Description
Introduction:In the United Kingdom, where a school-based human papillomavirus vaccination programme vaccinates 12-13 year old students, parents/guardians have been the primary decision-makers regarding receipt of the vaccination. As the average age of first sexual intercourse is 15-17 years old, education at this time could provide an opportunity for unvaccinated students to self-consent to vaccination.
The aim of this study was to develop a HPV intervention, aimed at middle adolescents (15-17 years old), using the 3 stages of the Behaviour Change Wheel.
Methods:
A systematic review informed target behaviours and populations. Focus groups and interviews were conducted throughout Northern Ireland with immunisation nurses (n=26), middle adolescents (n=34), and post-primary school teachers (n=12) and nurses (n=6). Data analysis was guided by the COM-B model to inform a Behavioural Diagnosis. Subsequently, appropriate intervention functions, policy categories and Behaviour Change Techniques were selected with consideration of APEASE criteria.
Results:
The systematic review highlighted the lack of interventions designed for middle adolescents; existing interventions were sparse, commonly not based on behavioural theory and focused on female cancers.
The study identified twelve barriers to three target behaviours which included: empowering students to make decisions about HPV; empowering professionals’ to design and deliver the intervention; and increasing positive public attitudes regarding HPV vaccination.
A behaviour change HPV intervention was developed which included school-based HPV education aligned with mandated curriculum changes, alongside vaccination opportunity. The study identified content, mode of delivery and desirable qualities/characteristics of a professional who could design/deliver the HPV education. A public media campaign was deemed important in supporting this central education.
Discussion & Conclusion:
This study highlights political, social and cultural barriers to HPV intervention success and the need for Department of Health and Education Authority support. A feasibility pilot study should be undertaken to assess the real-world practicality of this HPV intervention.
| Period | 27 Nov 2025 |
|---|---|
| Held at | Public Health Agency Northern Ireland |
| Degree of Recognition | Regional |
Keywords
- HPV; school; education; self consent