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Vaccine RefusalEDUCAVACNCT06513494

Active Health Education to Increase HPV Vaccine Coverage in Youth: A Stepped-wedge, Cluster, and Randomized Trial

A study testing Active Students Education plus Teacher Training, Active Students Education and Basic Health Unit Active Orientation in people with Vaccine Refusal and Vaccine Hesitancy, run by Hospital Israelita Albert Einstein at 79 sites in Brazil.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study aims to evaluate the impact of active health education methodologies on increasing adherence to the HPV vaccine among schoolchildren. The project will involve 196 schools across Brazil, encompassing a total of 5,000 students. Read more about this study

Who is it for?
Ages 9 to 14 yearsHealthy volunteers can take part
Conditions the study is for
Vaccine Refusal, Vaccine Hesitancy
What is being tested?
Active Students Education plus Teacher Training, Active Students Education and Basic Health Unit Active Orientation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5,000 participants
Where
79 sitesBrazil
Study dates
24 Mar 2025to 1 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 9 to 14 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Students of both sexes aged 9 to 14 years old.
  • The school has enrolled students aged 9 to 14 years old.

Who cannot join

  • Students with a complete HPV vaccination (two doses) received.
  • Criteria for Clusters
  • Schools that do not have students aged between 9 and 14;
  • Schools that provided only distance education

Trial locations and contacts

79 sites in 1 country. Contact the study team or a site near you to ask about taking part.

79 sites in 1 country

Brazil79 sites, 79 recruiting
  • EM Alfredo Monteiro de Seixas

    Augusto Corrêa, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Andre Alves

    Augusto Corrêa, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Carmem Dilce

    Augusto Corrêa, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Manoel Sady

    Augusto Corrêa, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Maria Benedita Mota

    Augusto Corrêa, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Maria da Conceição Santana

    Augusto Corrêa, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Rosa Athayde

    Augusto Corrêa, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • Cem Iii Irmã Maria Teresa Parodi

    Boa Vista, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • Ee Fagundes Varela

    Boa Vista, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • Ee Jesus Nazareno de Souza Cruz

    Boa Vista, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • Em Valdemarina Normando Martins

    Boa Vista, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • CED 4 do Guará

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF 04 Ceilandia

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF 2 da estrutural

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF 3 da Estrutural

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF 4 Guará

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF Lobo Guará

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF Santos Dumont

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF Telebrasília

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • CEF Vargem Bonita

    Brasília, Federal District

    Maria C O Figueiredo, BSc, +55 61 994508218, mariaclarafigueiredo2491@gmail.com

    Recruiting
  • Cem José Aureliano Da Costa

    Cantá, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • Em Tia Ercília

    Cantá, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • EE Tancredo de Almeida Neves

    Couto de Magalhães de Minas, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EM São Judas Tadeu

    Couto de Magalhães de Minas, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • Cel Filemon Fernandes Teles

    Crato, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • Dom Vicente de Paula Araujo Matos

    Crato, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • EEIEF Maria Yara de Brito Gonçalves CAIC

    Crato, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • EEIF Antonio Antuérpio Gonzaga de Melo

    Crato, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • Cei 02 - Prof João Crisóstomo de Figueiredo

    Cuiabá, Mato Grosso

    Marta N S Medeiros, BSc, +55 65 992564577, martaneres13@gmail.com

    Recruiting
  • Ee Ana Maria Do Couto

    Cuiabá, Mato Grosso

    Marta N S Medeiros, BSc, +55 65 992564577, martaneres13@gmail.com

    Recruiting
  • Ee Mariana Luiza Moreira

    Cuiabá, Mato Grosso

    Marta N S Medeiros, BSc, +55 65 992564577, martaneres13@gmail.com

    Recruiting
  • EE PROFª DIVA HUGUENEY DE SIQUEIRA BASTOS

    Cuiabá, Mato Grosso

    Marta N S Medeiros, BSc, +55 65 992564577, martaneres13@gmail.com

    Recruiting
  • EE PROFº RAFAEL RUEDA

    Cuiabá, Mato Grosso

    Marta N S Medeiros, BSc, +55 65 992564577, martaneres13@gmail.com

    Recruiting
  • EE Arthur Tibães

    Diamantina, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EE João Cesar de Oliveira

