Student Name Capella University NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation Health Promotion Plan Presentation Greetings! I am _______. Welcome to today’s session on tobacco cessation health promotion. This presentation centers on tobacco use prevention for Daniel, a 28-year-old Latino man living in California. The session will explore health risks associated with tobacco use, culturally tailored strategies for cessation, and practical approaches to support Daniel in adopting a healthier lifestyle. This initiative aligns with the public health objectives of Healthy People 2030. Overview Tobacco use continues to be a significant public health challenge, contributing to preventable illnesses, cancer, and premature mortality. Despite overall reductions in smoking rates, California still faces difficulties among young adults and underserved populations, especially those with limited access to preventive services. Current data show that 11% of adults aged 18 and older use tobacco, distributed as follows: cigarettes (6.3%), e-cigarettes (3.5%), cigars (1.4%), little cigars and cigarillos (1.3%), smokeless tobacco (0.7%), and hookah (0.5%) (California Department of Public Health, 2023). This plan targets the specific needs of individuals like Daniel, who encounter barriers such as limited English proficiency, irregular work schedules, and workplace exposure to tobacco. By providing culturally relevant education and improving access to cessation resources, the program aims to empower vulnerable populations to quit successfully. This approach supports Healthy People 2030 objectives of equitable cessation program access and fostering smoke-free communities. Tobacco Use in Underserved Communities Tobacco disproportionately affects underserved Latino adults in California due to social determinants such as restricted healthcare access, language barriers, and workplace exposure to secondhand smoke. While cigarette smoking rates have declined, vaping has increased, particularly after the COVID-19 pandemic, returning to pre-pandemic prevalence levels. In 2022, 6% of adults reported cigarette use, while 5.2% reported vaping, totaling approximately 3.4 million tobacco users statewide (California Department of Public Health, 2024). Among Hispanic or Latino adults, the prevalence of tobacco use was 11.1%, though this population represented 36.1% of all adult tobacco users, highlighting a substantial community burden. Individuals like Daniel often face systemic inequities that delay cessation efforts. Addressing these challenges requires culturally and linguistically tailored education and accessible cessation services. Healthcare professionals, including nurses and community health workers, play a pivotal role in providing education about tobacco-related health risks, nicotine replacement therapy (NRT), coping strategies, and quitting methods (Jongebloed et al., 2024). Integrating social and workplace support, culturally relevant counseling, and improved health literacy significantly enhances cessation outcomes, advancing Healthy People 2030 goals of increasing quit attempts and reducing tobacco-related disparities (Mahdaviazad et al., 2022). The Plan Based on Specific, Identified Health Needs and Goals Daniel’s profile illustrates typical barriers faced by underserved Latino adults: irregular work schedules, limited access to healthcare, low English proficiency, and exposure to secondhand smoke. Additional obstacles include limited culturally diverse cessation resources, financial constraints, and social stigma, all of which impede quitting (Marbin et al., 2020). Misconceptions about alternatives like vaping and hookah may further delay cessation efforts. This health promotion plan addresses these challenges through: Goals: Increase awareness of tobacco-related harms, establish a personalized quit strategy, and connect Daniel with Spanish-language peer support to maintain motivation and prevent relapse (Jongebloed et al., 2024). Each component employs culturally sensitive strategies, behavior change principles, and accessibility considerations. Challenges and Importance of Addressing the Issue Tobacco cessation in underserved communities promotes population health and reduces disparities in chronic disease, cancer, and premature mortality. Education empowers individuals like Daniel to make informed decisions despite language and workplace barriers. Research indicates that combining culturally tailored counseling, NRT, and peer support enhances confidence, decreases relapse, and improves overall well-being (Jongebloed et al., 2024). Failure to intervene can increase the risk of addiction, cancer, cardiovascular and respiratory diseases, and early death. Lack of culturally responsive education perpetuates misinformation, undermines trust in healthcare, and compromises community health. Healthy People 2030 emphasizes the importance of reducing tobacco use, increasing quit attempts, and ensuring equitable access to cessation resources (Mahdaviazad et al., 2022). Establishing SMART Goals for the Target Group The plan integrates SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goals to facilitate Daniel’s