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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Assessing the acceptability of incentivising HPV vaccination consent form return as a means of increasing uptake

Authors: Lauren Rockliffe, Amanda J. Chorley, Emily McBride, Jo Waller, Alice S. Forster

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Uptake of human papillomavirus (HPV) vaccination is high overall but there are disparities in uptake, particularly by ethnicity. Incentivising vaccination consent form return is a promising approach to increase vaccination uptake. As part of a randomised feasibility trial we qualitatively assessed the acceptability of increasing uptake of HPV vaccination by incentivising consent form return.

Methods

In the context of a two-arm, cluster randomised feasibility trial, qualitative free-text questionnaire responses were collected from adolescent girls (n = 181) and their parents (n = 61), assessing the acceptability of an incentive intervention to increase HPV vaccination consent form return. In the incentive intervention arm, girls who returned a signed consent form (regardless of whether consent was given or refused), had a 1-in-10 chance of winning a £50 shopping voucher. Telephone interviews were also conducted with members of staff from participating schools (n = 6), assessing the acceptability of the incentive. Data were analysed thematically.

Results

Girls and parents provided a mix of positive, negative and ambivalent responses about the use of the incentive to encourage HPV vaccination consent form return. Both girls and parents held misconceptions about the nature of the incentive, wrongly believing that the incentive was dependent on vaccination receipt rather than consent form return. School staff members also expressed a mix of opinions on the acceptability of the incentive, including perceptions of effectiveness and ethics.

Conclusions

The use of an incentive intervention to encourage the return of HPV vaccination consent forms was found to be moderately acceptable to those receiving and delivering the intervention, although a number of changes are required to improve this. In particular, improving communication about the nature of the incentive to reduce misconceptions is vital. These findings suggest that incentivising consent form return may be an acceptable means of improving HPV vaccination rates, should improvements be made.

Trial registration

ISRCTN Registry; ISRCTN72136061, 26 September 2016, retrospectively registered.
Footnotes
1
Where the term ‘parent’ is used, we are referring to any adult with parental responsibility.
 
2
Love2Shop vouchers are gift vouchers that can be spent in a range of high street shops, restaurants and major attractions.
 
3
By ‘deliverers’ we refer to all school staff members who participated in the trial, in both the incentive intervention arm and standard invitation arm. There was only one staff member in the standard invitation arm who participated in an interview. Despite not delivering the intervention, they provided feedback on the use of such an incentive.
 
