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Optimising informed consent in school-based adolescent vaccination programmes in England: A multiple methods

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Summary
This summary is machine-generated.

Obtaining informed consent for adolescent immunisation is complex, especially remotely. Improving consent processes and communication can significantly boost vaccine uptake in school-based programs.

Keywords:
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Area of Science:

  • Public Health
  • Immunisation Programs
  • Health Services Research

Background:

  • Informed consent for school-based adolescent immunisation presents challenges, particularly when parental consent is obtained remotely.
  • Remote consent processes can negatively impact vaccine uptake rates.
  • Effective engagement with families is crucial for successful immunisation programmes.

Purpose of the Study:

  • To examine the practices and challenges associated with obtaining informed consent in adolescent immunisation programmes.
  • To identify logistical and communication barriers affecting consent and vaccine uptake.
  • To explore potential interventions for improving the consent process.

Main Methods:

  • A mixed-methods approach combining thematic analysis of 39 interviews with immunisation managers/providers and descriptive statistical analysis of survey data from parents and adolescents.
  • Data collected from a 2017 service evaluation of the English adolescent girls' Human Papillomavirus (HPV) vaccine programme and a survey on attitudes to adolescent vaccination.

Main Results:

  • Non-return of consent forms was a major logistical hurdle; some teams piloted opt-out consent and electronic consent.
  • Key challenges included communicating vaccine information, managing parental consent remotely, and uncertainties around adolescent self-consent.
  • Limited parental discussion of vaccination with adolescents and low awareness of self-consent options were noted; adolescents preferred parental decision-making.

Conclusions:

  • Improving the logistics and communication surrounding informed consent is vital for enhancing vaccine uptake in school-based adolescent immunisation.
  • Developing clear pathways and interventions for consent management, including addressing health professionals' confidence in assessing Gillick competency, is recommended.
  • Addressing challenges in remote consent and empowering adolescents where appropriate could streamline the process and improve participation.