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. 2018 Sep 28;6:226. doi: 10.3389/fpubh.2018.00226

Table 1.

Examples of change objectives (COs).

Performance objective Determinant
Knowledge Attitude Beliefs Risk perception having received no HPV-vaccination
1. Mother makes the (informed) decision to have her daughter vaccinated against HPV. Mother explains that HPV is a virus.
Mother explains that HPV is transmitted sexually.
Mother explains that men can also be infected with HPV.
Mother evaluates the HPV-vaccination positively.
Mother recognizes the health benefits of the HPV-vaccination.
Mother recognizes the importance of her daughter receiving the HPV-vaccination before they become sexually active (i.e., age 12).
Mother recognizes that the vaccine has proven to be safe and effective.
Mother acknowledges the risk of her daughter becoming infected with HPV and developing cervical cancer later in life without the vaccination.
2. Mother discusses her decision to have her daughter vaccinated against HPV with her daughter and partner. Mother evaluates communication with her daughter and partner positively.
3. Mother guides her daughter toward receiving the first HPV-injection. Mother knows where to get the first HPV-injection.
4. Mother guides her daughter toward receiving the second HPV-injection. Mother knows where to get the second HPV-injection. Mother recognizes that the HPV-vaccination is most effective when her daughter gets fully vaccinated.