Assessing the Effectiveness of Web-Based Modules on Human Papillomavirus Among Dental and Dental Hygiene Students

Overview

Journal J Cancer Educ

Publisher Springer

Specialties Medical Education
Oncology

Date 2022 Mar 17

PMID 35296971

Authors

Anubhuti Shukla

Aparna Chintapalli

Mohammed Khader Alisha Bin Ahmed

Kelly Welch

Alessandro Villa

Affiliations

Soon will be listed here.

Abstract

Literature suggests that deficiencies among dental professional students in both knowledge and awareness of human papillomavirus (HPV) and its association with oropharyngeal cancers (OPC), as well as its risk factors implicating the prevalence of HPV, may be due to the lack of HPV-related education during professional schooling. The aim of this study was to assess the effectiveness of an online learning tool to educate dental and dental hygiene students about HPV and its association with OPC, rapidly evolving disease patterns, and dental professionals' role in HPV-associated OPC prevention efforts. A three-section online learning module was developed to improve dental professionals' comfort levels with, and knowledge of, HPV. The participants were recruited to participate in surveys before and after the intervention. Descriptive statistics and chi-square analysis were computed to study the effectiveness of the modules in improving the knowledge of students about this topic. Pre-intervention survey participants totaled 142, and 107 participants answered the post-intervention survey. The majority of the study participants had some baseline understanding of HPV prior to accessing the modules. After reviewing the modules, there was a statistically significant increase in the proportion of respondents who identified OPC (p = 0.01), vaginal cancer (0.02), vulvar cancer (0.04), and penile cancer (0.01) as associated with HPV. A gap in the understanding of HPV vaccine-eligible groups was noted in almost half of the participants; while most participants could correctly identify that boys and girls aged 9-12 years were eligible to get the vaccine, the gap in knowledge in this regard was related to "25-year-old with an abnormal pap result." Due to the evolving nature of this topic, there is a need to find new and effective methods of disseminating HPV-related information among the existing and future dental workforce.

Citing Articles

A Cohort Study Exploring HPV Vaccination Beliefs Among Oral Health Providers: Broadening the Scope of Education and Administration.

Brechtel L, Kilgore L, Oyedeji O, Mastronardi A, Carlson E, Zite N Vaccines (Basel). 2025; 12(12.

PMID: 39771993 PMC: 11680363. DOI: 10.3390/vaccines12121331.

Graduate and Health Professional Student Knowledge, Attitudes, Beliefs, and Behavior Related to Human Papillomavirus and Human Papillomavirus Vaccination: A Scoping Review of the Literature.

Gautreaux J, Pittman E, LaPorte K, Yang J, Barnard M Vaccines (Basel). 2024; 12(5).

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References

Walker T, Elam-Evans L, Yankey D, Markowitz L, Williams C, Fredua B . National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13-17 Years - United States, 2018. MMWR Morb Mortal Wkly Rep. 2019; 68(33):718-723. PMC: 6705894. DOI: 10.15585/mmwr.mm6833a2. View

Vazquez-Otero C, Vamos C, Thompson E, Merrell L, Griner S, Kline N . Assessing dentists' human papillomavirus-related health literacy for oropharyngeal cancer prevention. J Am Dent Assoc. 2017; 149(1):9-17. PMC: 5756503. DOI: 10.1016/j.adaj.2017.08.021. View

Daley E, DeBate R, Dodd V, Dyer K, Fuhrmann H, Helmy H . Exploring awareness, attitudes, and perceived role among oral health providers regarding HPV-related oral cancers. J Public Health Dent. 2011; 71(2):136-42. DOI: 10.1111/j.1752-7325.2011.00212.x. View

Lind E, Welch K, Perkins R . HPV-related cancer prevention through coalition building. Hum Vaccin Immunother. 2017; 13(10):2300-2306. PMC: 5647970. DOI: 10.1080/21645515.2017.1338983. View

Arrossi S, Temin S, Garland S, Eckert L, Bhatla N, Castellsague X . Primary Prevention of Cervical Cancer: American Society of Clinical Oncology Resource-Stratified Guideline. J Glob Oncol. 2017; 3(5):611-634. PMC: 5646902. DOI: 10.1200/JGO.2016.008151. View

