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abstract: 'IntroductionDespite various efforts to improve human papillomavirus
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(HPV) vaccine coverage in France, it has always been lower than in most
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other high-income countries. The health authorities launched in 2018 the
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national PrevHPV research programme to (1) co-develop with stakeholders
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and (2) evaluate the impact of a multicomponent complex intervention
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aimed at improving HPV vaccine coverage amongst French adolescents.
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ObjectiveTo describe the development process of the PrevHPV intervention
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using the GUIDance for rEporting of intervention Development framework
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as a guide. MethodsTo develop the intervention, we used findings from
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(1) published evidence on effective strategies to improve vaccination
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uptake and on theoretical frameworks of health behaviour change; (2)
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primary data on target populations'' knowledge, beliefs, attitudes,
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preferences, behaviours and practices as well as the facilitators and
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barriers to HPV vaccination collected as part of the PrevHPV Programme
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and (3) the advice of working groups involving stakeholders in a
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participatory approach. We paid attention to developing an intervention
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that would maximise reach, adoption, implementation and maintenance in
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real-world contexts. ResultsWe co-developed three components: (1)
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adolescents'' and parents'' education and motivation using eHealth tools
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(web conferences, videos, and a serious video game) and participatory
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learning at school; (2) general practitioners'' e-learning training on
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HPV using motivational interviewing techniques and provision of a
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decision aid tool and (3) easier access to vaccination through
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vaccination days organised on participating middle schools'' premises to
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propose free of charge initiation of the HPV vaccination. ConclusionWe
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co-developed a multicomponent intervention that addresses a range of
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barriers and enablers of HPV vaccination. The next step is to build on
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the results of its evaluation to refine it before scaling it up if
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proven efficient. If so, it will add to the small number of
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multicomponent interventions aimed at improving HPV vaccination
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worldwide. Patient or Public ContributionThe public (adolescents, their
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parents, school staff and health professionals) participated in the
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needs assessment using a mixed methods approach. The public was also
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involved in the components'' development process to generate ideas about
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potential activities/tools, critically revise the successive versions of
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the tools and provide advice about the intervention practicalities,
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feasibility and maintenance.'
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affiliation: 'Bocquier, A (Corresponding Author), Universitede Lorraine, UR APEMAC,
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9 Ave Foret Haye,BP 20199, F-54505 Nancy, France.
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Bocquier, Aurelie; Bonnay, Stephanie; Thilly, Nathalie, Univ Lorraine, APEMAC, Nancy,
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France.
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Bruel, Sebastien, St Etienne Lyon Univ, Jacques Lisfranc Fac Med, Dept Gen Practice,
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St etienne, France.
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Bruel, Sebastien, Univ Claude Bernard, Univ Lyon, Hlth System Proc UR Res Unit 4129,
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Lyon, France.
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Michel, Morgane, Univ Paris Cite, ECEVE UMR 1123, Paris, France.
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Chevreul, Karine, Assistance Publ Hop Paris, URC Eco Ile Defrance Hop Robert Debre,
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Un epidemiol Clin, Hotel Dieu, Paris, France.
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Branchereau, Marion, Ctr Reg Coordinat Depistages Canc Pays Loire, Angers, France.
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Chyderiotis, Sandra, Univ Paris Cite, Inst Pasteur, Emerging Dis Epidemiol Unit,
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Paris, France.
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Gauchet, Aurelie, Univ Grenoble Alpes, LIP PC2S, Grenoble, France.
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Gauchet, Aurelie, Univ Savoie Mont Blanc, LIP PC2S, Chambery, France.
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Giraudeau, Bruno, Univ Tours, Univ Nantes, SPHERE U1246, INSERM, Tours, France.
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Giraudeau, Bruno, CHRU Tours, INSERM CIC 1415, Tours, France.
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Hagiu, Dragos-Paul E., CHU, CIC INSERM 1408, St etienne, France.
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Mueller, Judith, Univ Rennes, RSMS Rech Serv \& Management Sante U 1309, EHESP,
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CNRS, Rennes, France.
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Gagneux-Brunon, Amandine, Univ Lyon, Univ Jean Monnet, Univ Claude Bernard Lyon
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1, Ctr Int Rech Infectiol, St etienne, France.
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Thilly, Nathalie, Univ Lorraine, Dept Methodol Promot Invest, Nancy, France.
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Bocquier, Aurelie, Universitede Lorraine, UR APEMAC, 9 Ave Foret Haye,BP 20199,
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F-54505 Nancy, France.'
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author: Bocquier, Aurelie and Bruel, Sebastien and Michel, Morgane and Le Duc-Banaszuk,
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Anne-Sophie and Bonnay, Stephanie and Branchereau, Marion and Chevreul, Karine and
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Chyderiotis, Sandra and Gauchet, Aurelie and Giraudeau, Bruno and Hagiu, Dragos-Paul
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E. and Mueller, Judith and Gagneux-Brunon, Amandine and Thilly, Nathalie and Group,
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PrevHPV Study
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author-email: aurelie.bocquier@univ-lorraine.fr
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author_list:
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- family: Bocquier
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given: Aurelie
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- family: Bruel
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given: Sebastien
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- family: Michel
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given: Morgane
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- family: Le Duc-Banaszuk
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given: Anne-Sophie
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- family: Bonnay
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given: Stephanie
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- family: Branchereau
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given: Marion
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- family: Chevreul
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given: Karine
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- family: Chyderiotis
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given: Sandra
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- family: Gauchet
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given: Aurelie
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- family: Giraudeau
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given: Bruno
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- family: Hagiu
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given: Dragos-Paul E.
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- family: Mueller
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given: Judith
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- family: Gagneux-Brunon
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given: Amandine
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- family: Thilly
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given: Nathalie
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- family: Group
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given: PrevHPV Study
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da: '2023-09-28'
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doi: 10.1111/hex.13778
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earlyaccessdate: JUN 2023
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eissn: 1369-7625
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files: []
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issn: 1369-6513
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journal: HEALTH EXPECTATIONS
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keywords: 'co-construction; complex Intervention; eHealth tools; human
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papillomavirus; motivational interview; vaccination behaviours'
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keywords-plus: 'HUMAN-PAPILLOMAVIRUS VACCINATION; HEALTH; COMMUNICATION; STRATEGIES;
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DISEASES; IMPACT'
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language: English
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month: OCT
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number: '5'
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number-of-cited-references: '64'
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pages: 1843-1853
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papis_id: 0147d2bf5891ee088627c9028d1bc6a7
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ref: Bocquier2023codevelopmentschoolb
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researcherid-numbers: Josselin, LE BEL/GYV-2052-2022
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times-cited: '0'
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title: Co-development of a school-based and primary care-based multicomponent intervention
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to improve HPV vaccine coverage amongst French adolescents (the PrevHPV Study)
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type: Article
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unique-id: WOS:001005704800001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '26'
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web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services;
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Public,
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Environmental \& Occupational Health'
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year: '2023'
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