    Diamantina, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EE Professor Gabriel Madacaru

    Diamantina, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EE Professor Leopoldo Miranda

    Diamantina, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EE Professora Gabriela Neves

    Diamantina, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • Escola Estadual Professora Isabel Motta

    Diamantina, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EE Felício dos Santos

    Felício dos Santos, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EM Santo Antônio

    Felício dos Santos, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EEF José Ferreira Menezes

    Juazeiro do Norte, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • EEF Raimundo Pessoa

    Juazeiro do Norte, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • EEF Zila Belem

    Juazeiro do Norte, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • Emef Mário Da Silva Bem

    Juazeiro do Norte, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • Emef Professora Maria de Lourdes Lopes de Sousa

    Juazeiro do Norte, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • EMEIF Maria Do Socorro Cardoso

    Juazeiro do Norte, Ceará

    Christian B Silva, BSc, +55 88 999855250, bezerra.chris@gmail.com

    Recruiting
  • Cem Maria Mariselma de Oliveira Cruz

    Mucajaí, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • Ee Vereador Francisco Pereira Lima

    Mucajaí, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • Em Irmã Leonilde Dal Pós

    Mucajaí, Roraima

    Marcos A A +55 95 991445480, BSc, marcos2rr@gmail.com

    Recruiting
  • Em Jesus de Nazaré

    Mucajaí, Roraima

    Marcos A A Lima, BSc, +55 95 991445480, marcos2rr@gmail.com

    Recruiting
  • EE Alceu Amoroso Lima

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EE Aldo Fernandes

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EE Djalma Aranha Marinho

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EE Isabel Gondim

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EE Reginaldo Ferreira Neto

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EM Ferreira Itajubá

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EM José Alves Landim

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EM José do Patrocínio Pereira Pinto

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • EM Professora Lourdes Godeiro

    Natal, Rio Grande do Norte

    Nayara C Costa, BSc, +55 84 994444998, nayaracarvalho.costa@gmail.com

    Recruiting
  • CE C-M-Ef M Profis Jose Elias da Rocha

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • CE Pe-Ef M Pedro Grzelczaki

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • CE Prof-Ef M Profis Meneleu A Torres

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • CE Prof-Ef M Profis. Joao R V B du Vernay

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EE Profa-Ef Halia T Gruba

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EE-Ef Jesus Divino Operario

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EM Doutor Leopoldo Pinto Rosas

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EM Professora Agenoridas Stadler

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EM Professora Cristiane Levandowski

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EM Professora Zair Santos Nascimento

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EM Professora Zanoni Rogoski

    Ponta Grossa, Paraná

    Rodolfo A Dellagrana, BSc, +55 42 984040300, radellagrana@gmail.com

    Recruiting
  • EE Dom João Antônio dos Santo

    São Gonçalo do Rio Preto, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EM Zulma Rocha dos Santos

    São Gonçalo do Rio Preto, Minas Gerais

    Paula M M G Corrêa, BSc, +55 38 999794395, paulinhamunnoguimaraes@gmail.com

    Recruiting
  • EM Edom do Nascimento Pinheiro

    Tracuateua, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Elias Ferez Gorayeb

    Tracuateua, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Levina de Oliveira Reis

    Tracuateua, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Valdemar Pinheiro da Silva

    Tracuateua, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • EM Zulmira Guedes

    Tracuateua, Pará

    Lucinaldo S Blandtt, BSc, +55 91 992006535, blandtt.naldo@gmail.com

    Recruiting
  • Ee Deputado Milton Figueiredo

    Várzea Grande, Mato Grosso

    Marta N S Medeiros, BSc, +55 65 992564577, martaneres13@gmail.com

    Recruiting

Other trials in Brazil

About this study

Official title: A Stepped-wedge, Cluster, and Randomized Trial to Evaluate Active Health Education Methods to Increase Human Papillomavirus Vaccine Coverage in Youth

This study aims to evaluate the impact of active health education methodologies on increasing adherence to the HPV vaccine among schoolchildren. The project will involve 196 schools across Brazil, encompassing a total of 5,000 students.

