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

Harri Fisher*, Suzanne Audrey, Tracey E A Chantler, Adam H R Finn, Louise Letley, Sandra Mounier-Jack, Clare L Thomas, Julie Yates, Matt Hickman

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)

Abstract

Aim
To 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.

Introduction
Persistent infection with HPV can result in cancers affecting men and especially women. From September 2019, the English schools-based HPV vaccination programme will be expanded to include young men (in addition to young women) aged 12 to 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 Analysis
The Medical Research Council’s framework for development and evaluation of complex interventions will inform intervention development. Recruitment of young people aged 12 to 15 years and key stakeholders (National Health Service (NHS) commissioners, school staff, immunisation nurses, 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: (i) a rapid review of adolescent immunisation materials and preliminary qualitative interviews with young people and key stakeholders; (ii) 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 Dissemination
The University of Bristol’s Faculty of Health Sciences Research Ethics Committee 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.
Original languageEnglish
JournalBMJ Open
Publication statusAccepted/In press - 11 Oct 2020

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