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Default policies and parents’ consent for school-located HPV vaccination

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Abstract

While defaults may encourage some health behaviors, how defaults influence controversial behaviors is not well understood. We examined the effect of two default policies on parents’ consent to have their adolescent sons hypothetically receive HPV vaccine at school. A national sample of 404 parents of adolescent sons participated in an online 3 × 2 between-subjects factorial experiment. Factors varied the default consent policy (opt-in, opt-out, or neutral) and the number of vaccines sons would receive (HPV vaccine alone or along with two other recommended adolescent vaccines). Among parents wanting to get their sons HPV vaccine in the next year, consent was higher in the opt-in condition (compared to the opt-out condition) or if other recommended adolescent vaccines would be included. Default policies had no effect among parents undecided about HPV vaccination. Parents’ consent for school-located HPV vaccination may be higher when presented as an opt-in decision and other vaccines are included.

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Acknowledgments

Supported by a research grant from the Investigator-Initiated Studies Program of Merck Sharp and Dohme Corp. The opinions expressed in this paper are those of the authors and do not necessarily represent those of Merck Sharp and Dohme Corp. Additional support provided by the American Cancer Society (MSRG-06-259-01-CPPB) and the Cancer Control Education Program at UNC Lineberger Comprehensive Cancer Center (R25 CA57726).

Conflict of interest

A research grant to Paul L. Reiter and Noel T. Brewer from Merck Sharp and Dohme Corp. funded the study. Merck Sharp and Dohme Corp. played no role in the study design, planning, implementation, analysis, or reporting of the findings. Noel T. Brewer has also received grants and/or honoraria from GlaxoSmithKline and Merck Sharp and Dohme Corp. Paul L. Reiter has not received honoraria or consulting fees from these companies.

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Authors and Affiliations

  1. Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Suite 525, 1590 North High Street, Columbus, OH, 43201, USA

    Paul L. Reiter

  2. Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA

    Paul L. Reiter

  3. Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA

    Annie-Laurie McRee

  4. Department of Health Behavior and Health Education, University of North Carolina Gillings School of Global Public Health, 325 Rosenau Hall, CB 7440, Chapel Hill, NC, 27599-7440, USA

    Jessica K. Pepper & Noel T. Brewer

  5. Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA

    Jessica K. Pepper & Noel T. Brewer

Authors
  1. Paul L. Reiter
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  2. Annie-Laurie McRee
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  3. Jessica K. Pepper
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  4. Noel T. Brewer
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Correspondence to Paul L. Reiter or Noel T. Brewer.

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Reiter, P.L., McRee, AL., Pepper, J.K. et al. Default policies and parents’ consent for school-located HPV vaccination. J Behav Med 35, 651–657 (2012). https://doi.org/10.1007/s10865-012-9397-1

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  • DOI: https://doi.org/10.1007/s10865-012-9397-1

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