engagement and comprehension in tobacco cessation. Goals focus on tobacco awareness, access to cessation resources, and participation in peer support sessions. SMART Goals Table Goal Description Timeline Measurable Outcome Goal 1 Daniel will identify three types of tobacco products (cigarettes, vapes, cigars) and explain two major health risks for each using Spanish-language materials and visual aids. End of session Demonstrated knowledge via teach-back activity Goal 2 Daniel will register with Kick It California, set a quit date within 30 days, and develop a personalized NRT plan suitable for his schedule. Two weeks Confirmed enrollment and documented quit plan Goal 3 Daniel will attend at least two peer-led support sessions in Spanish or bilingual format, focusing on quitting strategies, coping with cravings, and relapse prevention. One month Attendance and engagement documented in log Evaluation of Educational Session Outcomes Based on SMART Goals Goal 1: Identifying Tobacco Products and Associated Health RisksDaniel successfully completed a teach-back session, identifying cigarettes, vapes, and cigars, and explaining two primary health risks for each, such as cancer and heart disease. His understanding reached approximately 80%, highlighting the effectiveness of culturally relevant, bilingual education (Inam et al., 2025). Goal 2: Establishing a Tobacco Cessation PlanDaniel registered for Kick It California, set a quit date, and practiced NRT integration through simulations. His documented quit plan adhered to evidence-based strategies, confirming both adherence and confidence in managing withdrawal symptoms (Liu et al., 2021). Goal 3: Participating in Peer-Led Support to Strengthen Cessation SkillsDaniel attended weekly peer-led support sessions, documenting insights and applying strategies learned to cope with cravings. Engagement in social support demonstrated improved motivation and skill-building for long-term cessation (Jongebloed et al., 2024). NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation Need for Revisions To optimize future sessions, the following revisions are recommended: Implementing these strategies can enhance knowledge retention, accessibility, and the likelihood of successful cessation (Galmarini et al., 2024). Healthy People 2030 Objectives and Leading Health Indicators The session aligns

Student Name Capella University NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date Determinants of Health and Barriers to Disaster Recovery in Carterdale Carterdale, Mississippi, is a community particularly vulnerable to socioeconomic and structural challenges that impede health equity, safety, and disaster recovery. Nearly 39% of its residents live below the poverty line, with a per capita income of $10,381, which limits access to secure housing, healthcare, emergency supplies, and reliable transportation. These financial constraints exacerbate difficulties in recovering from property damage, income disruption, and medical costs following disasters (Capella University, n.d.). Health disparities in Carterdale are significant. Approximately 17% of residents are uninsured, and 20.6% live with disabilities, increasing vulnerability to complications during and after disasters. Educational attainment is also low; only 6.5% of residents hold a bachelor’s degree or higher. This limited education contributes to low health literacy, reducing the ability to follow emergency instructions or utilize recovery resources effectively (Capella University, n.d.). The community is predominantly Black or African American (73.25%), with historical inequities in healthcare and emergency preparedness. Leadership often lacks cultural representation, and disaster response strategies may not account for cultural sensitivity, affecting trust and compliance (Capella University, n.d.). Recent tornado events have caused extensive fatalities, home destruction, and infrastructure damage, leading to widespread trauma, grief, and spiritual distress. Limited access to mental health services and spiritual support further delays emotional recovery, reducing overall community resilience. Interrelationships Among Social Determinants and Disaster Recovery Barriers Carterdale faces interlinked challenges that exacerbate barriers to recovery. High poverty restricts access to healthcare, transportation, and shelter, disproportionately affecting uninsured individuals and residents with disabilities. Low educational attainment further limits health literacy, reducing the ability to respond to disaster-related instructions effectively. Healthcare and emergency services inequities disproportionately impact the Black or African American population, contributing to mistrust, delayed aid, and culturally insensitive responses (Joo & Liu, 2020). Emotional distress following disasters, including grief and trauma, is compounded by limited mental health resources. When multiple vulnerabilities—such as race, disability, and poverty—intersect, residents experience heightened susceptibility to disaster impacts (Safapour et al., 2021). Tornado-related inequities also reveal differences in household energy consumption and heating costs, which