Does electronic consent improve the logistics and uptake of HPV vaccination in adolescent girls? A mixed-methods theory informed evaluation of a pilot intervention

Chantler, Tracey; Pringle, Ellen; Bell, Sadie; Cooper, Rosie; Edmundson, Emily; Nielsen, Heidi; Roberts, Sheila; Edelstein, Michael; Mounier-Jack, Sandra

doi:10.1136/bmjopen-2020-038963

Cited by 7 publications

(3 citation statements)

References 14 publications

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“…Two original items highlighted that there must be sufficient provisions for soliciting the assent of children [ 19 , 52 ]. In other words, for research involving children, ample time and resources should be given to both the children and their parents to understand and reach joint consensus.…”

Section: Discussionmentioning

confidence: 99%

Electronic informed consent criteria for research ethics review: a scoping review

Yusof

Teo

2022

BMC Med Ethics

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Background The research shows a growing trend in using an electronic platform to supplement or replace traditional paper-based informed consent processes. Instead of the traditionally written informed consent document, electronic informed consent (eConsent) may be used to assess the research subject’s comprehension of the information presented. By doing so, respect for persons as one of the research ethical principles can be upheld. Furthermore, these electronic methods may reduce potential airborne infection exposures, particularly during the pandemic, thereby adhering to the beneficence and nonmaleficence principle. This scoping review aims to identify the ethics related criteria that have been included in electronic informed consent processes and to synthesize and map these criteria to research ethics principles, in order to identify the gaps, if any, in current electronic informed consent processes. Methods The search was performed based on internet search and three main databases: PubMed, SCOPUS and EBSCO. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation guideline was used to report this work. Results Of 34 studies that met the inclusion criteria, 242 essential original constructs were collated, and 7 concepts were derived. Digital content showed the highest percentage of collated original constructs (27%, n = 65) followed by accessibility (24%, n = 56), comprehension engagement (18%, n = 43), autonomy (14%, n = 34), confidentiality (11%, n = 25), language (5%, n = 13), and parental consent (1%, n = 2). Twenty-five new items were synthesized for eConsent criteria which may provide guidance for ethical review of research involving eConsent. Conclusion The current study adds significant value to the corpus of knowledge in research ethics by providing ethical criteria on electronic informed consent based on evidence-based data. The new synthesized items in the criteria can be readily used as an initial guide by the IRB/REC members during a review process on electronic informed consent and useful to the future preparation of a checklist.

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Section: Discussionmentioning

confidence: 99%

Electronic informed consent criteria for research ethics review: a scoping review

Yusof

Teo

2022

BMC Med Ethics

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“…While the traditional paper consent school delivery model is widely accepted (Paul & Fabio, 2014) However, it is worth noting that the move from paper consent to eConsent was not straightforward, while the potential benefits were widely understood, it is often difficult to adapt to new ways of working which remove some level of control from schools (Chantler et al, 2020). The new process means that schools no longer required to distribute paper consent forms, and the Immunization Team no longer rely on pupils giving form to parents and returning them completed on the day of immunization.…”

Section: Discussionmentioning

confidence: 99%

The introduction of electronic consent for the school aged immunization program

Footer

Foster

2021

Public Health Nursing

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Historically, consent for treatment in the United Kingdom's National Health Service has been collected using traditional paper forms. For public health services, such as immunizations, this process involved significant time, space, paper, and staff resources.In a bid to provide a more modern, secure, cost-effective and paperless service, an electronic consent (eConsent) form for the routine school aged immunization program was designed and successfully piloted for the HPV 1 vaccine in 25 schools during the summer of 2019, with an average of 80% return rate. This was not only significantly higher than paper consent returns, there was also a significantly quicker return rate. These factors resulted in the clinical record being updated more quickly than ever before which reduced clinical risk. Following the pilot, the program was launched countywide for all school aged immunizations in September 2020. Since its launch some minor issues have been identified but resolved quickly and efficiently. Although still in its early days it is felt that the eConsent system has promoted a more informed and easier collaboration across sectors and has reduced operating costs. Although the use of electronic consent needs to be used more widely, it is felt that this new practice is a success.

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“…However, Yahia et al found that when conducting novel, multi-faceted, and interdisciplinary HPV campaigns, it is possible to increase HPV knowledge and vaccination rates [ 8 ]. Improving accurate knowledge about HPV, resulting cancers and outcomes, and increasing vaccination uptake requires a collaborative and coordinated effort among many including parents and family members [ 4 , 14 – 16 ], healthcare professionals [ 17 ], adolescent boys and girls [ 15 , 18 ], and those within the recommended age guidelines for the HPV vaccine [ 5 , 19 ]. To expand the literature and encompass more adults within a range of the HPV vaccine age, we designed an HPV study to survey students, staff, and faculty at a public, state university at three-year increments between 2016 and 2022.…”

Section: Introductionmentioning

confidence: 99%

Human Papilloma Virus Knowledge Among University Students, Staff, and Faculty in the State of Indiana During 2016, 2019, and 2022

Nesser

Ayodele

2023

J Community Health

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Studies of Human Papillomavirus (HPV) knowledge among university students have previously been conducted, typically to the exclusion of faculty and staff. The study aim was to assess HPV knowledge among university students, staff, and faculty in the state of Indiana during 2016, 2019, and 2022. The three samples comprised a total of 1275, 1056, and 403 students, staff, and faculty respectively during 2016, 2019, and 2022. Ages ranged from 18 to 70 + each year of the study. A 27-item survey was administered including sociodemographic questions and quantitative HPV knowledge questions were modified from a previously validated instrument. Descriptive statistics characterized the study participants and differences in scores were reported. Among the overall sample who answered receiving the vaccine question (n = 1917), 39% had received the HPV vaccine. HPV knowledge significantly increased among students from 2016 to 2019 but decreased in 2022. Among staff, there was a significant knowledge difference between 2016 and 2022, but no significant knowledge difference among the faculty. About 86% of the total sample did not know that HPV usually does not need any treatment. Further, participants correct knowledge scores were less than average on the following items: HPV can cause throat cancer (49%); HPV can be transmitted by skin-to-skin contact (42%). More education and campus-wide efforts need to be implemented to increase awareness and accurate HPV-knowledge. Targeted and individual messaging for students, staff, and faculty may be a way to increase awareness of HPV and improve HPV knowledge.

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Does electronic consent improve the logistics and uptake of HPV vaccination in adolescent girls? A mixed-methods theory informed evaluation of a pilot intervention

Cited by 7 publications

References 14 publications

Electronic informed consent criteria for research ethics review: a scoping review

Electronic informed consent criteria for research ethics review: a scoping review

The introduction of electronic consent for the school aged immunization program

Human Papilloma Virus Knowledge Among University Students, Staff, and Faculty in the State of Indiana During 2016, 2019, and 2022

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