Recent Submissions

  • Patient-reported factors associated with degree of pain medication dependence and presence of severe dependence among spinal outpatients

    Elander, James; Kapadi, Romaana; Bateman, Antony H; University of Derby; Royal Derby Spinal Centre, Royal Derby Hospital (Future Medicine Ltd, 2021-11-03)
    To identify risk factors for pain medication dependence. Chronic spinal pain outpatients (n=106) completed the Leeds Dependence. Questionnaire (LDQ) and measures of potential risk factors. Participants with high (n=3) and low (n=3) dependence were interviewed. Mean LDQ score was 11.52 (SD 7.35) and 15/106 participants (14.2%) were severely dependent (LDQ ≥20). In linear regression, pain intensity (β=0.313, p<0.001), being disabled by pain (β=0.355, p<0.001), borrowing pain medication (β=0.209, p=0.006), and emergency phone calls or clinic visits (β=0.169, p=0.029) were associated with degree of dependence across the range of LDQ scores. In logistic regression, pain intensity (p=0.001) and borrowing pain medication (p=0.004) increased the odds of severe dependence. Interviewees described how their pain influenced their pain medication use and one described pain medication addiction. Interventions to reduce pain intensity and pain-related disability may reduce pain medication dependence.
  • Using patient feedback to adapt intervention materials based on acceptance and commitment therapy for people receiving renal dialysis

    Elander, James; Kapadi, Romaana; Coyne, Emma; Taal, Maarten W.; Selby, Nicholas M.; Stalker, Carol; Mitchell, Kathryn; University of Derby (Springer Science and Business Media LLC, 2021-11-15)
    Theory-based intervention materials must be carefully adapted to meet the needs of users with specific physical conditions. Acceptance and Commitment Therapy (ACT) has been adapted successfully for cancer, chronic pain, diabetes, irritable bowel syndrome, multiple sclerosis, and a range of other conditions, but not so far for people receiving renal haemodialysis. This paper presents findings from a study to adapt ACT-based intervention materials specifically for renal dialysis. Draft written materials consisting of four stories depicting fictitious individuals who used ACT-related techniques to help overcome different challenges and difficulties related to dialysis were adapted using a systematic patient consultation process. The participants were 18 people aged 19 to 80 years, with chronic kidney disease and receiving renal dialysis. Individual, semi-structured interviews were conducted to elicit participants’ views about how the content of the draft materials should be adapted to make them more realistic and relevant for people receiving renal dialysis and about how the materials should be presented and delivered to people receiving renal dialysis. The interview transcripts were analysed using a qualitative adaptation of the Delphi method in which themes are used as a framework for translating feedback into proposals for modifications. The analysis of patient feedback supported the use of patient stories but suggested they should be presented by video and narrated by real dialysis patients. They also indicated specific adaptations to make the stories more credible and realistic. Participant feedback was translated into proposals for change that were considered along with clinical, ethical and theoretical factors. The outcome was a design for a video-based intervention that separated the stories about individuals from the explanations of the specific ACT techniques and provided greater structure, with material organised into smaller chunks. This intervention is adapted specifically for people receiving renal dialysis while retaining the distinctive theoretical principles of ACT. The study shows the value of consulting patients in the development of intervention materials and illustrates a process for integrating patient feedback with theoretical, clinical and practical considerations in intervention design.
  • The secret language of flowers: insights from an outdoor, arts-based intervention designed to connect primary school children to locally accessible nature.

