‘Is it like one of those infectious kind of things?’ The importance of educating young people about HPV and HPV vaccination at school

Davies, Cristyn; Kang, Melissa; Stoney, Tanya; Marshall, Helen; Collins, Joanne; Jones, Jane; Hutton, Heidi E.; Parrella, Adriana; Cooper, Spring Chenoa; McGeechan, Kevin; Zimet, Gregory D.

doi:10.4324/9781351028028-3

Cited by 6 publications

(10 citation statements)

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“…The improvement in vaccination-related knowledge [12,13,15,25] as well as the increase in perceived self-efficacy [12,14,18] are in line with previous findings. There was an adjustment of knowledge items used (see Fig.…”

Section: Discussionsupporting

confidence: 91%

“…For the successful implementation of the planned cluster randomized controlled trial, the pilot study showed that our recruitment procedures for schools to participate in an educational, on-site vaccination project are very promising. In comparison to other on-site vaccination interventions, we successfully included 100% of the contacted schools, which represents an above-average participation rate [10,13,[25][26][27]. To achieve an effective objective assessment of vaccination rates, it is also indispensable to gain a high participation rate of students providing vaccination documents (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Further, in most studies the vaccination coverage of students prior to study participation/intervention was not reported. Vaccination coverage after intervention ranged from around 30% [10] to 59.0% [13] to proportions ≥ 80.0% [11,18,25,27]. Change rates, meaning the increase in vaccination coverage from pre to post intervention, were reported only in three studies.…”

Section: Introductionmentioning

confidence: 96%

“…On-site vaccination interventions also include the opportunity to assess vaccination rates and change rates objectively. Regarding on-site vaccination interventions, participation rates of eligible schools ranged widely across studies from 15.0-75.0% [10,13,[25][26][27], participation rates for eligible students were mostly not reported but ranged for two studies between 34.6% [18] and 90.3% [13]. Parental consent rate for vaccination was reported only in three studies and ranged from low 17.0% [11] to middle 42.5% [27] to high 76.5% [26].…”

Section: Introductionmentioning

confidence: 98%

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A school-based educational on-site vaccination intervention for adolescents in an urban area in Germany: Feasibility and psychometric properties of instruments in a pilot study

Bethke

Gellert

Knoll

et al. 2020

Preprint

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Background: Vaccination rates for measles, mumps, and rubella (MMR) and diphtheria, tetanus, pertussis, and polio (Tdap-IPV) are not optimal in German adolescents. Education in combination with easy access vaccination may be a promising approach to improve vaccination rates. In a planned cluster randomized controlled trial (cRCT), we aim at improving MMR and Tdap-IPV rates together with knowledge and self-efficacy in a school setting, the present paper describes the pilot study of this trial.Methods: Within this pilot study, 863 students from 41 school classes from four schools were included. Optimization and feasibility of the access to schools, recruitment strategies, intervention, and assessment procedures are examined. The course and content of the educational unit was evaluated with a mixed-methods approach. A pre-post measurement design was applied for the vaccination rate in all schools. Additionally, at two schools improvement on vaccination-related knowledge and perceived self-efficacy were measured pre- (n=287) and post- (n=293) educational unit by questionnaire. The remaining two schools provided data only post intervention. Finally, we evaluated the psychometric properties (i.e., reliability, retest reliability, change rates) of the questionnaire, applying Cronbach’s alpha, factor analyses, Generalized Estimating Equations and Linear Mixed Models.Results: Findings of the pilot study indicated good feasibility. Of the total sample, 437 students (50.9%) brought their vaccination cards to school, 68 students were vaccinated with Tdap-IPV, 11 with MMR. Out of 6 knowledge questions, on average students had M=2.84 (CI 2.69/3.10) correct answers before and M=4.45 (CI 4.26/4.64) after class. Ranging from 1 to 4, self-efficacy scale shown a change of 0.3 points (p <.001) and Cronbach’s alpha was .67 and .76 for pre- and post-educational unit respectively and a one-factor solution was found. Content analysis of the five semi-structured group interviews (n=12, 58.3% female) showed that the length of the intervention was felt by all students to be appropriate. The teaching methods including interactive and social media components were perceived as very good.Conclusion: A school-based educational and on-site vaccination intervention appears to be feasible in terms of procedures and the adequacy of the instruments for the adolescent target group.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

