scholarly journals Implementing new consent procedures for schools-based human papillomavirus vaccination: a qualitative study

2021 ◽  
Vol 2 (2) ◽  
pp. 85-93
Author(s):  
Suzanne Audrey ◽  
Karen Evans ◽  
Michelle Farr ◽  
Joanne Ferrie ◽  
Julie Yates ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Young Women ◽  
Thematic Analysis ◽  
Local Authority ◽  
Health Inequities ◽  
Parental Consent ◽  
Structured Interviews ◽  
Human Papillomavirus Vaccination ◽  
School Based ◽  
New Procedures

Background The requirement for written parental consent for school-based human papillomavirus vaccination programme in England can act as a barrier to uptake for some young women, with the potential to exacerbate health inequities. Aims To consider the practicalities and implications of implementing new consent procedures, including parental telephone consent and adolescent self-consent, in two local authority areas in the southwest of England. Methods Digitally recorded, semi-structured interviews were conducted with 53 participants, including immunisation nurses, school staff, young people, and parents. All interviews were fully transcribed and thematic analysis was undertaken. Results Parental telephone consent was welcomed by the immunisation nurses, parents, and young women in the study. Adolescent self-consent was rare. Greater understanding of the barriers to uptake outside of mainstream school-based sessions is needed to further address inequalities in uptake. Conclusions The new procedures generally worked well but some important barriers to vaccination uptake remain.

scholarly journals Impact and acceptability of self-consent procedures for the school-based human papillomavirus vaccine: a mixed-methods study protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e021321 ◽  
Author(s):  
Suzanne Audrey ◽  
Harriet Batista Ferrer ◽  
Joanne Ferrie ◽  
Karen Evans ◽  
Michael Bell ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Young Women ◽  
Hpv Vaccination ◽  
Health Information System ◽  
Routine Data ◽  
School Staff ◽  
Parental Consent ◽  
Human Papillomavirus Vaccine ◽  
Incidence And Mortality ◽  
New Procedures

IntroductionThe human papillomavirus (HPV) vaccine, administered in early adolescence, can substantially reduce cervical cancer incidence and mortality. However, lack of written parental consent is a key reason why some young women do not receive the vaccine. The national legal framework allows girls to be vaccinated without parental consent provided they are deemed Gillick competent, but there is some reticence about vaccinating without written parental consent. Self-consent procedures are being implemented in Bristol and South Gloucestershire. This study will examine the implementation, acceptability and impact of these new procedures.Methods and analysisStatistical analyses of routine data from Public Health England and the Child Health Information System will test if there has been an increase in HPV vaccination uptake in two ways: (a) Is there an increase when comparing before and after the change in our intervention sites? and (b) Does the percentage change in our intervention sites differ from comparison sites (similar to our intervention sites in terms of initial HPV uptake, ethnicity and deprivation levels) in England where no such intervention took place and how? For the process evaluation, we will develop a logic model and use questionnaires, observations and audio-recorded interviews with young women, school nurses, school staff and parents to examine the context, implementation of self-consent and response to the new procedures.Ethics and disseminationThe University of Bristol Faculty of Health Sciences Research Ethics Committee and the National Health Service Health Research Authority provided approvals for the study. We will produce a report with recommendations about self-consent procedures in conjunction with key stakeholders. At least two papers will be written for publication in peer-reviewed journals and for conference presentations. A summary of results will be shared with participating immunisation nurses, school staff, young people and parents as requested.Trial registration numberISRCTN49086105; Pre-results.

scholarly journals Lack of school requirements and clinician recommendations for human papillomavirus vaccination

2018 ◽  
Author(s):  
Linda M. Niccolai ◽  
Anna L. North ◽  
Alison Footman ◽  
Caitlin E. Hansen
Keyword(s):  
Human Papillomavirus ◽  
Hpv Vaccination ◽  
School Entry ◽  
Structured Interviews ◽  
Human Papillomavirus Vaccination ◽  
Strong Recommendation ◽  
Entry Requirements ◽  
Design And Methods ◽  
Purposive Sample