vary by race and income (Paudel, 2022). Inadequate infrastructure and insufficient emergency warning systems amplify risks for marginalized populations, creating a cycle where limited access to care worsens health and safety outcomes (Paudel, 2022). Implementing coordinated, culturally informed disaster recovery strategies is essential to promote resilience and community cohesion. Proposed Disaster Recovery Plan The Carterdale Disaster Recovery Plan (DRP) is designed to reduce inequities and ensure that all residents have access to healthcare, emotional support, and essential resources. Question Proposed Actions How will emotional and spiritual needs be addressed? Behavioral health specialists, spiritual advisors, and faith-based organizations will provide trauma counseling, grief support, and community engagement (Ongesa et al., 2025). How will high-risk populations be identified? Geographic assessments and population tracking will locate vulnerable groups, including older adults, disabled residents, refugees, the uninsured, and the homeless (CDC, n.d.-b). How will healthcare access be improved in remote areas? Temporary health clinics and community triage hubs will offer urgent care to residents in tornado-affected or isolated areas (Ongesa et al., 2025). How will communication challenges be addressed? Multilingual public health teams will provide culturally relevant guidance to residents with limited English proficiency or low literacy (Federici, 2022). How will mobility and shelter barriers be overcome? Transportation services will connect residents to essential healthcare and recovery resources. Partnerships with nonprofits and regional agencies will maintain sustained support. How will disaster preparedness be strengthened? Emergency warning systems and local infrastructure will be modernized. Volunteers will be trained to respond to future crises (Safapour et al., 2021). Applying Social Justice and Cultural Sensitivity to Ensure Health Equity Carterdale’s disaster recovery framework prioritizes equity, inclusivity, and cultural competence, ensuring that all residents—regardless of race, income, or ability—can access critical recovery resources. Given that nearly 40% of residents live in poverty and 73% are Black or African American, these measures are vital (Capella University, n.d.). Local health advocates will serve as liaisons between residents and service providers. Multilingual support and low-literacy educational materials will ensure accessibility. Faith leaders and spiritual counselors will assist with emotional recovery, while residents will be actively involved in decision-making processes to foster transparency, trust, and social cohesion. This holistic approach promotes mental well-being and strengthens preparedness for future emergencies. Government Policy & CERC Framework Effective disaster recovery in Carterdale relies on strong health and government policies that support timely resource allocation and clear communication (CDC, n.d.-a). The Crisis and Emergency Risk Communication (CERC) framework facilitates transparent, empathetic, and trustworthy communication during disasters. Coordination among local, state, and federal agencies is crucial. Policies that expand telehealth services, ensure medical supply distribution, allow temporary Medicaid flexibility, and enhance interagency collaboration reduce healthcare barriers and accelerate recovery (He et al., 2022). These measures foster equitable and resilient disaster recovery. Policy Implications for Community Members Policy Implication Stafford Act Empowers FEMA to provide financial aid, temporary housing, and infrastructure repair, enabling rapid mobilization during disasters. Americans with Disabilities Act (ADA) Ensures equitable access to shelters, transportation, and healthcare, supporting inclusive recovery for disabled residents (Malmin & Eisenman, 2023). Post-Katrina Emergency Management Reform Act (PKEMRA) Strengthens FEMA capabilities, clarifies agency responsibilities, and prioritizes vulnerable populations for efficient disaster response (Belligoni, 2024). Homeland Security Act Enhances interagency coordination and national disaster preparedness through shared strategies and resources. These legal frameworks support equitable, timely recovery and reinforce community trust and resilience in Carterdale. Strategies to Improve Communication & Collaboration References Belligoni, S. (2024). Held in the grip: Political status, governing institutions, and emergency management procedural arrangements in the cases of Florida and Puerto Rico. Politics & Policy, 52(2), 349–364. https://doi.org/10.1111/polp.12581 Capella University. (n.d.). Assessment 3 – Disaster recovery plan. https://www.capella.edu/ Centers for Disease Control and Prevention. (n.d.-a). CERC: Crisis communication plans. https://www.cdc.gov/cerc/media/pdfs/CERC_Crisis_Communication_Plans.pdf Centers for Disease Control and Prevention. (n.d.-b). Contact tracing. https://www.cdc.gov/museum/pdf/cdcm-pha-stem-lesson-contact-tracing-lesson.pdf Delgado, J. C., Garcia, A., & Carrillo, A. (2022). Communication strategies on risk and disaster management in South American countries. International Journal of Disaster Risk Reduction, 76, 102982. https://doi.org/10.1016/j.ijdrr.2022.102982 NURS FPX