    Hallam, Jenny; Gallagher, Laurel; Owen, Kay; University of Derby; Urban Wilderness (Routledge: Taylor and Francis, 2021-11-08)
    This paper uses ethnography to explore an outdoor, arts-based intervention run by Urban Wilderness, in partnership with an English primary school. Urban Wilderness are a not-for-profit organisation which aims to connect children and young people from disadvantaged areas to locally accessible nature. Over the course of three afternoon workshops, Urban Wilderness facilitators, a professional artist and teaching staff explored a local park with ten 9–10-year-old children and co-created a sculpture which was exhibited in the park as part of a family festival. Analysis of audio recordings and photographs taken during the workshops explored the ways in which a youth led approach and arts-based methods (i) fostered a sense of connection to the park and (ii) deepened the children’s knowledge about the plants they observed. It is argued that arts-based methods created a sense of presence in nature which fostered close attention to the surrounding environment and reflection upon the children’s relationship with it. The creation of art also facilitated the development of multi-levelled understandings of nature which encompassed identification, folk law and symbolism. As such analysis highlighted the relevance of outdoor learning and a Froebelian approach for older primary school children who are traditionally taught in classroom environments.
  • Development and testing of the Nature Connectedness Parental Self-Efficacy (NCPSE) scale

    Barnes, Christopher; Holland, Fiona G.; Harvey, Caroline; Wall, Su; University of Derby (Elsevier, 2021-09-08)
    There is growing interest in nature connectedness and its benefits to people, and more recently to parents and their children. However, very little research exists that investigates the abilities parents have to engage their children in nature-related activities – parental self-efficacy. Therefore, the purpose of this study was to design, develop and validate a new measure of Nature Connectedness Parental Self-Efficacy (NCPSE). The NCPSE scale was created through a review of the literature, focus groups with parents and experts in the area, and a pilot study (n = 154) to assess an initial item pool of questions. Full reliability and validity testing was then conducted with 362 parents from the general population and of these 83 completed a test-retest follow-up survey. Exploratory Factor Analysis and reliability testing resulted in a 22- item measure with four subscales: Accessing Nature, Communicating about Nature, Overcoming Personal Barriers, and Overcoming Situational Barriers. Validity was also tested using the Generalised Self-Efficacy Scale, Nature Connectedness Index, and the WHO-5 wellbeing measure. The NCPSE demonstrated very good to excellent internal consistency as a whole and for each of its subscales, and is stable over time. Low to moderate correlations with the GSES, NCI and WHO-5 evidence the scales validity and illustrate that greater NCPSE is related to greater General Self-Efficacy, Nature Connectedness and Wellbeing of parents. NCPSE was also significantly and positively related to parental age and the average number of visits parents made to natural spaces each week either by themselves or together with their families. The evidence presented suggests that the NCPSE is a reliable and valid measure of parental self-efficacy related to nature connectedness. The scale may be useful when investigating the relationship between parent-child nature connectedness, specific population groups, and as a way of evaluating interventions designed to improve families’ connectedness to and engagement with nature.
  • ‘I don’t wanna go. I’m staying. This is my home now.’ Analysis of an intervention for connecting young people to urban nature.

    Hallam, Jenny; Gallagher, Laurel; Harvey, Caroline; University of Derby; Urban Wilderness, Stoke on Trent (Elsevier, 2021-09-08)
    This paper uses ethnography to explore young people’s engagement with a UK based intervention designed to promote a meaningful connection to locally accessible urban nature. During the intervention seven young people (aged between 11 and 12 years old) from a socially disadvantaged area, took part in three two-hour sessions held in a patch of urban nature close to their school. During the sessions, facilitators and teachers worked collaboratively with the young people as they explored the space and took part in den building activities. All sessions were recorded using audio and video equipment and a case study approach was utilised to explore the experiences of two young people involved in the project as they worked with practitioners and each other to develop a meaningful connection to the space. Analysis highlights the importance of youth centred interventions which use practical activities to develop a sense of belonging and wellbeing. These issues are discussed in relation to traditional nature engagement interventions and recommendations for practitioners are put forward.
  • Continuing professional development and journaling

    Bryson, David; University of Derby (Informa UK Limited, 2021-09-13)
    This professional development paper looks at CPD and journaling which will help you discover how journaling can support your professional practice, mental health and continuing professional development.
  • The flows of compassion in adolescents as measured by the compassionate engagement and action scales