Literature
1.
Bruni L, Diaz M, Barrionuevo-Rosas L, Herrero R, Bray F, Bosch FX, et al. Global estimates of human papillomavirus vaccination coverage by region and income level: a pooled analysis. Lancet Glob Health. 2016;4:e453–63.CrossRefPubMed
2.
3.
Fisher H, Audrey S, Mytton JA, Hickman M, Trotter C. Examining inequalities in the uptake of the school-based HPV vaccination programme in England: a retrospective cohort study. J Public Health (Oxf). 2013;36:36–45.CrossRef
4.
Roberts SA, Brabin L, Stretch R, Baxter D, Elton P, Kitchener H, et al. Human papillomavirus vaccination and social inequality: results from a prospective cohort study. Epidemiol Infect. 2011;139:400–5.CrossRefPubMed
5.
Laumann EO, Youm Y. Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: a network explanation. Sex Transm Dis. 1999;26:250–61.CrossRefPubMed
6.
Prah P, Copas AJ, Mercer CH, Nardone A, Johnson AM. Patterns of sexual mixing with respect to social, health and sexual characteristics among heterosexual couples in England: analyses of probability sample survey data. Epidemiol Infect. 2015;143:1500–10.CrossRefPubMed
7.
Mantzari E, Vogt F, Shemilt I, Wei Y, Higgins JP, Marteau TM. Personal financial incentives for changing habitual health-related behaviors: a systematic review and meta-analysis. Prev Med. 2015;75:75–85.CrossRefPubMedPubMedCentral
8.
Kane RL, Johnson PE, Town RJ, Butler M. A structured review of the effect of economic incentives on consumers' preventive behavior. Am J Prev Med. 2004;27:327–52.CrossRefPubMed
9.
Morgan H, Hoddinott P, Thomson G, Crossland N, Farrar S, Yi D, et al. Benefits of incentives for breastfeeding and smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design. Health Technol Assess. 2015;19:1–10.CrossRefPubMedPubMedCentral
10.
Kane RL, Johnson PE, Town RJ, Butler M. Economic incentives for preventive care. Evid Rep Technol Assess (Summ). 2004;101:1–7.
11.
Giles EL, Robalino S, McColl E, Sniehotta FF, Adams J. The effectiveness of financial incentives for health behaviour change: systematic review and meta-analysis. PLoS One. 2014;9:e90347.CrossRefPubMedPubMedCentral
12.
Bassani DG, Arora P, Wazny K, Gaffey MF, Lenters L, Bhutta ZA. Financial incentives and coverage of child health interventions: a systematic review and meta-analysis. BMC Public Health. 2013;13(Suppl 3):S30.CrossRefPubMedPubMedCentral
13.
Mantzari E, Vogt F, Marteau TM. Financial incentives for increasing uptake of HPV vaccinations: a randomised controlled trial. Health Psychol. 2015;34:160–71.CrossRefPubMed
14.
Sutherland K, Christianson JB, Leatherman S. Impact of targeted financial incentives on personal health behaviour. Med Care Res Rev. 2008;65(Suppl 6):36S–78S.CrossRefPubMed
15.
Wigham S, Ternent L, Bryant A, Robalino S, Sniehotta FF, Adams J. Parental financial incentives for increasing preschool vaccination uptake: systematic review. Pediatrics. 2014;134:e1117–28.CrossRefPubMed
16.
Marteau TM, Ashcroft RE, Oliver A. Using financial incentives to achieve healthy behaviour. BMJ. 2009;338:b1415.CrossRefPubMed
17.
McNaughton RJ, Adams J, Shucksmith J. Acceptability of financial incentives or quasi-mandatory schemes to increase uptake of immunisations in preschool children in the United Kingdom: qualitative study with parents and service delivery staff. Vaccine. 2016;34:2259–66.CrossRefPubMed
18.
Giles EL, Sniehotta FF, McColl E, Adams J. Acceptability of financial incentives and penalties for encouraging uptake of healthy behaviours: focus groups. BMC Public Health. 2015;15:58.CrossRefPubMedPubMedCentral
19.
Promberger M, Dolan P, Marteau TM. “Pay them if it works”: discrete choice experiments on the acceptability of financial incentives to change health related behaviour. Soc Sci Med. 2012;75:2509–14.CrossRefPubMedPubMedCentral
20.
Giles EL, Robalino S, Sniehotta FF, Adams J, McColl E. Acceptability of financial incentives for encouraging uptake of healthy behaviours: a critical review using systematic methods. Prev Med. 2015;73:145–58.CrossRefPubMed
21.
Marshall HS, Proeve C, Collins J, Tooher R, O'Keefe M, Burgess T, et al. Eliciting youth and adult recommendations through citizens' juries to improve school based adolescent immunisation programs. Vaccine. 2014;32:2434–40.CrossRefPubMed
22.
23.
Shaw M. Competence and consent to treatment in children and adolescents. Adv Psychiatr Treat. 2001;7:150–9.CrossRef
24.
Mak DB, Bulsara M, Goggin LS, Effler PV. Resending a consent form and information package to non-responders increases school-based consent return rate. Aust N Z J Public Health. 2011;35:89–90.CrossRefPubMed
25.
26.
Forster AS, Cornelius V, Rockliffe L, Marlow LAV, Bedford H, Waller J. A protocol for a cluster randomised feasibility study of an adolescent incentive intervention to increase uptake of HPV vaccination among girls. Pilot and feasibility stud. 2017;3:13.CrossRef
27.
Forster AS, Cornelius V, Rockliffe L, Marlow LAV, Bedford H, Waller J. A cluster randomised feasibility study of an adolescent incentive intervention to increase uptake of HPV vaccination. Br J Cancer. 2017;117:1121-27.
28.
NVivo qualitative data analysis software; QSR International Pty Ltd. Version 11, 2015.
29.
Sekhon M, Cartwright M, Francis JJ. Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res. 2017;17:88.CrossRefPubMedPubMedCentral
30.
Bernard DM, Cooper Robbins SC, McCaffery KJ, Scott CM, Skinner SR. The domino effect: adolescent girls’ response to human papillomavirus vaccination. Med J Aust. 2011;194:297–300.PubMed
31.
Adams J, Bateman B, Becker F, Cresswell T, Flynn D, McNaughton R, et al. Effectiveness and acceptability of parental financial incentives and quasi-mandatory schemes for increasing uptake of vaccinations in preschool children: systematic review, qualitative study and discrete choice experiment. Health Techol Assess. 2015;19:1–176.CrossRef
Metadata
Title
Assessing the acceptability of incentivising HPV vaccination consent form return as a means of increasing uptake
Authors
Lauren Rockliffe
Amanda J. Chorley
Emily McBride
Jo Waller
Alice S. Forster
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5278-z

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