Student Name Capella University NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date Community Resources PATH is a globally recognized nonprofit organization dedicated to advancing health and saving lives, particularly focusing on women and children in underserved communities. The organization tackles complex health challenges by developing innovative solutions and ensuring their accessibility to populations with the greatest need. PATH’s initiatives encompass vaccine development, the creation of advanced health technologies, and comprehensive disease prevention programs. In addition, PATH works to improve health services, making them safer, more effective, and more sustainable. Nurses and other healthcare professionals can actively engage with PATH through volunteering, advocacy, and program participation, thereby contributing to the organization’s mission of improving global health outcomes (PATH, 2025b). Mission, Vision, and Public Health and Safety Improvements What is PATH’s mission and vision? PATH’s mission centers on driving innovation to save lives and enhance health, prioritizing populations with limited resources, especially women and children. Its vision is a world in which everyone has access to essential health tools and care for a healthy life (PATH, 2025b). In the United States and globally, PATH contributes to public health and safety by developing vaccines, diagnostic tools, and preventive interventions that are accessible to communities with restricted healthcare access. By focusing on both innovation and accessibility, PATH ensures that critical health solutions reach those most in need. Initiatives by PATH What programs does PATH implement to fulfill its mission? PATH conducts multiple initiatives to improve health outcomes worldwide. The following table summarizes key programs, their objectives, target populations, and descriptions: Initiative Objective Target Population Description Malaria Vaccine Program Prevent malaria Children in high-risk African regions Delivers vaccines to prevent malaria and reduce child mortality (PATH, 2025d). Maternal and Newborn Health Program Safer pregnancies and deliveries Pregnant women in low-resource communities Provides tools, training, and support to improve maternal and neonatal health outcomes. Diagnostic Tools Development Early disease detection Communities at risk for TB and other infectious diseases Supplies diagnostic tools for early detection and timely treatment, improving survival rates (PATH, 2022). These initiatives highlight PATH’s commitment to saving lives, enhancing safety, and expanding access to essential healthcare resources globally. Promoting Equal Opportunity and Improving Quality of Life How does PATH promote equal access to healthcare? PATH actively promotes equitable healthcare by addressing social, cultural, economic, and physical barriers that prevent access. Social barriers such as discrimination, limited education, and lack of awareness often restrict women and children from receiving timely care. PATH combats these challenges through community-focused health education programs, emphasizing disease prevention, vaccination, and maternal health (PATH, 2025a). Cultural barriers, including traditional beliefs that discourage modern healthcare use, are mitigated by collaborating with local leaders and integrating culturally sensitive strategies. This includes training local healthcare workers to ensure community acceptance and engagement (PATH, 2025c). Economic barriers are reduced by providing affordable vaccines, diagnostic tools, and maternity kits, which help decrease health disparities (Ekezie et al., 2024). Physical barriers, such as remote locations and limited transportation, are addressed with mobile clinics, outreach programs, and traveling vaccination campaigns, ensuring critical services reach hard-to-access communities (PATH, 2025d). These combined efforts significantly improve health outcomes and elevate overall community well-being. Impact of Funding Sources, Policy, and Legislation How does funding impact PATH’s programs? PATH relies on diverse funding sources, including foundations (45.8%), government agencies (32.6%), private donors, and international organizations (PATH, 2023). Effective funding enables PATH to develop vaccines, support maternal and child health programs, and provide diagnostic tools. Financial allocation includes 27.3% to medicine procurement and 42% toward operational program costs, ensuring both program sustainability and service delivery efficiency. How do policy and legislation affect PATH’s work? Government and international health policies play a pivotal role in shaping PATH’s initiatives. For instance, adherence to WHO immunization guidelines supports the organization’s vaccination programs (World Health Organization, 2025). On the other hand, restrictive policies or bureaucratic delays can hinder program implementation. Legislative approvals for vaccines, medical devices, and disease reporting significantly influence PATH’s operational capacity. Compliance