    Cunha, Marina; Galhardo, Ana; Gilbert, Paul; Rodrigues, Cátia; Matos, Marcela; University of Coimbra, Coimbra, Portugal; University of Derby (Springer Science and Business Media LLC, 2021-07-23)
    The development of self-report instruments assessing the different facets of compassion adapted for different age groups is crucial for research and clinical practice. This study examined the factor structure and psychometric properties of the adaptation to adolescents of the Compassionate Engagement and Action Scales (CEAS-A) in a sample of 674 Portuguese adolescents. Confirmatory factor analyses showed that the factor structure of the CEAS-A was similar to the one found in the adults’ version, with higher-order factor models encompassing two first/s-order factors in each scale (Engagement and Actions). The CEAS-A revealed good construct validity, reliability, and temporal stability. Gender differences were found in Self-compassion and Compassion for Other scales. Path analysis results indicated that self-criticism had a direct negative impact on adolescents’ life satisfaction, whereas the impact of self-reassurance on life satisfaction was partially mediated by self-compassion and compassion from others. The CEAS-A is the first self-report instrument that allows for the assessment of the three different flows of compassion in adolescents and may be an important and useful tool for research and clinical practice.
  • The role of perceived descriptive and injunctive norms on the self-reported frequency of meat and plant-based meal intake in UK-based adults

    Sharps, Maxine; Fallon, Vicky; Ryan, Sean; Helen, Coulthard; De Montfort University; University of Liverpool; University of Derby (Elsevier, 2021-07-28)
    Perceived social norms refer to beliefs that people hold about what other people do (descriptive norms) and approve of (injunctive norms), and are associated with food intake. However, less is known about whether perceived social norms are associated with meat and plant-based meal intake. Using a cross-sectional survey design 136 participants (aged 19-66 years, mean age=39.63, SD=12.85 years, mean BMI=25.77, SD=5.30, 80.9% female, 77.9% omnivores, 22.1% flexitarians) answered questions about how frequently they consumed meat and plant-based meals, and how frequently they perceived people in their social environment to consume (perceived descriptive norms), and approve of consuming (perceived injunctive norms) meat and plant-based meals. Perceived descriptive and injunctive norms were positively associated with participants’ frequency of meat intake: participants ate meat more frequently when they perceived their significant other to frequently eat meat (descriptive norm), and when they perceived their significant other and friends to approve of (injunctive norm) frequently eating meat. Perceived descriptive norms were positively associated, but injunctive norms were negatively associated with participants’ frequency of plant-based meal intake: participants ate plant-based meals more frequently when they perceived their extended family, friends, and significant other to frequently eat plant-based meals. However, participants ate plant-based meals more frequently when they perceived their extended family to approve of less frequent plant-based meal intake. These results suggest that different social groups may be important for meat and plant-based meal intake, with significant others and friends appearing to be important reference points for both food types. Further research examining the contexts in which the different social groups influence eating behaviour would be of value.
  • Assisting you to advance with ethics in research: an introduction to ethical governance and application procedures