Van Dyne E, Henley S, Saraiya M, Thomas C, Markowitz L, Benard V . Trends in Human Papillomavirus-Associated Cancers - United States, 1999-2015. MMWR Morb Mortal Wkly Rep. 2018; 67(33):918-924. PMC: 6107321. DOI: 10.15585/mmwr.mm6733a2. View

Gillison M, Chaturvedi A, Anderson W, Fakhry C . Epidemiology of Human Papillomavirus-Positive Head and Neck Squamous Cell Carcinoma. J Clin Oncol. 2015; 33(29):3235-42. PMC: 4979086. DOI: 10.1200/JCO.2015.61.6995. View

Kline N, Vamos C, Thompson E, Catalanotto F, Petrila J, DeBate R . Are dental providers the next line of HPV-related prevention? Providers' perceived role and needs. Papillomavirus Res. 2018; 5:104-108. PMC: 5887011. DOI: 10.1016/j.pvr.2018.03.002. View

Viens L, Henley S, Watson M, Markowitz L, Thomas C, Thompson T . Human Papillomavirus-Associated Cancers - United States, 2008-2012. MMWR Morb Mortal Wkly Rep. 2016; 65(26):661-6. DOI: 10.15585/mmwr.mm6526a1. View

10.

Daley E, Dodd V, DeBate R, Vamos C, Wheldon C, Kline N . Prevention of HPV-related oral cancer: assessing dentists' readiness. Public Health. 2014; 128(3):231-8. PMC: 4520232. DOI: 10.1016/j.puhe.2013.12.002. View

11.

Salous M, Bind M, Granger L, Johnson L, Welch K, Villa A . An educational intervention on HPV knowledge and comfortability discussing vaccination among oral health care professionals of the American Indian and Alaskan Native population. Hum Vaccin Immunother. 2020; 16(12):3131-3137. PMC: 8641582. DOI: 10.1080/21645515.2020.1752595. View

12.

Berenson A, Laz T, Rahman M . Reduction in Vaccine-Type Human Papillomavirus Prevalence Among Women in the United States, 2009-2012. J Infect Dis. 2016; 214(12):1961-1964. DOI: 10.1093/infdis/jiw515. View

13.

Menegaz A, Silva A, Cascaes A . Educational interventions in health services and oral health: systematic review. Rev Saude Publica. 2018; 52:52. PMC: 5953546. DOI: 10.11606/s1518-8787.2018052000109. View

14.

Stein A, Saha S, Kraninger J, Swick A, Yu M, Lambert P . Prevalence of Human Papillomavirus in Oropharyngeal Cancer: A Systematic Review. Cancer J. 2015; 21(3):138-46. PMC: 4459520. DOI: 10.1097/PPO.0000000000000115. View

15.

Hosking Y, Cappelli D, Donly K, Redding S . HPV Vaccination and the Role of the Pediatric Dentist: Survey of Graduate Program Directors. Pediatr Dent. 2017; 39(5):383-389. View

16.

Steinau M, Saraiya M, Goodman M, Peters E, Watson M, Cleveland J . Human papillomavirus prevalence in oropharyngeal cancer before vaccine introduction, United States. Emerg Infect Dis. 2014; 20(5):822-8. PMC: 4012803. DOI: 10.3201/eid2005.131311. View

17.

Lorenzo-Pouso A, Gandara-Vila P, Banga C, Gallas M, Perez-Sayans M, Garcia A . Human Papillomavirus-Related Oral Cancer: Knowledge and Awareness Among Spanish Dental Students. J Cancer Educ. 2018; 34(4):782-788. DOI: 10.1007/s13187-018-1373-1. View

18.

Rutkoski H, Fowler B, Mooney R, Pappas L, Dixon B, Pinzon L . Pilot Test of Survey to Assess Dental and Dental Hygiene Student Human Papillomavirus-Related Oropharyngeal Cancer Knowledge, Perceptions, and Clinical Practices. J Cancer Educ. 2017; 33(4):907-914. DOI: 10.1007/s13187-017-1165-z. View

19.

Trauger K, Stull C, Arnett M, Blue C, Flynn P . Human Papillomavirus Content Inclusion in Dental Hygiene Program Curricula in the United States. J Dent Hyg. 2021; 95(2):42-49. View

20.

Patel S, Koskan A, Spolarich A, Perry M, Flood T . Dental professionals' knowledge, attitudes, and practice behaviors related to human papillomavirus vaccination. J Public Health Dent. 2019; 80(1):61-69. DOI: 10.1111/jphd.12350. View