Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools
The Community Preventive Services Task Force endorses vaccination programs in schools to increase access to vaccinations. However, implementing a school-based approach requires substantial coordination, planning, and resources. All for Them (AFT) is a multilevel, multicomponent approach to increase...
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Format: | Article |
Language: | English |
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MDPI AG
2023-05-01
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Series: | Vaccines |
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Online Access: | https://www.mdpi.com/2076-393X/11/5/946 |
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author | Paula M. Cuccaro Jihye Choi Efrat K. Gabay J. Michael Wilkerson Diane Santa Maria Sanghamitra M. Misra Mayra Aguilar McBride Sally W. Vernon |
author_facet | Paula M. Cuccaro Jihye Choi Efrat K. Gabay J. Michael Wilkerson Diane Santa Maria Sanghamitra M. Misra Mayra Aguilar McBride Sally W. Vernon |
author_sort | Paula M. Cuccaro |
collection | DOAJ |
description | The Community Preventive Services Task Force endorses vaccination programs in schools to increase access to vaccinations. However, implementing a school-based approach requires substantial coordination, planning, and resources. All for Them (AFT) is a multilevel, multicomponent approach to increase HPV vaccination among adolescents attending public schools in medically underserved areas in Texas. AFT comprised a social marketing campaign, school-based vaccination clinics, and school nurse continuing education. Process evaluation metrics and key informant interviews to understand experiences with AFT program implementation informed lessons learned. Lessons emerged in six domains: strong champion, school-level support, tailored and cost-effective marketing approaches, mobile provider collaboration, community presence, and crisis management. Strong support at district and school levels is vital for gaining principal and school nurse buy-in. Social marketing strategies are integral to program implementation and should be adjusted to maximize their effectiveness in motivating parents to vaccinate children against HPV, which also can be achieved through increased community presence of the project team. Preparing contingency plans and flexibility within the program can facilitate appropriate responses to provider restrictions in mobile clinics or in the event of unforeseen crises. These important lessons can offer useful guidelines for the development of prospective school-based vaccination programs. |
first_indexed | 2024-03-11T03:15:59Z |
format | Article |
id | doaj.art-fde3dcc2a8874c8bbf1fac850d6bdf20 |
institution | Directory Open Access Journal |
issn | 2076-393X |
language | English |
last_indexed | 2024-03-11T03:15:59Z |
publishDate | 2023-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Vaccines |
spelling | doaj.art-fde3dcc2a8874c8bbf1fac850d6bdf202023-11-18T03:36:08ZengMDPI AGVaccines2076-393X2023-05-0111594610.3390/vaccines11050946Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public SchoolsPaula M. Cuccaro0Jihye Choi1Efrat K. Gabay2J. Michael Wilkerson3Diane Santa Maria4Sanghamitra M. Misra5Mayra Aguilar McBride6Sally W. Vernon7Department of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX 77030, USADepartment of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX 77030, USACenter for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX 77030, USADepartment of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX 77030, USACenter for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX 77030, USABaylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USACenter for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX 77030, USADepartment of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin St., Houston, TX 77030, USAThe Community Preventive Services Task Force endorses vaccination programs in schools to increase access to vaccinations. However, implementing a school-based approach requires substantial coordination, planning, and resources. All for Them (AFT) is a multilevel, multicomponent approach to increase HPV vaccination among adolescents attending public schools in medically underserved areas in Texas. AFT comprised a social marketing campaign, school-based vaccination clinics, and school nurse continuing education. Process evaluation metrics and key informant interviews to understand experiences with AFT program implementation informed lessons learned. Lessons emerged in six domains: strong champion, school-level support, tailored and cost-effective marketing approaches, mobile provider collaboration, community presence, and crisis management. Strong support at district and school levels is vital for gaining principal and school nurse buy-in. Social marketing strategies are integral to program implementation and should be adjusted to maximize their effectiveness in motivating parents to vaccinate children against HPV, which also can be achieved through increased community presence of the project team. Preparing contingency plans and flexibility within the program can facilitate appropriate responses to provider restrictions in mobile clinics or in the event of unforeseen crises. These important lessons can offer useful guidelines for the development of prospective school-based vaccination programs.https://www.mdpi.com/2076-393X/11/5/946school healthhuman papillomavirusvaccinationadolescentsimplementation |
spellingShingle | Paula M. Cuccaro Jihye Choi Efrat K. Gabay J. Michael Wilkerson Diane Santa Maria Sanghamitra M. Misra Mayra Aguilar McBride Sally W. Vernon Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools Vaccines school health human papillomavirus vaccination adolescents implementation |
title | Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools |
title_full | Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools |
title_fullStr | Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools |
title_full_unstemmed | Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools |
title_short | Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools |
title_sort | lessons learned from all for them best practices for a cross collaboration approach to hpv vaccination in public schools |
topic | school health human papillomavirus vaccination adolescents implementation |
url | https://www.mdpi.com/2076-393X/11/5/946 |
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