    Sivasubramaniam, Shivadas; Dlabolová, Henek Dlabolova; Kralikova, Veronika; Reza Khan, Zeenath; University of Derby; Mendel University in Brno, Zemědělská, 1665, Brno, Czechia; University of Wollongong in Dubai, Dubai, UAE (Springer Nature, 2021-07-13)
    Ethics and ethical behaviour are the fundamental pillars of a civilised society. The focus on ethical behaviour is indispensable in certain fields such as medicine, finance, or law. In fact, ethics gets precedence with anything that would include, affect, transform, or influence upon individuals, communities or any living creatures. Many institutions within Europe have set up their own committees to focus on or approve activities that have ethical impact. In contrast, lesser-developed countries (worldwide) are trying to set up these committees to govern their academia and research. As the first European consortium established to assist academic integrity, European Network for Academic Integrity (ENAI), we felt the importance of guiding those institutions and communities that are trying to conduct research with ethical principles. We have established an ethical advisory working group within ENAI with the aim to promote ethics within curriculum, research and institutional policies. We are constantly researching available data on this subject and committed to help the academia to convey and conduct ethical behaviour. Upon preliminary review and discussion, the group found a disparity in understanding, practice and teaching approaches to ethical applications of research projects among peers. Therefore, this short paper preliminarily aims to critically review the available information on ethics, the history behind establishing ethical principles and its international guidelines to govern research. The paper is based on the workshop conducted in the 5th International conference Plagiarism across Europe and Beyond, in Mykolas Romeris University, Lithuania in 2019. During the workshop, we have detailed a) basic needs of an ethical committee within an institution; b) a typical ethical approval process (with examples from three different universities); and c) the ways to obtain informed consent with some examples. These are summarised in this paper with some example comparisons of ethical approval processes from different universities. We believe this paper will provide guidelines on preparing and training both researchers and research students in appropriately upholding ethical practices through ethical approval processes.
  • An exploration of primary school teachers’ maths anxiety using interpretative phenomenological analysis

    Dove, Jane; Montague, Jane; Hunt, Thomas, E; University of Derby (Final International University, 2021-06-30)
    Primary school teachers are important in children’s learning of mathematics, and maths anxiety development has been partly attributed to children’s classroom experiences (Das & Das, 2013). Maths anxiety was explored in UK primary school teachers, with a view to understanding its development and impact. Data from four semi-structured individual interviews were analysed using Interpretative Phenomenological Analysis (IPA), which facilitates a deeper knowledge of individuals’ personal experience. Three key themes emerged: “experiencing the psychological consequences of maths anxiety”, “social influences” and “the consequences of experiencing maths anxiety as a teaching professional”. The findings contribute to our understanding of the influence of maths anxiety on teachers and teaching practices.
  • Moments, not minutes: The nature-wellbeing relationship

    Richardson, Miles; Passmore, Holli-Anne; Lumber, Ryan; Thomas, Rory; Hunt, Alex; University of Derby; National Trust (University of Waikato, 2021-01-31)
    A wealth of literature has evidenced the important role that the greater-than-human natural environment plays in our mental health and wellbeing (reviews by Bratman et al., 2019; Capaldi et al., 2014, 2015; Pritchard et al., 2019). Spending time in nature, engaging with nature directly and indirectly, and a strong sense of nature connectedness (a psychological/emotional connection with nature) have each been shown to positively impact wellbeing. Few studies, however, have examined the importance that various nature-related factors have on our wellbeing when examined in concert with each other, with none including factors of nature connection and engagement. In the current study, using a national United Kingdom sample of 2,096 adults, we provide new insights into this gap in the literature. Our primary focus was on examining, when considered simultaneously, the patterns and relative predictive importance to hedonic wellbeing (i.e., happiness), eudaimonic wellbeing (i.e., worthwhile life), illbeing (i.e., depression and anxiety), and general physical health of five nature-related factors: (1) nature connectedness, (2) time in nature, (3) engagement with nature through simple everyday activities, (4) indirect engagement with nature, and (5) knowledge and study of nature. A consistent pattern of results emerged across multiple analytical approaches (i.e., correlations, linear regression, dominance analyses, commonality analysis), wherein time in nature was not the main (or significant) predictive nature-related factor for wellbeing. Rather, nature connectedness and engaging with nature through simple activities (e.g., smelling flowers) consistently emerged as being the significant and prominent factors in predicting and explaining variance in mental health and wellbeing. Implications for practical application and policy/programme planning are discussed.
  • Nature Engagement for Human and Nature’s Wellbeing during the Corona Pandemic

