School-based HPV immunization of young adolescents: Effects of two brief health interventions

Rickert, Vaughn I.; Auslander, Beth A.; Cox, Dena; Rosenthal, Susan L.; Rupp, Richard; Zimet, Gregory D.

doi:10.1080/21645515.2014.1004022

Cited by 33 publications

(59 citation statements)

References 18 publications

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“…Additionally, evidence is mounting that while health belief models may influence intent to vaccinate, the effect on behavior is minimal. 30,71,80 Reminder strategies were largely successful. An interesting theme that emerged was that provider targeted interventions appeared to be most successful for HPVV series initiation while patient targeted interventions appeared to be most successful for series completion, indicating that providers pose a more significant barrier to vaccine series initiation, while patient or family barriers are a greater hindrance to series completion.…”

Section: Discussionmentioning

confidence: 99%

“…Although intent to vaccinate increased, no effect on actual behavior was observed at the 10-month follow-up. 71 Similarly, Wegwarth et al found that students at a German school randomized to receive an evidence-based "balanced" leaflet versus those randomized to a sensationalist "unbalanced" leaflet had improved understanding of the HPVV but no difference in vaccination behavior. 33 Finally, an intervention comparing the impact of using gain-or loss-framed messages among university students in the United States and found no effect on vaccine behavior.…”

Section: Table 4 Re-aim Evaluation Dimensionsmentioning

confidence: 99%

See 1 more Smart Citation

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

Walling¹,

Benzoni²,

Dornfeld³

et al. 2016

Pediatrics

188

154

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CONTEXT: The human papillomavirus (HPV) vaccine is a safe, effective cancer prevention method that is underutilized in the United States. Despite increased understanding of barriers to vaccination, rates remain low. Globally, developed and developing nations have achieved high rates of vaccination.OBJECTIVE: Identification of effective strategies is necessary to optimize uptake of the HPV vaccine. We systematically reviewed the literature for national and international interventions that have successfully increased HPV vaccine uptake. DATA SOURCES:We used a standardized protocol to search for articles published between January 1, 2006, and April 30, 2015, in 3 electronic databases: PubMed, Scopus, and Embase. STUDY SELECTION:We identified interventions designed to increase HPV vaccine uptake among adolescents and young adults aged 11 to 26 years. All study designs were acceptable. Only articles that included postintervention vaccination rates were included. DATA EXTRACTION:Two authors independently reviewed each article for data extraction and quality assessment. Interventions were classified according to the Community Preventive Service Task Force guide. RESULTS:Results were reported according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Fifty-one articles met eligibility criteria: 2 informational interventions, 18 behavioral interventions, and 31 environmental interventions. Factors associated with HPV vaccine uptake were increased vaccine availability, decreased financial barriers, and interventions targeting both providers and patients.LIMITATIONS: Lack of consistent RE-AIM metric reporting, limiting our ability to assess intervention validity and quality.CONCLUSIONS: Population-based vaccination strategies that increased vaccine availability reached the greatest number of adolescents and were most successful in achieving high rates of vaccination.

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Section: Discussionmentioning

confidence: 99%

Section: Table 4 Re-aim Evaluation Dimensionsmentioning

confidence: 99%

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

Walling¹,

Benzoni²,

Dornfeld³

et al. 2016

Pediatrics

188

154

View full text Add to dashboard Cite

show abstract

“…However, while this approach eliminates some barriers to vaccination, vaccines are delivered on an individual patient basis and therefore SBHC-delivery is not as efficient as an approach that involves administration of vaccines on a single day to groups of youth. 49 Attitudes of key stakeholders in the U.S. (e.g., parents, school nurses, school administrators) about the feasibility of school-based HPV vaccination implementation are mixed, with some research showing relatively little concern among parents and administrators 48 and other research indicating uncertain support and doubts about program implementation.…”

Section: Hpv Vaccination Implementation Approaches School Based Appromentioning

confidence: 99%

Global Delivery of Human Papillomavirus Vaccines

Wigle

Fontenot

Zimet

2016

Pediatric Clinics of North America

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• School-based approaches to HPV vaccine delivery have generally been very successful in both LMICs and high-income countries.• Clinic-or office-based delivery strategies have been evaluated, with some countries showing limited success (e.g., the U.S.) and others having greater success (e.g., Denmark).• Community outreach approaches have shown some success in HPV vaccine uptake, particularly in reaching children not in school P a g e | 3

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“…Effective approaches to increase vaccination rates are needed and school-based on-site interventions may be feasible (for a narrative review of randomized controlled trials testing educational strategies in combination with on-site vaccination, see Appendix 1: samples, intervention components, vaccinations carried out, vaccination process, outcome measures and results). Whereas there is evidence on school-based interventions to increase vaccination rates for influenza [10,11] and sexually transmitted infections/human papillomavirus (STI/HPV [12][13][14][15][16][17][18][19]), school-based vaccinations against diseases such as measles, polio, or pertussis have only been addressed rarely within randomized controlled designs [11]. In interventions, common theoretical concepts that were assumed to drive the intervention effects were perceived barriers and benefits (e.g., as part of Protection Motivation Theory (PMT, [20]), Social Cognitive Theory (SCT, [21,22]), and Health Belief Model (HBM, [23])) as well as perceived risk (e.g., PMT, HBM); both may be altered by knowledge and awareness strategies.…”

Section: Introductionmentioning

confidence: 99%

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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School-based HPV immunization of young adolescents: Effects of two brief health interventions

Cited by 33 publications

References 18 publications

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

Global Delivery of Human Papillomavirus Vaccines

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

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