Health Systems, Knowledge, Attitudes, Practice, Vaccination
Conditions
Brief summary
The goal of the study is to monitor and evaluate the implementation of interventions that aim to increase HPV & MMR vaccines among underserved communities across four European countries: Greece, Netherlands, Poland, and Slovakia. The interventions will target identified health systems barriers in an earlier phase of the project. The interventions that will be implemented employ trusted community members as health promotors whom will provide educational sessions on HPV and MMR vaccination to the target groups. In addition, the cost-effectiveness of vaccine uptake strategies for the target groups is being evaluated. The main research question is: to what extent is the multicomponent tailored intervention effective to increase MMR/HPV intention and vaccine uptake in the target population in Greece, Netherlands, Poland and Slovakia?
Detailed description
The general objective of the study is to improve access to vaccination by addressing relevant system level barriers to increase HPV and MMR (where applicable) vaccine intention and uptake among the target groups. The investigators expect that the intervention will address health system barriers to improve increase in access to information on vaccination and vaccination services. A prospective multicomponent intervention study will be performed between 1st of April 2024 and 31st of July 2025 that will be evaluated using a pre and post design as well as a participatory approach during the implementation. As part of the multicomponent intervention a preparatory phase is taken place before this period of time. The multicomponent intervention consists of training of health promotors and healthcare professionals, and of educational sessions to community members and navigation. The educational sessions will be offered at suitable and accessible locations for the target population. The five communities targeted in are the following: 1. The migrant community in Greece (HPV and MMR) 2. Turkish and Moroccan women in the Netherlands (HPV) 3. The Ukrainian community in Poland (HPV and MMR) 4. The Roma community in Slovakia (HPV)
Interventions
BEHAVIORALmulticomponent intervention on vaccination awareness
Educational sessions to create awareness on HPV and MMR (were addressed) vaccination that is culturally sensitive health information and provided in an easily understandable manner by trained health promoters (and healthcare professionals) to underserved communities. Support for navigation and access to vaccines.
Sponsors
Prolepsis Institute for Preventive, Environmental and Occupational Medicine
University in Zielona Góra
Pavol Jozef Safarik University
University Medical Center Groningen
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* parents of children eligible for MMR and/or HPV vaccination according to country guidelines on those specific vaccines
Exclusion criteria
* respondents not willing or able to fill out questionnaires
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intention to vaccinate MMR and/or HPV by questionnaire | Pre and immediately following the intervention and 6 month post intervention | Intention for vaccination against MMR and/or HPV among the underserved communities |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Uptake of MMR and/or HPV vaccinations by questionnaire | Pre and 6 month post intervention evaluation is necessary | MMR and/or HPV vaccination uptake among the underserved communities |
| Knowledge concerning MMR and/or HPV vaccinations in the target group using a questionnaire | Pre and immediately following the intervention and 6 month post intervention evaluation | Knowledge concerning MMR and/or HPV vaccinations among the target group |
| Communication skills of health care professionals using a questionnaire | Pre intervention and directly post intervention | Communication skills of healthcare professionals to deliver appropriate information |
| Satisfaction of the stakeholders as measured by a questionnaire | Directly post intervention | Satisfaction of stakeholders (health promotors and health professionals) with the implementation process and the intervention itself |
Other
| Measure | Time frame | Description |
|---|---|---|
| Improved access to vaccinations by addressing identified health system barriers - number of barriers addressed | Through study completion, an average of 1 year | Addressed health system barriers to improve access to MMR and/or HPV vaccinations among the underserved communities |
Countries
Greece, Netherlands, Poland, Slovakia
Contacts
Primary ContactJanine De Zeeuw, PhD
Backup ContactPania Karnaki
Outcome results
None listed