title: Eliciting youth and adult recommendations through citizens' juries to improve school based adolescent immunisation programs.
abstract: OBJECTIVE
  Completion of adolescent immunisation schedules in Australia is sub-optimal despite a well-established school based delivery program. The aim of this study was to seek adolescent and adult views on how existing adolescent school based immunisation policy and program delivery could be improved to increase adolescent immunisation uptake.
  
  
  METHODS
  Two citizens' juries held separately, one with adolescent participants and one with adult participants deliberated on recommendations for public policy. Jury members were selected using a stratified sampling technique and recruited from a standing panel of community research participants through a market research company in South Australia. Juries were conducted in Metropolitan South Australia over two days and used university facilities with all meals and refreshments provided.
  
  
  RESULTS
  Fifteen adults and 16 adolescents participated in the adult and youth juries respectively. Similar recommendations were made by both juries including increased ensuring the accuracy of information provided to adolescents and parents; employing a variety of formats for information delivery; and greater consideration of students' physical and emotional comfort in order to improve the experience for adolescents. While the youth jury recommended that it should be compulsory for adolescents to receive vaccines through the school based immunisation program, the adult jury recommended an 'opt-out' system of consent. Both juries also recommended the use of incentives to improve immunisation uptake and immunisation course completion.
  
  
  CONCLUSIONS
  Eliciting adolescent views and including the perspectives of adolescents in discussions and development of strategies to improve engagement in the school based immunisation program provided valuable insight from the group most impacted by these policies and practices. Specifically, incorporation of adolescent and community views using citizens' juries may lead to greater overall support from the community as their values and needs are more accurately reflected.
authors.affiliation: Vaccinology and Immunology Research Trials Unit, Women's and Children's Hospital, North Adelaide, South Australia, Australia; School of Paediatrics and Reproductive Health, University of Adelaide, South Australia, Australia; School of Population Health, University of Adelaide, South Australia, Australia. Electronic address: helen.marshall@adelaide.edu.au.
authors.forename: Helen S
authors.initials: HS
authors.lastname: Marshall
authors.affiliation: School of Population Health, University of Adelaide, South Australia, Australia. Electronic address: claudia.proeve@adelaide.edu.au.
authors.forename: Claudia
authors.initials: C
authors.lastname: Proeve
authors.affiliation: Vaccinology and Immunology Research Trials Unit, Women's and Children's Hospital, North Adelaide, South Australia, Australia; School of Population Health, University of Adelaide, South Australia, Australia. Electronic address: joanne.collins@adelaide.edu.au.
authors.forename: Joanne
authors.initials: J
authors.lastname: Collins
authors.affiliation: School of Population Health, University of Adelaide, South Australia, Australia. Electronic address: rebecca.tooher@adelaide.edu.au.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Tooher
authors.affiliation: Faculty of Health Sciences, University of Adelaide, South Australia, Australia. Electronic address: maree.okeefe@adelaide.edu.au.
authors.forename: Maree
authors.initials: M
authors.lastname: O'Keefe
authors.affiliation: School of Population Health, University of Adelaide, South Australia, Australia. Electronic address: teresa.burgess@adelaide.edu.au.
authors.forename: Teresa
authors.initials: T
authors.lastname: Burgess
authors.affiliation: Discipline of Paediatrics & Child Health, University of Sydney, New South Wales, Australia; Children's Hospital Westmead, Westmead, New South Wales, Australia. Electronic address: rachel.skinner@health.nsw.gov.au.
authors.forename: S Rachel
authors.initials: SR
authors.lastname: Skinner
authors.affiliation: Communicable Disease Control Branch, South Australia Health, South Australia, Australia. Electronic address: maureen.watson@health.sa.gov.au.
authors.forename: Maureen
authors.initials: M
authors.lastname: Watson
authors.affiliation: Aboriginal and Family Services, South Australia Department for Education and Child Development, South Australia, Australia. Electronic address: Heather.Ashmeade@sa.gov.au.
authors.forename: Heather
authors.initials: H
authors.lastname: Ashmeade
authors.affiliation: School of Population Health, University of Adelaide, South Australia, Australia. Electronic address: annette.braunackmayer@adelaide.edu.au.
authors.forename: Annette
authors.initials: A
authors.lastname: Braunack-Mayer
mesh_terms: D000293:Adolescent; D000328:Adult; D003256:Community Participation; D005260:Female; D006302:Health Services Research; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration*; D007258:Informed Consent; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D011639:Public Opinion; D012574:Schools; D013021:South Australia; D014611:Vaccination / Q000523:psychology; D055815:Young Adult
keywords: Adolescents; Australia; Citizen's jury; Community; Immunisation; Program delivery