07-07 → 2028-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10933029

## Citation

> US National Institutes of Health, RePORTER application 10933029, An Intervention to Increase Knowledge about HPV in Alabama's Black Belt Counties (5U54MD007585-33). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10933029. Licensed CC0.

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