Exploring Communication Barriers and Facilitators in School Vaccination: A Case Study in South Eastern Sydney, Australia

Overview

Journal Vaccines (Basel)

Date 2024 Nov 26

PMID 39591146

Authors

Leigh McIndoe

Alexandra Young

Cassandra Vujovich-Dunn

Vicky Sheppeard

Stephanie Kean

Michelle Dives

Cristyn Davies

Affiliations

Soon will be listed here.

Abstract

: Given the discrepancies in immunisation coverage, the goal of this study was to explore the barriers and facilitators to effective communication across the school-based vaccination program in South Eastern Sydney schools. : A qualitative study was undertaken with purposively selected immunisation staff, school coordinators, and parents of Year 7 students who had not received two vaccinations (dTpa and HPV) at school. A focus group with immunisation staff and interviews with school coordinators explored the barriers and facilitators to vaccination uptake, including communication across stakeholders. The parent interviews explored attitudes to vaccination and the school program and investigated the program communication methods. : Five immunisation staff, eleven school coordinators, and eleven parents participated in the study. The barriers to participation in the school vaccination program included low parent recall of vaccination information, challenges encountered by school staff in consent tracking, no communication channel between health staff and parents, a greater school focus on vaccination facilitation than student education, and limited communication between stakeholders about catch-up vaccinations. The facilitators included established school/parent relationships for vaccine communication, effective communication between health and school staff, and using multiple methods to promote clinic and consent requirements. : Opportunities exist to increase program participation by enhancing vaccination information and education for students and parents, with better communication about vaccination catch-ups and consent.

References

Wahner C, Hubner J, Meisel D, Schelling J, Zingel R, Mihm S . Uptake of HPV vaccination among boys after the introduction of gender-neutral HPV vaccination in Germany before and during the COVID-19 pandemic. Infection. 2023; 51(5):1293-1304. PMC: 9913033. DOI: 10.1007/s15010-023-01978-0. View

Davies C, Marshall H, Brotherton J, McCaffery K, Kang M, Macartney K . Complex intervention to promote human papillomavirus (HPV) vaccine uptake in school settings: A cluster-randomized trial. Prev Med. 2023; 172:107542. DOI: 10.1016/j.ypmed.2023.107542. View

DeJonckheere M, Vaughn L . Semistructured interviewing in primary care research: a balance of relationship and rigour. Fam Med Community Health. 2020; 7(2):e000057. PMC: 6910737. DOI: 10.1136/fmch-2018-000057. View

McLeroy K, BIBEAU D, Steckler A, Glanz K . An ecological perspective on health promotion programs. Health Educ Q. 1988; 15(4):351-77. DOI: 10.1177/109019818801500401. View

Marek E, Dergez T, Rebek-Nagy G, Szilard I, Kiss I, Ember I . Effect of an educational intervention on Hungarian adolescents' awareness, beliefs and attitudes on the prevention of cervical cancer. Vaccine. 2012; 30(48):6824-32. DOI: 10.1016/j.vaccine.2012.09.012. View

Batista Ferrer H, Trotter C, Hickman M, Audrey S . Barriers and facilitators to HPV vaccination of young women in high-income countries: a qualitative systematic review and evidence synthesis. BMC Public Health. 2014; 14:700. PMC: 4100058. DOI: 10.1186/1471-2458-14-700. View

Cuccaro P, Choi J, Gabay E, Wilkerson J, Santa Maria D, Misra S . Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools. Vaccines (Basel). 2023; 11(5). PMC: 10223857. DOI: 10.3390/vaccines11050946. View

Netfa F, King C, Davies C, Rashid H, Tashani M, Booy R . Perceived facilitators and barriers to the uptake of the human papillomavirus (HPV) vaccine among adolescents of Arabic-speaking mothers in NSW, Australia: A qualitative study. Vaccine X. 2023; 14:100335. PMC: 10318426. DOI: 10.1016/j.jvacx.2023.100335. View

Vasileiou K, Barnett J, Thorpe S, Young T . Characterising and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period. BMC Med Res Methodol. 2018; 18(1):148. PMC: 6249736. DOI: 10.1186/s12874-018-0594-7. View

10.

Sisnowski J, Vujovich-Dunn C, Gidding H, Brotherton J, Wand H, Lorch R . Differences in school factors associated with adolescent HPV vaccination initiation and completion coverage in three Australian states. Vaccine. 2021; 39(41):6117-6126. DOI: 10.1016/j.vaccine.2021.08.076. View

11.

Netfa F, King C, Davies C, Rashid H, Tashani M, Booy R . Knowledge, Attitudes, and Perceptions of the Arabic-Speaking Community in Sydney, Australia, toward the Human Papillomavirus (HPV) Vaccination Program: A Qualitative Study. Vaccines (Basel). 2021; 9(9). PMC: 8473026. DOI: 10.3390/vaccines9090940. View

12.

Davies C, Stoney T, Hutton H, Parrella A, Kang M, Macartney K . School-based HPV vaccination positively impacts parents' attitudes toward adolescent vaccination. Vaccine. 2021; 39(30):4190-4198. DOI: 10.1016/j.vaccine.2021.05.051. View

13.

McIndoe L, Wilson E, Ferson M, Sheppeard V . Beyond Averages: Unpacking Disparities in School-Based Vaccination Coverage in Eastern Sydney: An Ecological Analysis. Vaccines (Basel). 2024; 12(8). PMC: 11360741. DOI: 10.3390/vaccines12080888. View

14.

Guarducci G, Chiti M, Fattore D, Caldararo R, Messina G, Filidei P . Development of a network model to implement the HPV vaccination coverage. Ann Ig. 2024; 36(6):636-643. DOI: 10.7416/ai.2024.2630. View

15.

Bethke N, Gellert P, Knoll N, Weber N, Seybold J . A school-based educational on-site vaccination intervention for adolescents in an urban area in Germany: feasibility and psychometric properties of instruments in a pilot study. BMC Public Health. 2022; 22(1):60. PMC: 8744022. DOI: 10.1186/s12889-021-12443-8. View

16.

Davies C, Marshall H, Zimet G, McCaffery K, Brotherton J, Kang M . Effect of a School-Based Educational Intervention About the Human Papillomavirus Vaccine on Psychosocial Outcomes Among Adolescents: Analysis of Secondary Outcomes of a Cluster Randomized Trial. JAMA Netw Open. 2021; 4(11):e2129057. PMC: 8564580. DOI: 10.1001/jamanetworkopen.2021.29057. View

17.

Nowak G, Gellin B, MacDonald N, Butler R . Addressing vaccine hesitancy: The potential value of commercial and social marketing principles and practices. Vaccine. 2015; 33(34):4204-11. DOI: 10.1016/j.vaccine.2015.04.039. View

18.

Cartmell K, Young-Pierce J, McGue S, Alberg A, Luque J, Zubizarreta M . Barriers, facilitators, and potential strategies for increasing HPV vaccination: A statewide assessment to inform action. Papillomavirus Res. 2017; 5:21-31. PMC: 5886972. DOI: 10.1016/j.pvr.2017.11.003. View

19.

Ward K, Quinn H, Menzies R, McIntyre P . A history of adolescent school based vaccination in Australia. Commun Dis Intell Q Rep. 2013; 37(2):E168-74. View

20.

Tong A, Sainsbury P, Craig J . Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19(6):349-57. DOI: 10.1093/intqhc/mzm042. View