    Richardson, Miles; Hamlin, Iain; University of Derby (Emerald, 2021-05-28)
    To explore the associations between noticing nature, nature connectedness, time in nature and human and nature’s wellbeing during the Corona pandemic restrictions. Natural England’s People and Nature Survey (PANS) data (n=4206) from the UK was used to assess a number of wellbeing outcomes (loneliness, life satisfaction, worthwhile life and happiness) and pro-nature behaviours as a function of longer-term physical time in nature and psychological connectedness to nature and shorter-term visits and noticing of nature. Longer-term factors of nature connectedness and time in nature were both consistent significant predictors of wellbeing measures (apart from loneliness) and pro-nature conservation behaviours. Considered alone short-term visits and noticing were again consistent and significant predictors of three wellbeing measures, but recent visits to nature were not associated with pro-nature conservation behaviours. A combined regression highlighted the importance of a longer-term relationship with nature in all outcomes apart from loneliness, but also revealed that, even when considered in concert with longer-term factors, currently noticing nature had a role in feeling one’s life was worthwhile, pro-nature behaviours and loneliness. The closeness of the human-nature relationship and noticing nature have rarely been examined in concert with nature visits. Further, the reciprocal benefits of pro-nature behaviours are often overlooked.
  • A systematic review of self-report measures of negative self-referential emotions developed for non-clinical child and adolescent samples

    Ashra, Hajra; Barnes, Christopher; Stupple, Edward; Maratos, Frances A.; University of Derby (Springer Science and Business Media LLC, 2021-02-05)
    The crisis in child and adolescent mental health and wellbeing has prompted the development of school and community-based interventions to tackle negative emotions towards the self. Providing an evidence-base for such interventions is therefore a priority for policy makers and practitioners. This paper presents the first systematic review of self-referential and self-report measures of negative emotions for use with non-clinical child/adolescent populations, and evaluation of their psychometric properties. A systematic search of electronic databases and grey literature was conducted. Peer reviewed articles that introduced a new measure or included psychometric evaluation of a negative self-referential emotion for children and/or adolescents were identified. Study characteristics were extracted, and psychometric properties rated using internationally recognised quality criteria. Initially, 98 measures designed for evaluating children and adolescents’ negative self-referential emotions were found. Measures were primarily excluded if they were intended for clinical diagnosis or did not focus on self-referential emotions. The remaining eight measures (Brief Shame and Guilt Questionnaire; Self-Consciousness Scale-Children; Shame and Guilt Scale for Adolescents; Test of Self-Conscious Affect- Adolescents; The Child-Adolescent Perfectionism Scale [CAPS]; Child and Adolescent Dysfunctional Attitudes Scale Revised; Children Automatic Thoughts Scale [CATS]; Negative Affect Self-Statement Questionnaire) were organised into domains consisting of self-conscious emotions, self-oriented perfectionism and negative self-cognitions. Psychometric quality ratings identified the CAPS (Flett et al. in J Psychoeduc Assess 34:634–652, 2016) and the CATS (Schniering and Rapee in Behav Res Ther 40:1091–1109, 2002) as having the strongest psychometric qualities. However, all reviewed measures lacked full evaluation of essential psychometric properties. Our review revealed a paucity of self-referential emotional measures suitable for assessing adverse negative self-referential emotions in general child and adolescent populations. Measures suitable for use in non-clinical samples were identified, but these require further evaluation and/or new scale developments are needed. The psychometric findings and methodological issues identified will guide researchers and practitioners to make evidence-based decisions in order to select optimal measures.
  • Melting temperature measurement and mesoscopic evaluation of single, double and triple DNA mismatches

