Development of an intervention for middle adolescents (15–17 years old) using the Behaviour Change Wheel (BCW) to empower adolescent decision-making regarding HPV vaccination uptake

Terri Flood; Ciara Hughes; Iseult M. Wilson; Marian McLaughlin

doi:10.1371/journal.pone.0355229

August 14, 2026PLoS ONEOpen Access

Development of an intervention for middle adolescents (15–17 years old) using the Behaviour Change Wheel (BCW) to empower adolescent decision-making regarding HPV vaccination uptake

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Key Points

To develop a theory-driven HPV vaccination intervention for adolescents aged 15–17 years using the Behaviour Change Wheel framework.
Conducted a systematic review to identify target populations, behaviors, and existing evidence on adolescent HPV interventions.
Carried out focus groups and interviews in Northern Ireland with middle adolescents (n = 34), immunisation nurses (n = 26), post-primary teachers (n = 12), and school nurses (n = 6).
Applied the COM-B model and APEASE criteria to perform a behavioral diagnosis and select intervention functions, policy categories, and behavior change techniques.
Systematic review evidence confirmed a scarcity of theory-informed HPV interventions tailored specifically for middle adolescents.
Identified 12 distinct barriers across three target behaviors: empowering adolescent decision-making, equipping professionals to deliver education, and improving public attitudes toward HPV vaccination.
Designed an intervention combining school-based education integrated into mandated curricula, direct vaccination access, and supporting public media campaigns.

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Implication

Intervention development study outlines an adolescent HPV education model, suggesting school-based catch-up strategies empower independent vaccination choices.

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Flood et al. (2026) studied this question.

synapsesocial.com/papers/6a81799af2fb91fc834acd62 https://doi.org/10.1371/journal.pone.0355229

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Development of an intervention for middle adolescents (15–17 years old) using the Behaviour Change Wheel (BCW) to empower adolescent decision-making regarding HPV vaccination uptake

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Development of an intervention for middle adolescents (15–17 years old) using the Behaviour Change Wheel (BCW) to empower adolescent decision-making regarding HPV vaccination uptake

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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