A stepped-wedge implementation design will be applied, with clusters being randomized every two months to one of four interventions.

Each intervention will be implemented in 48 schools.

Read the detailed description

The adherence to the HPV vaccine among young people has declined recently, particularly in Brazil. While previous studies have shown that interventions such as text messaging can increase vaccination coverage, there is still a lack of robust data on the effectiveness of direct interventions in school populations using active health education methods. This study aims to evaluate the impact of active health education methodologies on increasing adherence to the HPV vaccine among schoolchildren.

The project will involve 80 schools across Brazil, including a total of 5,000 students. These schools will be randomized into clusters of five.

The study will apply a stepped-wedge implementation design, with clusters being randomized every two months to one of four interventions:

Education for students and teachers training + Basic Health Unit action in schools Education for students without teachers training + Basic Health Unit action in schools Only Basic Health Unit activities Usual control

Being tested
Active Students Education plus Teacher Training, Active Students Education, Basic Health Unit Active Orientation, Usual care
Keywords
vaccination coverage, HPV vaccine, stepped-wedge design, students
Medical subject headings
Vaccination Refusal, Vaccination Hesitancy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Active Students Education plus Teacher TrainingBehavioural

    The teacher undergoes 30 hours of self-instructional training on vaccination through an online platform tailored for the relevant age group. Additionally, students receive active vaccinations and health education over two months

  • Active Students EducationBehavioural

    Students receive active vaccinations and health education over two months.

  • Basic Health Unit Active OrientationBehavioural

    Nurses from basic health units will conduct an active orientation session at schools about vaccination for students.

  • Usual careOther

    No project interventions will be carried out.

Study groups in NCT06513494
Study groupRoleWhat they receive
Active Students Education plus Teacher TrainingExperimentalClusters will perform active training for both teachers and students.
Receives: Behavioral: Active Students Education plus Teacher Training
Active Students EducationExperimentalClusters will perform active training for only students.
Receives: Behavioral: Active Students Education
Basic Health Unit Active OrientationExperimentalClusters will receive a nurse-led orientation session on vaccination for students in schools.
Receives: Behavioral: Basic Health Unit Active Orientation
Usual careOtherNo project interventions will be carried out.
Receives: Other: Usual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of children and adolescents with at least one dose of HPV vaccination following the intervention

    Rate of HPV vaccination among childrens and adolescents

    Measured: 12 months

Secondary outcomes (4)
  1. Proportion of children and adolescents with complete HPV vaccination

    Rate of complete HPV vaccination scheme (two doses) among childrens and adolescents

    Measured: 12 months

  2. Proportion of teachers with complete HPV vaccination (two doses)

    Rate of complete HPV vaccination scheme (two doses) among teachers

    Measured: 12 months

  3. Proportion of vaccination refusal among children and adolescents

    Rate of HPV vaccination refusal

    Measured: 12 months

  4. Proportion of vaccination refusal among teachers

    Rate of teacher HPV vaccination refusal

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2024
  2. Study start24 Mar 2025
  3. Primary completion1 Dec 2025 (estimated)
  4. Study completion1 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Stepped-wedge, Cluster, and Randomized trial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
5,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06513494
Sponsor's protocol ID
EDUCAVAC trial
Acronym
EDUCAVAC
Status last verified
Mar 2025
First submitted
16 Jul 2024
Last updated
18 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Active Students Education plus Teacher Training, Active Students Education and Basic Health Unit Active Orientation in people with Vaccine Refusal and Vaccine Hesitancy, run by Hospital Israelita Albert Einstein at 79 sites in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 18 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 79 sites in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Soraya S Cruz (55 11 2151-1233 ext. ARO, soraya.cruz@einstein.br), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of children and adolescents with at least one dose of HPV vaccination following the intervention (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Nov 2025.

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