with such regulations guarantees the delivery of safe, effective interventions while navigating complex legal frameworks (Weets et al., 2025). Impact on Health and Safety Needs of the Community What is PATH’s impact on community health and safety? PATH enhances community health by improving access to vaccines, diagnostics, and maternal-child health services. Vaccination campaigns reduce preventable diseases such as malaria and polio in underserved regions. Maternal health initiatives decrease pregnancy and childbirth complications, lowering maternal and infant mortality rates. By addressing these critical healthcare needs, PATH contributes to safer, healthier communities with improved long-term outcomes. Nurses’ Collaboration with PATH How can nurses contribute to PATH’s mission? Nurses play a vital role in advancing PATH’s mission. They can participate in volunteer programs, health education initiatives, and mobile clinic services. Nurses can also train community health workers, sharing expertise in disease prevention, maternal care, and public health strategies. Additionally, nurses contribute to research, advocacy, and fundraising efforts, leveraging their trusted status within communities to enhance the reach and effectiveness of PATH’s programs (Zeydani et al., 2023). Conclusion PATH significantly contributes to improving the health and well-being of women, children, and underserved populations globally. Its programs in vaccination, maternal health, and diagnostic development save lives and improve quality of life. By tackling social, cultural, economic, and physical barriers, PATH ensures equitable access to healthcare. The success of these programs depends on consistent funding, supportive policies, and adherence to regulatory standards. Nurses and healthcare professionals enhance PATH’s impact through education, advocacy, and community engagement, ensuring sustainable improvements in global health. References Ekezie, W., Igein, B., Varughese, J., Butt, A., Kalu, B. O. U., Ikhile, I., & Bosah, G. (2024). Vaccination communication strategies and uptake in Africa: A systematic review. Vaccines, 12(12), 1333. https://doi.org/10.3390/vaccines12121333 PATH. (2022, February 22). Tuberculosis elimination in India: What’s next for private-sector engagement? PATH. https://www.path.org/our-impact/articles/tb-elimination-in-india-whats-next-for-private-sector-engagement/ PATH. (2023). Finances. PATH. https://www.path.org/who-we-are/finances/ NURS FPX 4055 Assessment 2 Community Resources PATH. (2025a). A shot of hope: How the malaria vaccine is helping to change lives in Kenya. PATH. https://www.path.org/our-impact/articles/a-shot-of-hope-how-the-malaria-vaccine-is-helping-to-change-lives-in-kenya/ PATH. (2025b). Mission and strategy. PATH. https://www.path.org/who-we-are/mission-and-strategy/ PATH. (2025c). Nelly Muindi

Student Name Capella University NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date Health Promotion Research Mississippi provides numerous parks and recreational centers, particularly in urban areas like Jackson, which serve as essential social and wellness hubs for the LGBTQ community. These green spaces offer safe environments for physical activity, psychological relaxation, and social engagement. They also function as strategic venues for public health outreach, including initiatives focused on human papillomavirus (HPV) education. Mobile clinics and community health programs frequently utilize these recreational areas to provide non-stigmatizing education and preventive services, fostering an inclusive and accessible atmosphere for health promotion. Population Analysis What are the primary health concerns of the LGBTQ population in Mississippi related to HPV? HPV is among the most common sexually transmitted infections in the United States and presents considerable health risks for LGBTQ individuals. Transgender women and men who have sex with men face elevated risks of HPV-related cancers, including anal, penile, and oropharyngeal cancers. While vaccines are available at local clinics and pharmacies, uptake among LGBTQ adults remains lower compared to the general population (Hao et al., 2021). Contributing factors include limited awareness about HPV, stigma, and barriers to accessing culturally competent healthcare. The misconception that HPV primarily affects women reduces vaccination motivation among men and gender-diverse individuals. Expanding access to affirming and culturally sensitive healthcare providers can improve knowledge, dispel myths, and encourage preventive behaviors. Socioeconomic challenges—such as unstable housing, underemployment, and financial strain—further restrict consistent healthcare access. Mental health concerns, including depression and anxiety, also negatively affect participation in preventive care programs. How does discrimination in healthcare affect HPV prevention? Discrimination, bias, or disrespect in healthcare settings can discourage LGBTQ individuals from seeking care, leading to reduced follow-through with vaccinations and follow-up appointments (Magana et al., 2023). Providing accurate, comprehensible information about HPV, related