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A school-based educational on-site vaccination intervention for adolescents in an urban area in Germany: Feasibility and psychometric properties of instruments in a pilot study

Bethke

Gellert

Knoll

et al. 2020

Preprint

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“…16 Many young people have limited or no understanding of the vaccines they receive or the diseases they are intended to prevent. 17 …”

Section: Introductionmentioning

confidence: 99%

Co-production of an educational package for the universal human papillomavirus (HPV) vaccination programme tailored for schools with low uptake: a participatory study protocol

et al. 2020

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AimTo co-produce with young people an educational package about the human papillomavirus (HPV) vaccine that is tailored to increase vaccine uptake in schools and populations with lower uptake.IntroductionPersistent infection with HPV can result in cancers affecting men and especially women. From September 2019, the English-schools-based HPV vaccination programme was expanded to include young men (in addition to young women) aged 12–13 years. Some young people attending schools with lower uptake of the vaccine have unmet information needs. We hypothesise that mechanisms to address information needs and increase young people’s autonomy in consent procedures will result in higher uptake.Methods and analysisThe Medical Research Council’s framework for development and evaluation of complex interventions will inform intervention development. Recruitment of young people aged 12–15 years and key stakeholders (National Health Service commissioners, school staff, immunisation nurses and youth workers/practitioners) will be facilitated through existing links with healthcare organisations, schools and youth organisations in areas with lower uptake of the HPV vaccination programme. The proposed research will comprise three phases: (1) a rapid review of adolescent immunisation materials and preliminary qualitative interviews with young people and key stakeholders, (2) theory development and co-production of HPV vaccine communication materials through an iterative process with young people and (iii) testing delivery mechanisms and acceptability of the educational package in four schools with lower uptake.Ethics and disseminationThe University of Bristol’s Faculty of Health Sciences and London School of Hygiene and Tropical Medicine's Research Ethics Committees provided approvals for the study. A dissemination event for young people and key stakeholders and webinar with the National Immunisation Network will be organised. The study findings will be published in peer-reviewed journals and presented at conferences. Recommendations for a future larger scale study will be made.

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Expressed preferences for public health education of students during COVID-19 vaccination intervention: a cross-sectional comparative study

Roy,

Azam,

Islam

2024

Discov Educ

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Background Public health education is a powerful tool for improving communicable disease awareness and prevention protocols. Despite the fact that health education is crucial for the advancement of COVID-19 awareness and vaccination decisions, how a teacher approaches students to learn about health education during COVID-19 vaccination is a challenging issue. This study aimed to assess the preferences for public health education during COVID-19 vaccination intervention and compare the predictors of preferences between science and non-science university students in Bangladesh. Methods A multi-item questionnaire was developed and an online link was conveniently sent to the encounters between 31st May, 2023 and 15th August, 2023. Binary logistic regression analysis was applied to rationalize the research objective. Results The pooled preference for public health education was 71.3% (95% Confidence Interval [CI] 67.7–74.3) vs. 81.5% (95% CI 79.3–84.7) between science and non-science students. Out of twelve predictors “vaccine agreement”, “bio-safety behavior", and “disease awareness” were significantly associated (p < 0.01, p < 0.05) with the preference for public health education in both groups. Varied effects were also observed for some predictors: vaccine “safety” and “side effects” were significant (p < 0.05, p < 0.01) in science and non-science students, respectively. To address the conflict in decisions, non-science students significantly preferred “prevention alliance” whereas science students preferred “environmental health” issues (p < 0.05). Conclusion Public health education was more preferred by non-science university students than by science students in making COVID-19 vaccine decisions . The focus of transformative public health education should be interdisciplinary, including information on communicable diseases, public health measures, and prevention alliances, as well as information about vaccines' side effects and safety.

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‘Is it like one of those infectious kind of things?’ The importance of educating young people about HPV and HPV vaccination at school

Cited by 6 publications

References 0 publications

A school-based educational on-site vaccination intervention for adolescents in an urban area in Germany: Feasibility and psychometric properties of instruments in a pilot study

A school-based educational on-site vaccination intervention for adolescents in an urban area in Germany: Feasibility and psychometric properties of instruments in a pilot study

Co-production of an educational package for the universal human papillomavirus (HPV) vaccination programme tailored for schools with low uptake: a participatory study protocol

Expressed preferences for public health education of students during COVID-19 vaccination intervention: a cross-sectional comparative study

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