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| Name | Class |
|---|---|
| Prolepsis Institute for Preventive, Environmental and Occupational Medicine | OTHER |
| University in Zielona Góra | OTHER |
| Pavol Jozef Safarik University | OTHER |
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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?
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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Educational sessions delivered by health promotors in Greece | Experimental | In this approach, medical professionals and health promoters-trusted members of the community-will educate refugee and migrant parents. The focus is on enhancing awareness of HPV/MMR and fostering a greater willingness to vaccinate their children/adolescents. Multicultural schools and migrant associations are the locations where the educational sessions will be provided. |
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| Educational sessions delivered by health promotors and healthcare professionals in the Netherlands | Experimental | Trusted community health members will be trained and will act as health promotors in the intervention. Together with health care professionals they will offer educational sessions on HPV vaccination at locations close to where people live (in the neighborhoods) and locations communities are familiar with, such as community centers, schools, health centers, religious places or offices of foundations/non-governmental organizations. Together with local stakeholders it will be verified that locations are also acceptable for the target communities. A navigation component is also included and participants will be contacted 1 week and 3 months after the educational sessions and reminded to get vaccinated and will be asked if they still have questions or need help to find their way to get vaccinated. |
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| Educational sessions delivered by health promotors in Poland | Experimental | This intervention is based on the principle of face-to-face and online health education, where Ukrainian parents are educated by general practitioners to raise HPV/MMR awareness and increase willingness to child/adolescent vaccination. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| multicomponent intervention on vaccination awareness | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Intention to vaccinate MMR and/or HPV by questionnaire | Intention for vaccination against MMR and/or HPV among the underserved communities | Pre and immediately following the intervention and 6 month post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Uptake of MMR and/or HPV vaccinations by questionnaire | MMR and/or HPV vaccination uptake among the underserved communities | Pre and 6 month post intervention evaluation is necessary |
| Knowledge concerning MMR and/or HPV vaccinations in the target group using a questionnaire |
| Measure | Description | Time Frame |
|---|---|---|
| Improved access to vaccinations by addressing identified health system barriers - number of barriers addressed | Addressed health system barriers to improve access to MMR and/or HPV vaccinations among the underserved communities | Through study completion, an average of 1 year |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Janine De Zeeuw, PhD | Contact | +31 645552994 | j.de.zeeuw@umcg.nl | |
| Pania Karnaki | Contact | +30 210 6255700 | p.karnaki@prolepsis.gr |
| Name | Affiliation | Role |
|---|---|---|
| Nikole Papaevgeniou, PhD | Prolepsis Institute for Preventive, Environmental and Occupational Medicine | Principal Investigator |
| Daniela Fiľakovská, PhD | UPJS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prolepsis | Athens | Athene | 151 25 | Greece |
Sharing according to the European Union open research guidelines.
After study completion
As per open research protocol - on request to principal investigator University Medical Center Groningen
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| ID | Term |
|---|---|
| D001519 | Behavior |
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| Educational sessions delivered by health promotors in Slovakia | Experimental | Roma health mediators will be trained on HPV vaccination and thereafter will offer educational sessions to the underserved communities. Educational sessions take place at either municipalities, schools, community centers, local health care providers and public health authorities. |
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Knowledge concerning MMR and/or HPV vaccinations among the target group |
| Pre and immediately following the intervention and 6 month post intervention evaluation |
| Communication skills of health care professionals using a questionnaire | Communication skills of healthcare professionals to deliver appropriate information | Pre intervention and directly post intervention |
| Satisfaction of the stakeholders as measured by a questionnaire | Satisfaction of stakeholders (health promotors and health professionals) with the implementation process and the intervention itself | Directly post intervention |
| Maria Ganczak, MD PhD |
| University Zielona Gora |
| Principal Investigator |
| Michael Edelstein, MD PhD | Bar Ilan University | Principal Investigator |
| Cornelis Boersma, PhD | University Medical Center Groningen | Principal Investigator |
| University Medical Center Groningen | Groningen | 9713 GZ | Netherlands |
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| University of Zielona Gora | Zielona Góra | Lubusz Voivodeship | 65 417 | Poland |
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| PJ Šafárik University | Košice | Košice Region | 04180 | Slovakia |
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