cancers, and vaccination benefits can support healthier decision-making. In Mississippi, community-based clinics are partnering with public health organizations to expand HPV prevention programs. Culturally responsive outreach and LGBTQ-affirming education are critical strategies to improve vaccine coverage and lower HPV-related disease rates Underlying Assumptions What assumptions underlie HPV health promotion strategies for LGBTQ populations in Mississippi? Health promotion strategies often assume that LGBTQ individuals have consistent access to supportive healthcare services and community programs. They also presume that local health organizations provide culturally sensitive HPV education. However, gaps exist, particularly in vaccination completion among transgender women. Economic instability, such as job insecurity and housing challenges, can disrupt access to care and prevent full vaccine adherence. These assumptions, along with structural limitations, significantly influence the effectiveness and applicability of HPV health promotion interventions. Characteristics of Chosen Community Who comprises the LGBTQ population in Mississippi, and how do they engage with health promotion programs? The LGBTQ population in Mississippi is highly diverse, including nonbinary individuals, women who have sex with women, and men who have sex with men, spanning multiple racial, socioeconomic, and educational backgrounds. While the state lacks designated LGBTQ districts, community members often rely on informal social networks, advocacy groups, and supportive organizations for safety, identity affirmation, and a sense of belonging. These networks are instrumental for health promotion efforts, allowing programs to reach individuals in trusted environments. By leveraging these spaces, health initiatives can enhance participation, build rapport, and improve engagement in preventive education and services (Hao et al., 2021). Table: Key Socioeconomic Challenges Impacting HPV Prevention Challenge Impact on Health Promotion Housing instability Limits consistent access to healthcare appointments Job insecurity Reduces financial resources available for medical care Mental health issues Decreases engagement in preventive healthcare behaviors Stigma and discrimination Discourages clinic visits and reduces vaccine uptake Despite these challenges, local advocacy groups and community-based organizations provide critical education, outreach, and navigation support. These initiatives help promote HPV awareness and preventive practices among the LGBTQ population (Magana et al., 2023). Importance of Health Concern Why is HPV prevention critical for the LGBTQ population in Mississippi? HPV significantly increases the risk of anal, penile, and oropharyngeal cancers among LGBTQ individuals. Nationally, roughly 42 million people are infected with HPV, and about 13 million new cases are diagnosed each year (Adekanmbi et al., 2024). Vaccination can prevent nearly 90% of HPV-related cancers. Mississippi trails behind other states in HPV vaccination, with only 30.5% of children completing the series (Mississippi HPV Roundtable, 2025). For LGBTQ adults, low uptake is worsened by stigma, misinformation, and limited access to affirming healthcare. Socioeconomic disparities—including unstable housing, unemployment, and mental health challenges—further limit healthcare engagement (Junejo & Sheikh, 2021). Education, stigma reduction, and accessible preventive services are vital components of effective health promotion for this population. SMART Goals Who is the target individual, and what are the goals for HPV prevention? John Davis, a 24-year-old Latino gay male living in Jackson, Mississippi, is sexually active with multiple partners and has not received the HPV vaccine. He perceives HPV as primarily a female disease and doubts his personal risk of HPV-related cancers. John regularly visits a local community clinic for HIV testing and is receptive to counseling and actionable, incremental health improvement strategies. Goal 1Question: What should John know about HPV and related cancers? By the conclusion of the educational session, John will be able to describe HPV and identify at least two cancers associated with the infection. Filling knowledge gaps is essential for informed decision-making regarding vaccination (Kratzer et al., 2024). Evaluation occurs during the session to confirm comprehension. Goal 2Question: How can John take action toward vaccination? Within one month, John will schedule his first HPV vaccination appointment. This behavioral goal is measurable, achievable, relevant, and time-bound, given local vaccine availability and the protective benefits against HPV-related cancers (Ajibola et al., 2024). Goal 3Question: Where can John access LGBTQ-affirming healthcare resources? Within one week, John will identify at least one LGBTQ-friendly healthcare provider for preventive services, including HPV education and vaccination. Access to affirming providers helps reduce stigma and encourages regular engagement with healthcare (Hao et al., 2021). Success is measured by John naming the resource during a follow-up session. Conclusion HPV