Background: A strong recommendation from a clinician is one of the best predictors of human papillomavirus (HPV) vaccination among adolescents, yet many clinicians do not provide effective recommendations. The objective of this study was to understand how the lack of school entry requirements for HPV vaccination influences clinicians’ recommendations. Design and Methods: Semi-structured interviews with a purposive sample of 32 clinicians were conducted in 2015 in Connecticut USA. Data were analysed using an iterative thematic approach in 2016-2017. Results: Many clinicians described presenting HPV vaccination as optional or non-urgent because it is not required for school entry. This was noted to be different from how other required vaccines were discussed. Even strong recommendations were often qualified by statements about the lack of requirements. Furthermore, lack of requirements was often raised initially by clinicians and not by parents. Many clinicians agreed that requirements would simplify the recommendation, but that parents may not agree with requirements. Personal opinions about school entry requirements were mixed. Conclusions: The current lack of school entry requirements for HPV vaccination is an important influence on clinicians’ recommendations that are often framed as optional or non-urgent. Efforts are needed to strengthen the quality of clinicians’ recommendations in a way that remains strong and focused on disease prevention yet uncoupled from the lack of requirements that may encourage delays. Additionally, greater support for requirements among clinicians may be needed to successfully enact requirements in the future.

scholarly journals School-based human papillomavirus vaccination program for increasing vaccine uptake in an underserved area in Texas

2019 ◽  
Vol 8 ◽  
pp. 100189 ◽  
Author(s):  
Sapna Kaul ◽  
Thuy Quynh N. Do ◽  
Enshuo Hsu ◽  
Kathleen M. Schmeler ◽  
Jane R. Montealegre ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Vaccine Uptake ◽  
Vaccination Program ◽  
Underserved Area ◽  
Human Papillomavirus Vaccination ◽  
School Based

scholarly journals Investigating Stakeholder Attitudes and Opinions on School-Based Human Papillomavirus Vaccination Programs

2015 ◽  
Vol 85 (5) ◽  
pp. 289-298 ◽  
Author(s):  
Jessica A. Nodulman ◽  
Randall Starling ◽  
Alberta S. Kong ◽  
David B. Buller ◽  
Cosette M. Wheeler ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Human Papillomavirus Vaccination ◽  
Vaccination Programs ◽  
School Based ◽  
Stakeholder Attitudes

scholarly journals Knowledge, attitude, and uptake related to human papillomavirus vaccination among young women in Germany recruited via a social media site

2014 ◽  
Vol 10 (9) ◽  
pp. 2527-2535 ◽  
Author(s):  
Cornelius Remschmidt ◽  
Dietmar Walter ◽  
Patrick Schmich ◽  
Matthias Wetzstein ◽  
Yvonne Deleré ◽  
...  
Keyword(s):  
Social Media ◽  
Human Papillomavirus ◽  
Young Women ◽  
Human Papillomavirus Vaccination ◽  
Social Media Site

Responsibility, authority, and accountability in school-based and non-school-based management

2018 ◽  
Vol 56 (1) ◽  
pp. 2-17 ◽  
Author(s):  
Yael Grinshtain ◽  
Dan Gibton
Keyword(s):  
Thematic Analysis ◽  
Design Methodology ◽  
Qualitative Method ◽  
School Principals ◽  
Structured Interviews ◽  
Content Type ◽  
School Based ◽  
Primary School Principals ◽  
Low Levels ◽  
School Based Management

Purpose The purpose of this paper is to understand how primary school principals in Israel cope with the gaps between authority and responsibility in their work, deriving from partially implemented decentralization processes, and how this relates to school-based management (SBM) and accountability principles. Design/methodology/approach Using the qualitative method, 20 semi-structured interviews were conducted with school principals from one district in Israel. Thematic analysis was used in order to identify themes in the interviews that enable creating codes for the characteristics of authority and responsibility and for the principals’ strategies. Findings Gaps were found between authority and responsibility, with particularly low levels of authority alongside high levels of responsibility. Coupled with the demand for accountability, those gaps led principals to adopt three strategies – active, partly active, and passive – to help reduce the tension resulting from them. The SBM definition has links to the specific strategy that principals used. Originality/value The results indicate the importance of clear definitions of authority and responsibility in principals’ work. The current study deepens the understanding of the gaps between these concepts as key for understanding accountability at decentralized schools; tensions that principals cope with as a result of those gaps; and the strategies that enable principals to ease the tension for the benefit of all those involved in the principals’ work.

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