    Olivieira, Luciana; Long, Adam; Brown, Tom; Fox, Keith; Webber, Gerald; Universidade Federal de Minas Gerais, Brazil; University of Southampton; University of Oxford (Royal Society of Chemistry, 2020-07-23)
    Unlike the canonical base pairs AT and GC, the molecular properties of mismatches such as hydrogen bonding and stacking interactions are strongly dependent on the identity of the neighbouring base pairs. As a result, due to the sheer number of possible combinations of mismatches and flanking base pairs, only a fraction of these have been studied in varying experiments or theoretical models. Here, we report on the melting temperature measurement and mesoscopic analysis of contiguous DNA mismatches in nearest-neighbours and next-nearest neighbour contexts. A total of 4032 different mismatch combinations, including single, double and triple mismatches were covered. These were compared with 64 sequences containing all combinations of canonical base pairs in the same location under the same conditions. For a substantial number of single mismatch configurations, 15%, the measured melting temperatures were higher than the least stable AT base pair. The mesoscopic calculation, using the Peyrard–Bishop model, was performed on the set of 4096 sequences, and resulted in estimates of on-site and nearest-neighbour interactions that can be correlated to hydrogen bonding and base stacking. Our results confirm many of the known properties of mismatches, including the peculiar sheared stacking of tandem GA mismatches. More intriguingly, it also reveals that a number of mismatches present strong hydrogen bonding when flanked on both sites by other mismatches. To highlight the applicability of our results, we discuss a number of practical situations such as enzyme binding affinities, thymine DNA glycosylase repair activity, and trinucleotide repeat expansions.
  • The culture of culture plate photography

    Bryson, David; University of Derby (Taylor and Francis, 2021-01-04)
    In medical illustration we all know the role of specimen photography and as part of that the photography of culture plates for records, research and publication. However, there has been a trend towards a wider use of cultures in an artistic context whether part of public understanding of science or as a means of personal expression of identity. The sequence of culture plate photographs in this gallery are really of the ordinary rather than the extraordinary or artistic. The photography of cultures of different colours has even become an art form in its own right.
  • The gravitational pull of identity: Professional growth in sport, exercise, and performance psychologists

    Tod, David; McEwan, Hayley; Chandler, Charlotte; Eubank, Martin; Lafferty, Moira; Liverpool John Moores University; University of the West of Scotland; University of Derby; University of Chester (Informa UK Limited, 2020-10-07)
    Theories based in symbolic interactionism and narrative psychology can help us understand practitioner identity. Drawing on theories from these approaches, our purpose in this article is to distill research on sport psychologist growth, argue professional identity is a central goal in practitioner development, and offer applied implications. Professional growth includes movement from the self as an expert, who solves clients’ problems, to the self as a facilitator, who works alongside clients. Practitioners strive toward being authentic and along the way, develop self-awareness, learn to manage anxiety, and choose their preferred ways of working. A key feature of being authentic is an articulated professional identity. Practitioners can shape their professional identities by interacting with helpful people, consuming various genres of literature, and engaging in different types of writing.
  • Coronavirus Disease 2019 (COVID-19): Forecast of an Emerging Urgency in Pakistan

    Chaudhry, Rabia M; Hanif, Asif; Chaudhary, Muhammad; Minhas, Sadia; Mirza, Khalid; Asif, Tahira; Gilani, Syed A; Kashif, Muhammad; University of Derby (Cureus, Inc., 2020-05-28)
    Novel coronavirus disease 2019 (COVID-19) is a global challenge due to little available knowledge and treatment protocols. Thus, there is a great need for collecting data related to COVID-19 from all around the world. Hence, we conducted this study, collecting daily data on COVID-19, to map the epidemiology outbreak and forecast its trajectory for May 2020. The data was collected from the officially released reports of the National Institute of Health (NIH), Pakistan, and the World Health Organization (WHO). The analysis was done using Statistical Package for the Social Sciences (SPSS) version 23 (IBM Corp., Armonk, NY), and forecasting was done using a simple moving average in time series modeler/expert modeler. The purpose of this study is to draw the attention of international, as well as national, governing bodies to the rapidly rising number of COVID-19 cases in Pakistan, and the urgency of evaluating the efficacy of the currently implemented strategy against COVID-19. According to this study, there is now an alarming increase in the number of COVID-19 patients in Pakistan, despite a contained spread in the beginning. The predicted number of COVID-19 cases can go over 35,000 by the end of May 2020. It is crucial for governing bodies, administrators, and researchers to re-evaluate the current situation, designed policies, and implemented strategies.
  • Embedding compassionate micro skills of communication in higher education: implementation with psychology undergraduates

