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. 2014 Jul;15(4):556-67.
doi: 10.1177/1524839913518222. Epub 2014 Jan 17.

Development, theoretical framework, and evaluation of a parent and teacher-delivered intervention on adolescent vaccination

Lisa M Gargano  1 , Natasha L Herbert  2 , Julia E Painter  2 , Jessica M Sales  2 , Tara M Vogt  3 , Christopher Morfaw  4 , LaDawna M Jones  2 , Dennis Murray  5 , Ralph J DiClemente  2 , James M Hughes  2
Affiliations

Development, theoretical framework, and evaluation of a parent and teacher-delivered intervention on adolescent vaccination

Lisa M Gargano et al. Health Promot Pract. 2014 Jul.

Abstract

The Advisory Committee on Immunization Practices recommended immunization schedule for adolescents includes three vaccines (tetanus, diphtheria, and acellular pertussis [Tdap]; human papillomavirus [HPV] vaccine; and meningococcal conjugate vaccine [MCV4]) and an annual influenza vaccination. Given the increasing number of recommended vaccines for adolescents and health and economic costs associated with nonvaccination, it is imperative that effective strategies for increasing vaccination rates among adolescents are developed. This article describes the development, theoretical framework, and initial first-year evaluation of an intervention designed to promote vaccine acceptance among a middle and high school-based sample of adolescents and their parents in eastern Georgia. Adolescents, parents, and teachers were active participants in the development of the intervention. The intervention, which consisted of a brochure for parents and a teacher-delivered curriculum for adolescents, was guided by constructs from the health belief model and theory of reasoned action. Evaluation results indicated that our intervention development methods were successful in creating a brochure that met cultural relevance and the literacy needs of parents. We also demonstrated an increase in student knowledge of and positive attitudes toward vaccines. To our knowledge, this study is the first to extensively engage middle and high school students, parents, and teachers in the design and implementation of key theory-based educational components of a school-based, teacher-delivered adolescent vaccination intervention.

Keywords: child/adolescent health; curriculum; immunization; school health; theory.

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Figures

Figure 1
Figure 1
Study Design for “Enhancing Adolescent Immunization through Parent and Teacher Interventions
Figure 2
Figure 2
Theoretical Framework Employing Constructs from the Health Belief Model and Theory of Reasoned Action in the Context of Our Educational Intervention
See this image and copyright information in PMC

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