    Harvey, Caroline; Maratos, Frances; Montague, Jane; Gale, Maggie; Gilbert, Theo; Clark, Karen; University of Derby; University of Hertfordshire (British Psychological Society, 2020-09-01)
    Many students struggle with group-based assessments. The pedagogic approach of the ‘compassionate micro skills of communication’ (CMSC) aims to equip students with the skills necessary to work effectively in group settings. To this end, students studying on a core psychology module involving group-work, received structured CMSC learning in seminars. Following its implementation, analysis of data from four student and one staff focus groups, using thematic analysis, indicated support for the pedagogic approach. Four themes emerged: the use of CMSC for addressing unhelpful group behaviours; employing helpful group behaviours; enhancing inclusivity; and areas for CMSC improvement and roll out. Quantitative data collection is still on-going and will be reported elsewhere. However, our preliminary analysis of the qualitative data provides good support for utilising a CMSC pedagogic approach in Higher Education regarding both its efficacy and potential positive impact.
  • Exploring the international utility of progressing compassionate mind training in school settings: a comparison of implementation effectiveness of the same curricula in the UK and Portugal

    Maratos, Frances A.; Matos, Marcela; Alberquerque, Isabel; Wood, Wendy; Palmeira, Lara; Cuna, Marina; Lima, Margarida; Gilbert, Paul; University of Derby; University of Coimbra (British Psychological Society, 2020-09-01)
    Given current retention and well-being crises within the teaching profession worldwide, this research sought to explore implementation efficacy of a Compassion Mind Training (CMT) programme in cross-cultural school-settings. A 6-module CMT curriculum was implemented in teaching staff of two primary schools in the UK (N=76) and one primary school in Portugal (N=41). Results revealed that high-quality implementation was achieved across the UK and Portuguese cohorts, with the majority of staff providing extremely positive ratings regarding all aspects of module content, delivery, and interest/relevance. Moreover, recommendation of the CMT to others was the modal response across cohorts. These findings indicate that CMT in school settings has international appeal and utility in helping educators manage educational-based stresses.
  • Awareness of oral and genital human papillomavirus (HPV) infection in young adolescents prior to gender-neutral vaccination

    Knight, Gillian; Roberts, Ben; Aston University; University of Derby (BMJ, 2020-04-02)
    Oral human papillomavirus (HPV) and oropharyngeal cancer prevalence are increasing, particularly in men. Raising greater awareness of male HPV disease is perceived as an important intervention strategy. This study investigated the effectiveness of HPV education on adolescents’ perception of HPV disease and the impact of HPV vaccination on their sexual health. An HPV questionnaire was completed by 357 UK-based adolescents, aged 12–13 years. Most adolescents knew HPV causes cervical cancer and HPV vaccination prevents this. A minority acknowledged HPV causes other genital cancers, with under one-fifth knowing HPV causes genital warts. Adolescents’ awareness of HPV transmission activities were limited. There was very poor awareness of oral HPV infection or HPV-induced oropharyngeal cancer. Half of the participants stated HPV vaccination reduced their concerns about sexually transmitted infection contraction. Over half the males said they may take more sexual risks following vaccination, while a similar proportion of females did not expect their partner to take more risks. Adolescents had little awareness of male HPV infection and the role HPV vaccination can play in preventing these diseases. With variable rates of HPV vaccination uptake in males reported worldwide, this study indicates that in the UK greater emphasis on male HPV disease within educational information is required, to raise better awareness of how HPV affects both genders. As both genders preferred to receive education via healthcare professionals, educating a wider range of healthcare professionals on oral HPV could help facilitate awareness of HPV’s role in head and neck cancer.

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